Erlandsson S I, Rubinstein B, Carlsson S G
Department of Psychology, University of Göteborg, Sweden.
Br J Audiol. 1991 Jun;25(3):151-61. doi: 10.3109/03005369109079849.
Thirty-two patients with disabling tinnitus received stomatognathic treatment and biofeedback therapy according to a cross-over design. The evaluation of treatment outcomes showed some improvements at the group level: decrease of tinnitus intensity, mood improvement and reduction of clinical signs of dysfunction in the masticatory system. Qualitative observations indicated numerous positive changes in patients' emotional and cognitive orientation vis à vis tinnitus. Some possible predictors of positive treatment outcome were observed: comparatively low severity of tinnitus, normal hearing or compensated hearing loss, occlusal interferences, jaw fatigue, diurnal bruxism and fluctuations in tinnitus intensity. Left-sided tinnitus seemed to be a negative predictor of stomatognathic and biofeedback treatment outcome. Consequently, stomatognathic and biofeedback treatment seem to have some positive effects on subgroups of tinnitus patients.
32例重度耳鸣患者按照交叉设计接受口腔颌面治疗和生物反馈疗法。治疗结果评估显示,在组水平上有一些改善:耳鸣强度降低、情绪改善以及咀嚼系统功能障碍临床体征减轻。定性观察表明,患者对耳鸣的情绪和认知取向有许多积极变化。观察到一些可能的积极治疗结果预测因素:耳鸣严重程度相对较低、听力正常或听力损失得到代偿、咬合干扰、颌部疲劳、日间磨牙症以及耳鸣强度波动。左侧耳鸣似乎是口腔颌面和生物反馈治疗结果的负面预测因素。因此,口腔颌面和生物反馈治疗似乎对耳鸣患者亚组有一些积极影响。