保守疗法对颞下颌关节紊乱患者耳科体征和症状的影响：系统回顾和荟萃分析。

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-11-14 DOI:10.1080/08869634.2024.2423696

Geraldo Vinícius de Medeiros Xavier, Allya Francisca Marques Borges, Rayane Délcia da Silva, Sônia Maria Aguiar Coelho, Camila de Castro Corrêa, Rosane Sampaio Santos, Cristiano Miranda de Araujo, José Stechman-Neto, Karinna Veríssimo Meira Taveira

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引用次数: 0

摘要

摘要评估保守治疗干预对颞下颌关节紊乱症（TMD）及相关耳科症状成年患者的影响：方法：对六个数据库和灰色文献进行电子检索。采用随机效应荟萃分析法对研究进行偏倚风险评估，并使用 GRADE 工具评估证据的确定性：结果：18 项研究被纳入最终综述。与基线相比，干预后耳科症状明显减少[OR = 0.09; 95% CI = 0.04 - 0.23, I² = 56%]，反映出保守治疗后耳科症状的可能性降低了约11倍。在这些研究中，8 项研究存在低偏倚风险，5 项研究存在中度偏倚风险，4 项研究存在高度偏倚风险，证据的确定性被评为极低：结论：TMD 的保守治疗干预似乎可以减轻耳科症状。结论：TMD 的保守治疗干预似乎可以减轻耳科症状，但目前的证据确定性有限，需要进一步研究以得出更明确的结论。

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Impact of conservative therapy on otologic signs and symptoms in patients with temporomandibular disorders: A systematic review and meta-analysis.

Objective: To evaluate the effect of conservative therapeutic interventions in adult patients with temporomandibular disorders (TMD) and associated otologic symptoms.

Methods: An electronic search across six databases and grey literature was conducted. Studies were assessed for risk of bias, a random-effects meta-analysis, and the certainty of the evidence was evaluated using the GRADE tool.

Results: Eighteen studies were included in the final synthesis. Otologic symptoms significantly decreased following intervention compared to baseline [OR = 0.09; 95% CI = 0.04 - 0.23, I² = 56%], reflecting an approximately 11-fold reduction in symptom likelihood of otologic symptoms after conservative treatment. Of the studies, eight had a low risk of bias, five had moderate, and four had high risk, with evidence certainty rated as very low.

Conclusion: Conservative therapeutic interventions for TMD appear to reduce otologic symptoms. However, the certainty of the current evidence is limited, warranting further research to establish more definitive conclusions..

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.