Mottaghi Ariyan, Menéndez-Díaz Iván, Cobo Juan L, González-Serrano José, Cobo Teresa
Departamento de Especialidades Médico-Quirúrgicas, Universidad de Oviedo, Instituto Asturiano de Odontología, Oviedo, Spain.
Departamento de Morfología y Biología Celular, Grupo SINPOs, Universidad de Oviedo, Oviedo, Spain.
J Oral Rehabil. 2019 Jan;46(1):76-86. doi: 10.1111/joor.12706. Epub 2018 Sep 8.
The aim of this study was to determine whether there exists a higher prevalence of tinnitus in patients with temporomandibular disorders (TMDs) than in patients without TMDs. A systematic review was conducted in PubMed/MEDLINE for articles published between January 1992 and April 2018 in accordance with the PRISMA statement. Studies were included in this review only if they assessed TMDs using the research diagnostic criteria (RDC)/TMD or DC/TMD. A total of five studies were included in the systematic review, and a random-effects meta-analysis of three of the studies was conducted. In all of the selected studies, the prevalence of tinnitus was higher in patients with TMDs (35.8% to 60.7%) than in patients without TMDs (9.7% to 26.0%). The odds ratio of suffering from tinnitus among patients with TMDs was 4.45 (95% CI 1.64-12.11. P = 0.003). Thus, despite the limitations of the included studies, this review demonstrates that the prevalence of tinnitus in TMD patients is significantly higher than that in patients without TMD.
本研究的目的是确定颞下颌关节紊乱病（TMD）患者的耳鸣患病率是否高于无TMD的患者。根据PRISMA声明，在PubMed/MEDLINE中对1992年1月至2018年4月发表的文章进行了系统评价。仅当研究使用研究诊断标准（RDC）/TMD或DC/TMD评估TMD时，才纳入本评价。系统评价共纳入五项研究，并对其中三项研究进行了随机效应荟萃分析。在所有选定的研究中，TMD患者的耳鸣患病率（35.8%至60.7%）高于无TMD的患者（9.7%至26.0%）。TMD患者患耳鸣的比值比为4.45（95%CI 1.64-12.11，P = 0.003）。因此，尽管纳入研究存在局限性，但本评价表明TMD患者的耳鸣患病率显著高于无TMD的患者。
