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颞下颌关节紊乱症与耳鸣之间的关联:一项系统评价的证据与治疗前景

The Association Between Temporomandibular Disorders and Tinnitus: Evidence and Therapeutic Perspectives from a Systematic Review.

作者信息

Dipalma Gianna, Inchingolo Alessio Danilo, Pezzolla Carmela, Sardano Roberta, Trilli Irma, Di Venere Daniela, Inchingolo Francesco, Palermo Andrea, Inchingolo Angelo Michele

机构信息

Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.

Department of Experimental Medicine, University of Salento, 73100 Lecce, Italy.

出版信息

J Clin Med. 2025 Jan 29;14(3):881. doi: 10.3390/jcm14030881.

Abstract

Tinnitus, often described as a ringing in the ears, affects a significant portion of the population, varying in perception and severity. This systematic review investigates the correlation between tinnitus and temporomandibular joint disorders (TMDs) within a PRISMA-compliant framework, ensuring methodological transparency and rigor. Using databases, such as PubMed, Scopus, and Web of Science, we analyzed studies from the past decade to evaluate clinical and observational evidence. A significant association between TMD and tinnitus was found, with somatosensory and neuroplastic mechanisms contributing to this relationship. Key therapeutic approaches identified include manual therapy and multidisciplinary treatments, demonstrating potential clinical efficacy. However, the available evidence remains inconsistent, emphasizing the need for further research with standardized methodologies to improve understanding and refine therapeutic strategies. This review provides a foundation for future studies aiming to enhance tinnitus management by addressing underlying TMD-related mechanisms.

摘要

耳鸣通常被描述为耳内有响声,影响着相当一部分人群,其感知和严重程度各不相同。本系统评价在符合PRISMA标准的框架内研究耳鸣与颞下颌关节紊乱症(TMD)之间的相关性,确保方法的透明度和严谨性。我们使用PubMed、Scopus和Web of Science等数据库,分析了过去十年的研究,以评估临床和观察性证据。发现TMD与耳鸣之间存在显著关联,躯体感觉和神经可塑性机制促成了这种关系。确定的关键治疗方法包括手法治疗和多学科治疗,显示出潜在的临床疗效。然而,现有证据仍然不一致,强调需要采用标准化方法进行进一步研究,以增进理解并完善治疗策略。本综述为未来旨在通过解决潜在的TMD相关机制来加强耳鸣管理的研究奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b71/11818186/2be935936f47/jcm-14-00881-g001.jpg

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