Szuflak Karolina, Gerreth Karolina, Malak Roksana, Wolnowska Beata, Samborski Włodzimierz, Karlik Michał
Department of Phoniatrics and Audiology, Poznan University of Medical Sciences, 60-355 Poznan, Poland.
Doctoral School, Poznan University of Medical Sciences, 60-812 Poznan, Poland.
J Clin Med. 2025 Aug 14;14(16):5768. doi: 10.3390/jcm14165768.
Orofacial dysfunctions are a source of discontent and impair daily living activities. Patients with hearing impairments exhibit an elevated risk of stomatognathic system changes. Hence, this pilot study aims to evaluate changes in stomatognathic system functions in patients with hearing impairments and cochlear implants. : During the examination, the Nordic Orofacial Test-Screening was used to assess orofacial functions. The range of motion within the temporomandibular joints was measured using a vernier caliper. A socio-medical study was conducted to collect data regarding the patients, the cochlear implant sides, and the methods of communication. : The statistical analysis showed a significant difference in the total NOT-S scores ( < 0.001) and examination scores ( < 0.001) between patients with hearing impairments and the control group. These significant differences of the total NOT-S score and examination score have large effect sizes (r > 0.5). In particular, significant differences were observed in the results of maximum mouth opening ( = 0.006) and right laterotrusion ( = 0.020). Differences were also observed in the answers regarding the method of communication and the examination score of the NOT-S questionnaire ( = 0.040). The 6A of the NOT-S significantly affected the examination score ( = 0.015) and the total NOT-S score ( = 0.037), while the result of section 6B only significantly affected the NOT-S examination score ( = 0.032). : Patients with hearing impairments presented orofacial dysfunctions significantly more often than the control group. The side of cochlear implant implantation is important for stomatognathic system changes.
口面部功能障碍是不满情绪的来源，并会损害日常生活活动。听力障碍患者出现口颌系统改变的风险更高。因此，这项初步研究旨在评估听力障碍患者和接受人工耳蜗植入患者的口颌系统功能变化。：在检查过程中，使用北欧口面部测试筛查来评估口面部功能。使用游标卡尺测量颞下颌关节的活动范围。进行了一项社会医学研究，以收集有关患者、人工耳蜗植入侧和沟通方式的数据。：统计分析表明，听力障碍患者与对照组之间的NOT-S总分（<0.001）和检查分数（<0.001）存在显著差异。NOT-S总分和检查分数的这些显著差异具有较大的效应量（r>0.5）。特别是，在最大张口度（=0.006）和右侧侧方运动（=0.020）的结果中观察到显著差异。在沟通方式的答案和NOT-S问卷的检查分数方面也观察到差异（=0.040）。NOT-S的6A部分显著影响检查分数（=0.015）和NOT-S总分（=0.037），而6B部分的结果仅显著影响NOT-S检查分数（=0.032）。：听力障碍患者出现口面部功能障碍的频率明显高于对照组。人工耳蜗植入侧对口颌系统的改变很重要。
