不同颞下颌关节紊乱症状患者的耳鸣患病率。

Prevalence of tinnitus in patients with different temporomandibular disorders symptoms.

作者信息

Manfredini Daniele, Olivo Marco, Ferronato Giuseppe, Marchese Rosario, Martini Alessandro, Guarda-Nardini Luca

出版信息

Int Tinnitus J. 2015;19(2):47-51. doi: 10.5935/0946-5448.20150008.

DOI:10.5935/0946-5448.20150008

PMID:27186932

Abstract

OBJECTIVE

To compare the prevalence of tinnitus in temporomandibular disorder (TMD) patients affected by either jaw muscle pain, temporomandibular joint (TMJ) internal derangements, or TMJ arthrosis.

METHODS

The presence of self-reported tinnitus was assessed in 250 consecutive TMD patients and correlation analysis was performed with clinical TMD signs and symptoms.

RESULTS

Tinnitus prevalence in the TMD population was 30.4%. Any significant patterns of correlation were shown for the overall study group, despite a higher tinnitus prevalence in patients with (32.8%) than without masseter pain (24.8%; p = 0.176) as well as in those with (33.7%) than without TMJ arthrosis (26.1%; p = 0.082). Age-stratified analysis showed correlations with masseter pain in older patients (48.3% vs 16; p < 0.05), and with arthrosis in younger patients (57.1% vs 22.2%; p < 0.05).

CONCLUSIONS

Any correlation patterns were shown between tinnitus and TMD. Age-stratified analysis suggested possible hypotheses for a symptom-specific clinical correlation that should be assessed with future research.

摘要

目的

比较患有颌面部肌肉疼痛、颞下颌关节（TMJ）内紊乱或TMJ关节炎的颞下颌关节紊乱病（TMD）患者中耳鸣的患病率。

方法

对连续250例TMD患者进行自我报告耳鸣情况的评估，并对TMD的临床体征和症状进行相关性分析。

结果

TMD人群中耳鸣患病率为30.4%。尽管有咬肌疼痛的患者（32.8%）比无咬肌疼痛的患者（24.8%；p = 0.176）以及有TMJ关节炎的患者（33.7%）比无TMJ关节炎的患者（26.1%；p = 0.082）耳鸣患病率更高，但总体研究组未显示出任何显著的相关性模式。年龄分层分析显示，老年患者中耳鸣与咬肌疼痛相关（48.3%对16；p < 0.05），年轻患者中耳鸣与关节炎相关（57.1%对22.2%；p < 0.05）。