颞下颌疾病患者新发耳科症状的患病率

M. Aldè, H. Didier, A. Giannì, Fabiola Sessa, G. Borromeo, Alexandre Henri Didier, S. Barozzi, D. Zanetti, F. Di Berardino
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引用次数: 1

摘要

本回顾性研究的目的是评估在颅面疼痛门诊和牙科门诊就诊的颞下颌疾病(TMD)患者中新发耳科症状的患病率以及耳鸣与口腔副功能习惯之间的可能关联。回顾2016年2月1日至2017年12月31日期间经历TMD的患者的医疗报告和图表,以评估新发听力充溢、眩晕和耳鸣的患病率。耳鸣也进行了更详细的分析,以评估可能与功能习惯的联系。符合纳入标准的患者共400例,其中女性301例,男性99例,中位年龄39.6±15.6岁。总体而言,304名(76%)TMD患者报告了新发耳科症状。在耳科症状中,最常见的是听觉充实感(n = 133, 33.3%),其次是耳鸣(n = 92, 23%)和眩晕(n = 79, 19.8%)。耳鸣与磨牙(p = 0.28)、咬牙(p = 0.11)、咬指甲(p = 0.96)、俯卧(p = 0.27)、嚼口香糖(p = 0.99)、长时间说话(p = 0.42)无显著相关性。目前的研究表明,所有TMD患者都应该调查新发的耳科症状,而不管口腔功能习惯如何。早期诊断将有助于规划个性化和适当的治疗和康复途径,最大限度地减少TMD的负面影响。
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Prevalence of New-Onset Otological Symptoms in Patients with Temporomandibular Disorders
The aim of this retrospective study was to evaluate the prevalence of new-onset otological symptoms and the possible associations between tinnitus and oral parafunctional habits among patients with temporomandibular disorders (TMD) who attended a Craniofacial Pain Outpatient and a Dentistry Clinic. The medical reports and charts of patients who experienced TMD between 1 February 2016 and 31 December 2017 were reviewed, in order to evaluate the prevalence of new-onset aural fullness, vertigo and tinnitus. Tinnitus was also analyzed in more detail to evaluate possible associations with parafunctional habits. A total of 400 patients (301 females, 99 males) met the inclusion criteria, with a median age of 39.6 ± 15.6 years. Overall, new-onset otological symptoms were reported by 304 (76%) subjects with TMD. Among otological symptoms, aural fullness was the most common (n = 133, 33.3%), followed by tinnitus (n = 92, 23%) and vertigo (n = 79, 19.8%). No significant correlations were found between tinnitus and bruxism (p = 0.28), clenching (p = 0.11), nail-biting (p = 0.96), sleeping prone (p = 0.27), chewing gum (p = 0.99) and talking for a long time (p = 0.42). The present study suggests that all patients with TMD should be investigated for new-onset otological symptoms, regardless of oral parafunctional habits. Early diagnosis would allow to plan personalized and appropriate therapeutic and rehabilitative pathways, minimizing the negative impact due to TMD.
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