Wright E F, Syms C A, Bifano S L
Otolaryngology and Temporomandibular Disorder Clinics, Wilford Hall Medical Center, Lackland Air Force Base, TX 78236, USA.
Mil Med. 2000 Oct;165(10):733-6.
U.S. Air Force otologic patients seeking care at Wilford Hall Medical Center for tinnitus, dizziness, and/or nonotologic otalgia without an identifiable cause and presenting with temporomandibular disorder (TMD) symptoms in the temple, jaw, or preauricular area or with otalgia at least once a month were referred to a TMD specialty clinic. The patients were provided a dental orthotic and TMD self-care instructions. After 3 months of orthotic wear, the percentages of patients reporting at least moderate symptom improvement of their tinnitus, dizziness, otalgia, and/or TMD were 64, 91, 87, and 92%, respectively. Follow-up telephone calls 6 months after completion of TMD therapy revealed that all patients maintained their symptom improvements. These findings imply that TMD was affecting the patients' otologic symptoms. Patients seeking care for tinnitus, dizziness, and/or nonotologic otalgia without an identifiable cause may have TMD, and their otologic symptoms may benefit from conservative reversible TMD therapy.
在美国威尔福德·霍尔医疗中心就医的美国空军耳科患者中，那些患有耳鸣、头晕和/或无明确病因的非耳科耳痛，且在颞部、下颌或耳前区域出现颞下颌关节紊乱（TMD）症状或每月至少出现一次耳痛的患者，会被转诊至TMD专科诊所。这些患者会得到一副牙齿矫正器以及TMD自我护理指导。在佩戴矫正器3个月后，报告耳鸣、头晕、耳痛和/或TMD症状至少有中度改善的患者百分比分别为64%、91%、87%和92%。TMD治疗结束6个月后的随访电话显示，所有患者的症状改善情况得以维持。这些发现表明TMD正在影响患者的耳科症状。因耳鸣、头晕和/或无明确病因的非耳科耳痛而寻求治疗的患者可能患有TMD，他们的耳科症状可能会从保守的可逆性TMD治疗中受益。
