van der Wal A C
Ned Tijdschr Tandheelkd. 2023 Sep;130(9):368-372. doi: 10.5177/ntvt.2023.09.23024.
Tinnitus can be influenced by somatosensory input from the temporomandibular area and is then called somatic tinnitus. However, not much research has been conducted on whether orofacial treatment can decrease tinnitus severity in patients with somatic tinnitus. Therefore, the purpose of this thesis was 1) to evaluate the effect of orofacial treatment on tinnitus complaints, 2) to investigate potential prognostic indicators for a positive treatment outcome after orofacial therapy, and 3) to explore to what extent a decrease in temporomandibular disorder contributes to a reduction in tinnitus severity. In this thesis, it was found that orofacial therapy can reduce tinnitus severity in 61% of the patients with temporomandibular-related somatic tinnitus. Specifically, young female patients with a shorter duration of their tinnitus have the best prognosis. The analysis showed that 35% of the decrease of the tinnitus severity can be explained by the reduction in temporomandibular disorder.
耳鸣可受来自颞下颌区域的躯体感觉输入影响,进而被称为躯体性耳鸣。然而,关于口面部治疗能否降低躯体性耳鸣患者的耳鸣严重程度,目前尚未开展太多研究。因此,本论文的目的在于:1)评估口面部治疗对耳鸣主诉的影响;2)探究口面部治疗后积极治疗效果的潜在预后指标;3)探讨颞下颌关节紊乱症的减轻在多大程度上有助于降低耳鸣严重程度。在本论文中,发现口面部治疗可使61%的颞下颌关节相关躯体性耳鸣患者的耳鸣严重程度降低。具体而言,耳鸣病程较短的年轻女性患者预后最佳。分析表明,耳鸣严重程度降低的35%可归因于颞下颌关节紊乱症的减轻。