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耳鸣与颞下颌关节紊乱症的共存:关于跨学科方法重要性的叙述性综述

The Coexistence of Tinnitus and Temporomandibular Disorder: A Narrative Review on the Importance of an Interdisciplinary Approach.

作者信息

Saczuk Klara, Kal Wiktoria, Kaczała Aleksandra, Wawrzeń Jędrzej, Mielczarek Marzena, Eyüboğlu Tan Fırat, Özcan Mutlu, Lukomska-Szymanska Monika

机构信息

Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland.

Doctor of Dental Medicine Program, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland.

出版信息

J Clin Med. 2024 Dec 2;13(23):7346. doi: 10.3390/jcm13237346.

Abstract

This review focuses on the coexistence of tinnitus and temporomandibular disorders in terms of epidemiological data, etiology, differential diagnosis, treatment, and interaction between the two disorders. PubMed, Google Scholar, and ClinicalKey digital databases were used to search for publications covering the years 2009-2024. Finally, 77 publications were used. The review followed recommendations of the Scale for the Assessment of Narrative Review Articles. The prevalence of tinnitus in individuals with TMD amounted to 2-59% and was reported as the main concomitant symptom. Several studies reported that tinnitus was eight times more common in TMD sufferers. Among patients with tinnitus, TMJ disorders were observed at a frequency of 19%, while in the group presenting with a high severity of the condition, TMJ disorders were observed more frequently (36%). Based on this review, in order to facilitate the diagnosis and future treatment of tinnitus and TMD patients, a proposal for a multidisciplinary diagnostic algorithm is presented in the article. The cooperation of an otolaryngologist, audiologist, neurologist, psychiatrist, dentist, and physiotherapist may be considered in clinical settings.

摘要

本综述聚焦于耳鸣与颞下颌关节紊乱症在流行病学数据、病因、鉴别诊断、治疗以及两种疾病之间相互作用等方面的共存情况。利用PubMed、谷歌学术和ClinicalKey数字数据库检索2009年至2024年期间的相关出版物。最终选用了77篇出版物。本综述遵循了叙述性综述文章评估量表的建议。颞下颌关节紊乱症患者中耳鸣的患病率为2%至59%,并被报告为主要伴随症状。多项研究表明,耳鸣在颞下颌关节紊乱症患者中更为常见,患病几率是常人的八倍。耳鸣患者中,颞下颌关节紊乱症的发生率为19%,而在病情严重程度较高的患者组中,颞下颌关节紊乱症的发生率更高(36%)。基于本综述,为便于耳鸣和颞下颌关节紊乱症患者的诊断及后续治疗,本文提出了一种多学科诊断算法建议。在临床环境中,可考虑耳鼻喉科医生、听力学家、神经科医生、精神科医生、牙医和物理治疗师的协作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ad/11642320/cd4b27d725f1/jcm-13-07346-g001.jpg

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