Chole R A, Parker W S
Department of Otolaryngology, University of California, Davis, School of Medicine.
Arch Otolaryngol Head Neck Surg. 1992 Aug;118(8):817-21. doi: 10.1001/archotol.1992.01880080039010.
The association of tinnitus and vertigo with temporomandibular disorder (TMD) has been debated for many years. The observation that patients with TMD have otologic symptoms is confounded because tinnitus and vertigo are common symptoms in the normal population. The present study was conducted to determine if tinnitus and vertigo are actually more prevalent in patients with TMD than in appropriate age-matched controls. One control group was recruited from patients seeking care for health maintenance and the other from patients seeking routine dental care. We surveyed 1032 patients: 338 had TMD and 694 served as two age-matched control groups. Tinnitus and vertigo symptoms were significantly more prevalent in the TMD group than in either of the control groups. The mechanism of the association of TMD and otologic symptoms is unknown.
耳鸣和眩晕与颞下颌关节紊乱病（TMD）之间的关联已被争论多年。由于耳鸣和眩晕在正常人群中是常见症状，所以TMD患者出现耳科症状这一观察结果受到了干扰。本研究旨在确定耳鸣和眩晕在TMD患者中是否实际上比在年龄匹配的对照组中更普遍。一个对照组招募自寻求健康维护护理的患者，另一个对照组招募自寻求常规牙科护理的患者。我们调查了1032名患者：338名患有TMD，694名作为两个年龄匹配的对照组。耳鸣和眩晕症状在TMD组中比在任何一个对照组中都明显更普遍。TMD与耳科症状之间关联的机制尚不清楚。
