Aggravated by Tinnitus exacerbated by swallowing 2023-12-28T15:12:28Z During swallowing, the tensor veli palatini (TVP) muscle is activated to assist in elevating the palate. Due to this dual innervation by CNV, the tensor tympani (TT) muscle can be activated and possibly cause tinnitus in some patients. Tinnitus (sound heard by a subjhect when no corresponding external sound is present) that is made worse by swallowing.