Hyperacusis in Bell’s palsy is due to the paralysis of the following muscle -
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- Tensor tympani
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- Levator palatii
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- Tensor veli palatii
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- Stapedius
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EXP:
- Stapedius muscle dampens excessive vibrations of the stapes caused by high pitched sounds in order to protect the internal ear.
- If this protective reflex is not elicited it indicates stapedius paralysis and results in hyperacusis.