报告4例肌源性客观耳鸣病例。3例为腭肌阵挛,其中2例非自主性者与鼻窦炎及感冒有关,分别用卡马西平和阿托品类药物治愈,1例自主性者为神经官能症。另1例鼓膜张肌阵挛与颞颌关节紊乱综合征有关。重点对本病的临床分类、诊断、治疗进行讨论。 Report 4 cases of myogenic objective tinnitus cases. Three cases were palatal myoclonus, of which two were involuntary and were associated with sinusitis and colds, and were cured with carbamazepine and atropine respectively. One patient with autonomic nervous system was neurosis. Another case of tympanic membrane myoclonus and temporomandibular joint disorder syndrome. Focus on the clinical classification of the disease, diagnosis, treatment to be discussed.