Miyamoto-Aldave Toshi-Hiromi, Asmat-Abanto Angel-Steven, Ulloa-Cueva Delia-Margarita, Minchón-Medina Carlos-Alberto, Llanos-Vera Víctor-Eduardo, Callirgos-Briones Jannette-Vanessa
Student of Stomatology Study Program - Antenor Orrego Private University (Trujillo, Peru).
Doctor in Stomatology. Specialist in Periodontics. Professor of Human Medicine Study Program - Antenor Orrego Private University (Trujillo, Peru). Professor of Stomatology Study Program - Antenor Orrego Private University (Trujillo, Peru).
J Clin Exp Dent. 2024 Apr 1;16(4):e448-e454. doi: 10.4317/jced.61358. eCollection 2024 Apr.
To determine the relationship between temporomandibular joint dysfunction (TMJD) and tinnitus in Peruvian adult patients.
This observational and cross-sectional study was conducted between April and May 2023, including 76 adult patients from the Otorhinolaryngology Service of Víctor Lazarte Echegaray Essalud Hospital in Trujillo (Peru). The intra- and inter-rater reliability was determined for the clinical measurement of TMJD, obtaining Kappa values above 0.995. To diagnose tinnitus, we worked with a doctor specializing in otolaryngology. Chi-square test and logistic regression were used to analyze results, considering a significance level of <0.05.
A relationship was found between TMJD and tinnitus (=0.022), increasing the frequency of this disorder as temporomandibular involvement was higher (=0.043). There was no relation between these disorders according to gender and age, nor in hypertensive patients (=0.131) or patients suffering from migraine (=0.147); however, a relationship was found between TMJD and tinnitus in patients with hearing loss (=0.046).
TMJD is associated with tinnitus in otorhinolaryngological and hypoacusis patients. However, in hypertensive and migraine patients, and according to gender and age, no relation was found between those disorders. Tinnitus, Temporomandibular Joint Disorders, Hearing Loss, Sensorineural, Audiometry, Migraine, Hypertension, Headache.
确定秘鲁成年患者颞下颌关节紊乱症（TMJD）与耳鸣之间的关系。
本观察性横断面研究于2023年4月至5月进行，纳入了来自秘鲁特鲁希略市维克托·拉扎特·埃切加赖·埃萨卢德医院耳鼻喉科的76名成年患者。对TMJD的临床测量进行了评分者内和评分者间信度测定，得到的Kappa值高于0.995。为诊断耳鸣，我们与一位耳鼻喉科专科医生合作。采用卡方检验和逻辑回归分析结果，显著性水平设定为<0.05。
发现TMJD与耳鸣之间存在关联（P = 0.022），随着颞下颌关节受累程度增加，该疾病的发生率也增加（P = 0.043）。根据性别和年龄，以及高血压患者（P = 0.131）或偏头痛患者（P = 0.147），这些疾病之间均无关联；然而，在听力损失患者中发现TMJD与耳鸣之间存在关联（P = 0.046）。
在耳鼻喉科和听力减退患者中，TMJD与耳鸣相关。然而，在高血压和偏头痛患者中，以及根据性别和年龄，未发现这些疾病之间存在关联。耳鸣、颞下颌关节紊乱症、听力损失、感音神经性、听力测定、偏头痛、高血压、头痛。
