Gilheaney Órla, Béchet Sibylle, Kerr Patrick, Kenny Ciaran, Smith Shauna, Kouider Rita, Kidd Rachel, Walshe Margaret
a Department of Clinical Speech and Language Studies , Trinity College Dublin , Dublin , Ireland.
b School of Medicine , Trinity Biomedical Sciences Institute, Trinity College , Dublin , Ireland.
Acta Odontol Scand. 2018 Aug;76(6):448-458. doi: 10.1080/00016357.2018.1424936. Epub 2018 Jan 11.
Temporomandibular disorders (TMDs) are the most commonly experienced non-dental orofacial pain disorders, with pain and dysfunction potentially resulting in oral stage dysphagia (OD). However, limited research has been conducted on this condition, with potential negative effects on clinical practice. Therefore, the aim of this study was to determine the prevalence of OD in adults presenting with TMDs, diagnosed as per the Research Diagnostic Criteria for Temporomandibular Disorders or the Diagnostic Criteria for Temporomandibular Disorders protocols.
A systematic review of the literature was completed. Nine electronic databases were searched from inception to January 2017, with no date/language restriction applied. Grey literature, conference proceedings, and reference lists were also searched. Studies presenting original data regarding OD prevalence in adults presenting with TMDs were included if they investigated impaired swallowing, mastication, masticatory pain or fatigue, or weight loss. Study eligibility and quality were assessed by two independent reviewers. Methodological quality was assessed using the Down's and Black tool.
This search yielded 20 eligible studies. Swallowing itself was impaired in only 9.3% of patients with TMDs. A range of additional OD signs and symptoms were also commonly reported (e.g. masticatory pain (87.4%) and fatigue (62%)). Study limitations included the small number of studies which were eligible for inclusion. As signs and symptoms of OD are frequently reported by patients with TMDs, psychometrically robust prospective research is warranted to determine current and optimal management of this condition.
颞下颌关节紊乱病（TMDs）是最常见的非牙源性口腔颌面部疼痛疾病，疼痛和功能障碍可能导致口腔期吞咽困难（OD）。然而，针对这种情况的研究有限，可能会对临床实践产生负面影响。因此，本研究的目的是确定根据颞下颌关节紊乱病研究诊断标准或颞下颌关节紊乱病诊断标准方案诊断为TMDs的成人中OD的患病率。
完成了对文献的系统综述。检索了9个电子数据库，时间跨度从建库至2017年1月，不设日期/语言限制。还检索了灰色文献、会议论文集和参考文献列表。如果研究调查了吞咽障碍、咀嚼、咀嚼疼痛或疲劳或体重减轻等方面，则纳入有关TMDs成人OD患病率的原始数据研究。由两名独立评审员评估研究的 eligibility 和质量。使用唐氏和布莱克工具评估方法学质量。
本次检索产生了20项 eligible 研究。仅9.3%的TMDs患者存在吞咽功能障碍。还普遍报告了一系列其他OD体征和症状（如咀嚼疼痛（87.4%）和疲劳（62%））。研究局限性包括纳入的研究数量较少。由于TMDs患者经常报告OD的体征和症状，因此有必要进行心理测量学上可靠的前瞻性研究，以确定这种情况的当前和最佳管理方法。
