Universidade Federal do Rio Grande do Norte, Departamento de otorrinolaringologia, Natal, RN, Brasil.
Universidade Federal do Rio Grande do Norte, Departamento de fisioterapia, Natal, RN, Brasil.
Braz J Otorhinolaryngol. 2022 Nov-Dec;88 Suppl 3(Suppl 3):S185-S191. doi: 10.1016/j.bjorl.2022.04.005. Epub 2022 May 20.
To evaluate the impact of temporomandibular disorders on the quality of life of patients with dizziness.
An observational, case-control study evaluated 60 individuals with dizziness (20 cases and 40 controls), who were matched for gender and age. The individuals underwent to anamnesis, overall physical and otoneurological examination, tonal and vocal audiometry and impedanciometry, video head impulse test and the dizziness handicap inventory questionnaire.
The otoscopy was normal for all patients. There was an association between the presence of temporomandibular disorders and aural fullness (p < 0.01) and otalgia (p < 0.01). Audiometry was normal in 90% of the patients in the case group, with a significant association between temporomandibular disorders and normal audiometry (p < 0.01). The video head impulse test findings were normal in 66% of the patients in the case group and 45% of the control group, and there was no association between having temporomandibular disorders and vestibular alterations at the video head impulse test (p = 0.12). There were significant differences in total dizziness handicap inventory and in the functional and emotional domains (p < 0.01), with higher scores in the control group.
Aural fullness and otalgia symptoms are associated with temporomandibular disorders in patients with dizziness, and there is an association between normal complementary audiological tests and temporomandibular disorders. Vestibular alterations are not associated with temporomandibular disorders. However, patients with dizziness and without temporomandibular disorders showed greater quality of life impairment.
3: Original case-control study.
评估颞下颌关节紊乱对头晕患者生活质量的影响。
一项观察性病例对照研究评估了 60 名头晕患者（20 例病例和 40 例对照），这些患者在性别和年龄上相匹配。所有患者均接受了病史、全面的体格和耳神经病学检查、音调及语音听阈及声阻抗检查、视频头脉冲试验和头晕残障量表问卷调查。
所有患者的耳镜检查均正常。颞下颌关节紊乱与耳闷（p<0.01）和耳痛（p<0.01）存在相关性。病例组 90%的患者听力正常，颞下颌关节紊乱与听力正常显著相关（p<0.01）。视频头脉冲试验结果在病例组 66%的患者和对照组 45%的患者中正常，且颞下颌关节紊乱与视频头脉冲试验中的前庭改变无关（p=0.12）。头晕残障量表的总分和功能及情感领域存在显著差异（p<0.01），对照组的评分较高。
耳闷和耳痛症状与头晕患者的颞下颌关节紊乱有关，且补充性听力学检查正常与颞下颌关节紊乱有关。前庭改变与颞下颌关节紊乱无关。然而，无颞下颌关节紊乱的头晕患者生活质量受损更严重。
3：原始病例对照研究。
