D'Amato Ana Carolina de Oliveira Garcia, Spisila Thaís, Camargo Gabriela Schumacher de, Hilgenberg-Sydney Priscila Brenner
Temporomandibular Disorders and Orofacial Pain Outpatient Service, Department of Ophthalmology-Otorhinolaryngology, School of Medicine, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Int Arch Otorhinolaryngol. 2025 Apr 15;29(2):1-5. doi: 10.1055/s-0045-1802577. eCollection 2025 Apr.
Somatosensory tinnitus is a type of tinnitus that can be modified by somatosensory stimuli from the cervical spine and temporomandibular area. Temporomandibular disorders and oral behaviors are associated with a higher prevalence of somatosensory tinnitus, and this association is described in the literature as part of the diagnosis of this condition. To verify the association between somatosensory tinnitus and oral behaviors. Patients were recruited from an Orofacial Pain outpatient clinic and from Head and Neck Unit. All participants underwent anamnesis, physical examination and completed the Oral Behaviors Checklist questionnaire. Forty-six patients were divided into 2 groups, each consisting of 23 patients: somatosensory tinnitus group (STG) and a comparison group (CG), with subjective tinnitus. Data were gathered and analyzed using the Jamovi software (open source) and a significance level of 5% was adopted. Somatosensory tinnitus was associated with dizziness and neck and temporomandibular joint pain. There was an association between a higher Oral Behaviors Checklist score and the presence of somatosensory tinnitus. For each point marked on Oral Behaviors Checklist, there was an 8.2% greater chance of having somatosensory tinnitus. Tinnitus modulation through somatic maneuvers and palpation of masticatory and cervical muscles was significantly associated with somatosensory tinnitus. Dizziness and neck and temporomandibular joint pain are associated with the presence of somatosensory tinnitus. Probable sleep and awake bruxism are not exclusive behaviors of somatosensory tinnitus patients. However, their frequency may impact its presence.
躯体感觉性耳鸣是一种耳鸣类型，可通过来自颈椎和颞下颌区域的躯体感觉刺激进行调节。颞下颌关节紊乱和口腔行为与躯体感觉性耳鸣的较高患病率相关，并且在文献中这种关联被描述为该病症诊断的一部分。 为了验证躯体感觉性耳鸣与口腔行为之间的关联。 从口腔颌面疼痛门诊和头颈科招募患者。所有参与者均接受了问诊、体格检查并完成了口腔行为清单问卷。46名患者被分为2组，每组23名患者：躯体感觉性耳鸣组（STG）和一个主观耳鸣的对照组（CG）。使用Jamovi软件（开源）收集和分析数据，并采用5%的显著性水平。躯体感觉性耳鸣与头晕以及颈部和颞下颌关节疼痛相关。 口腔行为清单得分较高与躯体感觉性耳鸣的存在之间存在关联。在口腔行为清单上每标记一分，患躯体感觉性耳鸣的几率就会增加8.2%。通过躯体操作以及咀嚼肌和颈部肌肉触诊来调节耳鸣与躯体感觉性耳鸣显著相关。 头晕以及颈部和颞下颌关节疼痛与躯体感觉性耳鸣的存在相关。可能的睡眠期和清醒期磨牙症并非躯体感觉性耳鸣患者的独有行为。然而，它们的频率可能会影响其出现。
