Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy.
Division of Phoniatrics and Audiology, Department of Mental and Physical Health and Preventive Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
J Oral Rehabil. 2024 Jul;51(7):1158-1165. doi: 10.1111/joor.13687. Epub 2024 Mar 21.
Tinnitus is a quite common and bothersome disorder that results in a perceived sound or noise, without an external origin, often causing notable psychological distress. Some interconnections between tinnitus, bodily pain perception, and psychological well-being were previously reported, thus the relationships between tinnitus and temporomandibular joint (TMJ)-related muscle issues, resulting in somatosensory tinnitus, must be deeply investigated. This study aims to assess the prevalence of tinnitus in patients with temporomandibular disorders (TMD) and to examine the correlation between tinnitus and scales assessing the severity of TMD as well as psychological-related parameters.
In this cross-sectional study, a total of 37 adults with TMD symptoms were enrolled. Diagnostic data were collected using the Axis II of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and the Tinnitus Handicap Inventory (THI) questionnaire. Statistical analysis included descriptive assessments and significance was set at p < .05.
Individuals with tinnitus and TMD reported a significantly higher number of body pain areas, indicating a link between tinnitus and increased bodily pain perception. Tinnitus did not significantly impact TMJ-related functions. Significantly higher levels of psychological distress were observed in individuals with tinnitus, as evidenced by elevated scores in depression, generalised anxiety and somatic symptoms.
Tinnitus is a complex condition with significant effects on health and well-being, requiring an interdisciplinary approach for effective evaluation and care. The study provides deep insights into the prevalence of tinnitus in TMD patients, underscoring the need for comprehensive treatment strategies addressing both TMD and tinnitus.
耳鸣是一种相当常见且令人困扰的疾病，它会产生一种感知到的声音或噪音，而没有外部声源，常常导致明显的心理困扰。先前已经报道了耳鸣、身体疼痛感知和心理健康之间的一些相互联系，因此必须深入研究耳鸣与颞下颌关节（TMJ）相关肌肉问题之间的关系，这些问题导致了体感性耳鸣。本研究旨在评估耳鸣在颞下颌关节紊乱（TMD）患者中的患病率，并研究耳鸣与评估 TMD 严重程度的量表以及与心理相关的参数之间的相关性。
在这项横断面研究中，共纳入了 37 名有 TMD 症状的成年人。使用诊断标准为颞下颌关节紊乱（DC/TMD）的轴 II 和耳鸣残疾量表（THI）问卷收集诊断数据。统计分析包括描述性评估，显著性水平设置为 p <.05。
有耳鸣和 TMD 的个体报告了更多的身体疼痛区域，表明耳鸣与增加的身体疼痛感知之间存在联系。耳鸣并未显著影响 TMJ 相关功能。有耳鸣的个体表现出更高水平的心理困扰，抑郁、广泛性焦虑和躯体症状的评分升高证明了这一点。
耳鸣是一种复杂的疾病，对健康和幸福感有重大影响，需要采用跨学科方法进行有效评估和护理。本研究深入了解了 TMD 患者中耳鸣的患病率，强调了需要采用综合治疗策略来解决 TMD 和耳鸣问题。
