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探讨与颞下颌关节紊乱患者头晕、耳鸣和耳闷相关的因素。

Investigation of Factors Associated with Dizziness, Tinnitus, and Ear Fullness in Patients with Temporomandibular Disorders.

出版信息

J Oral Facial Pain Headache. 2023 Winter;37(1):17-24. doi: 10.11607/ofph.3286.

Abstract

To determine differences between TMD subtypes in terms of clinical characteristics, dizziness, tinnitus, and ear fullness according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and to investigate the clinical conditions associated with dizziness, tinnitus, and ear fullness. Participants having TMDs aged 18 to 45 years were included in this study. They were classified and divided into three groups according to the DC/TMD Axis I criteria: group 1 = pain-related TMDs and headache; group 2 = intra-articular joint disorders; and group 3 = degenerative joint disease. Demographic data and dizziness, tinnitus, and ear fullness were assessed. Maximum mouth opening, opening/closing click, lateral click, fine/coarse crepitation, bruxism, and presence of pain were evaluated by physical examination. A total of 129 participants were included: 68 (52.7%) in group 1, 40 (31%) in group 2, and 21 (16.3%) in group 3. In the comparison of all three diagnostic groups, there was a significant difference only in educational level ( = .013). The presence of dizziness, tinnitus, or ear fullness was not found to be significantly different among the three groups. When all participants were divided into two groups according to the presence of dizziness, low education levels ( = .007), being married ( = .040), presence of pain ( = .002), tinnitus ( = .008), ear fullness ( = .017), and presence of thin crepitation ( = .015) were related to having dizziness symptoms. In addition, patients with ear fullness ( = .042), dizziness ( = .008), and female sex ( = .008) reported more tinnitus. TMD subtype was not associated with dizziness, tinnitus, or ear fullness. Painful conditions were associated with dizziness in participants with TMDs.

摘要

为了根据颞下颌关节紊乱病诊断标准(DC/TMD)确定 TMD 亚型在临床特征、头晕、耳鸣和耳闷方面的差异,并探讨与头晕、耳鸣和耳闷相关的临床情况,纳入了年龄在 18 至 45 岁之间的 TMD 患者。根据 DC/TMD 轴 I 标准,将患者分为三组:组 1=疼痛相关 TMD 和头痛;组 2=关节内紊乱;组 3=退行性关节病。评估人口统计学数据以及头晕、耳鸣和耳闷情况。通过体格检查评估最大张口度、开闭口弹响、侧向弹响、细/粗摩擦音、磨牙症和疼痛的存在。共纳入 129 名参与者:组 1 68 名(52.7%),组 2 40 名(31%),组 3 21 名(16.3%)。在对所有三组诊断组进行比较时,仅在教育水平方面存在显著差异(=.013)。三组之间头晕、耳鸣或耳闷的存在无显著差异。当根据是否存在头晕将所有参与者分为两组时,发现低教育水平(=.007)、已婚(=.040)、疼痛存在(=.002)、耳鸣(=.008)、耳闷(=.017)和细摩擦音存在(=.015)与头晕症状相关。此外,有耳闷(=.042)、头晕(=.008)和女性(=.008)的患者报告耳鸣更多。TMD 亚型与头晕、耳鸣或耳闷无关。疼痛状况与 TMD 患者的头晕有关。

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本文引用的文献

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Relationship between Otological Symptoms and TMD.耳科症状与颞下颌关节紊乱病的关系。
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