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颞下颌治疗对改善耳部症状非常有效。

Temporomandibular treatments are significantly efficient in improving otologic symptoms.

机构信息

Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Department of Oral Medicine and Orofacial Pain, Kerman School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

BMC Oral Health. 2023 Nov 23;23(1):913. doi: 10.1186/s12903-023-03627-2.


DOI:10.1186/s12903-023-03627-2
PMID:37996839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10666408/
Abstract

Symptoms of temporomandibular disorders (TMD) could be present as otologic symptoms like earache and dizziness in some patients. In most cases, these symptoms are not recognized because otolaryngologists fail to diagnose TMD as a source of the problem. This investigation was conducted to evaluate the effect of TMD treatments on the otologic symptoms which after taking history and clinical examinations seemed to be related to TMD. In the present study, the patients who were complaining of otalgia, ear fullness, tinnitus, hearing loss, and dizziness were evaluated by an ear fellow. Forty patients who had no known otologic or other primary causes to explain their symptoms, were referred to the orofacial pain clinic with the possible diagnosis of TMD. If the diagnosis was confirmed by an orofacial pain specialist, a combination of TMD treatments was administered to each case and the patients were followed up. The results showed that following implementation of treatment protocols for TMD, more than 50% of the patients reported complete or partial recovery in the second follow-up (p < 0.05). The most common otologic symptom of the referred cases was earache, and the most common associated complaint was neck pain. All the patients had one or more parafunctional habits. This study showed that TMD treatments were significantly efficient in improving otologic symptoms partially or completely and the authors concluded that for the patients with otolaryngologic unexplained symptoms, an overhaul examination is needed to assess TMD as a possible cause of the patient complaint. It is recommended that in cases with unexplained otologic symptoms, otolaryngologists care more about the neck trigger points (TP) and ask about the patient's parafunctional habits. Otolaryngologists and dentists need to be aware of the risk of developing otologic symptoms caused by these habits or cervical TPs.

摘要

颞下颌关节紊乱病(TMD)的症状在某些患者中可能表现为耳部症状,如耳痛和头晕。在大多数情况下,由于耳鼻喉科医生未能将 TMD 诊断为问题的根源,这些症状并未被识别。本研究旨在评估 TMD 治疗对耳部症状的影响,这些症状在进行病史和临床检查后似乎与 TMD 有关。在本研究中,有耳部疼痛、耳闷、耳鸣、听力损失和头晕症状的患者由耳鼻喉科医生进行评估。40 名患者因耳部或其他原发性疾病而出现这些症状,被转诊到口腔颌面疼痛诊所,可能的诊断为 TMD。如果经口腔颌面疼痛专家确诊,则为每个病例实施 TMD 联合治疗,并对患者进行随访。结果表明,在实施 TMD 治疗方案后,超过 50%的患者在第二次随访时报告完全或部分缓解(p<0.05)。转诊病例中最常见的耳部症状是耳痛,最常见的相关症状是颈部疼痛。所有患者都有一个或多个功能障碍习惯。本研究表明,TMD 治疗在部分或完全改善耳部症状方面非常有效,作者得出结论,对于耳鼻喉科原因不明的症状患者,需要进行全面检查以评估 TMD 作为患者主诉的可能原因。建议耳鼻喉科医生在出现原因不明的耳部症状时,更多地关注颈部触发点(TP)并询问患者的功能障碍习惯。耳鼻喉科医生和牙医需要意识到这些习惯或颈椎 TP 引起耳部症状的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ed/10666408/ab3a4d86681b/12903_2023_3627_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ed/10666408/fd90532e9b6f/12903_2023_3627_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ed/10666408/47a90948c67b/12903_2023_3627_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ed/10666408/d202897e58f4/12903_2023_3627_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ed/10666408/ab3a4d86681b/12903_2023_3627_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ed/10666408/fd90532e9b6f/12903_2023_3627_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ed/10666408/47a90948c67b/12903_2023_3627_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ed/10666408/d202897e58f4/12903_2023_3627_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ed/10666408/ab3a4d86681b/12903_2023_3627_Fig4_HTML.jpg

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[1]
Prevalence of temporomandibular disorders (TMD) in bleeding disorders: A systematic review with meta-analysis.

J Oral Rehabil. 2023-12

[2]
Correlation between Temporomandibular Disorders (TMD) and Posture Evaluated trough the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): A Systematic Review with Meta-Analysis.

J Clin Med. 2023-4-2

[3]
Prevalence of temporomandibular disorders in children and adolescents evaluated with Diagnostic Criteria for Temporomandibular Disorders: A systematic review with meta-analysis.

J Oral Rehabil. 2023-6

[4]
Temporomandibular Joint Disk Displacement: Etiology, Diagnosis, Imaging, and Therapeutic Approaches.

J Craniofac Surg. 2023-5-1

[5]
Otological manifestation of temporomandibular joint disorder in Ekiti, a sub-Saharan African country.

J Int Med Res. 2021-2

[6]
Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis.

Clin Oral Investig. 2021-2

[7]
Study Protocol for an Online Questionnaire Survey on Symptoms/Signs, Protective Measures, Level of Awareness and Perception Regarding COVID-19 Outbreak among Dentists. A Global Survey.

Int J Environ Res Public Health. 2020-8-3

[8]
Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: network meta-analysis of randomized controlled trials.

Int J Oral Maxillofac Surg. 2020-1-22

[9]
Temporomandibular disorders: improving outcomes using a multidisciplinary approach.

J Multidiscip Healthc. 2019-9-3

[10]
Oral and Psychological Alterations in Haemophiliac Patients.

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