Tinnitus in patients with orofacial complaints.

IF 2.4 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Head & Face Medicine Pub Date : 2025-04-25 DOI:10.1186/s13005-025-00505-w

Nicole Peter, Jasmine Serventi, Patrick Neff, Dominik Ettlin, Aleksandra Zumbrunn Wojczyńska, Tobias Kleinjung, Nenad Lukic

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引用次数: 0

Abstract

Background: This study explored subjective tinnitus frequency in patients referred to an interdisciplinary orofacial pain clinic using the "web-based interdisciplinary symptom evaluation" (WISE) tool, which included a wide range of psychometric data. Our goal was to analyze the correlation between orofacial complaints and tinnitus, as well as their association with other psychometric data-an approach that, to our knowledge, has not been undertaken to this extent before.

Methods: From 2017 to 2020, we analyzed 1369 anonymized patient records using completed WISE. This included diverse questionnaires and symptom-related screener questions. Positive screening responses triggered additional assessments, such as short Tinnitus Handicap Inventory (THI-12) and Patient Health Questionnaire 4 (PHQ-4). Ear symptoms, tinnitus severity and tinnitus frequency were evaluated. Furthermore, Spearman correlations were performed with other questionnaires addressing pain, anxiety, depression, health, stress and insomnia.

Results: Among 1369 patients with orofacial complaints, 69% were female. Notably, 19.7% (269) completed THI-12 due to severe ear symptoms; of these, 62.1% were female. Female mean THI-12 score was significantly lower (p = 0.007) with 9.3 (SD = 7.0) compared to males 11.6 (SD = 6.8). Additionally, there was a significantly different gender distribution between all patients with tinnitus and those with severe tinnitus (p = 0.032), with an increased proportion of men in the latter group. THI-12 positively correlated with all WISE questionnaires, strongest with PHQ-4 (p < 0.01).

Conclusions: Our study unveils a common co-occurrence of orofacial and ear complaints, particularly tinnitus. The practical implication of the observed gender differences suggests that in male patients presenting with orofacial pain, tinnitus and its associated distress should be actively addressed to initiate a multidisciplinary treatment approach.

Clinical trial number: Not applicable. Since this study was a retrospective analysis of anonymized data, trial registration was not necessary.

查看原文本刊更多论文

耳鸣患者有口面部主诉。

背景：本研究使用“基于网络的跨学科症状评估”（WISE）工具，包括广泛的心理测量数据，探讨了转介到跨学科口腔面部疼痛诊所的患者的主观耳鸣频率。我们的目标是分析口腔面部不适与耳鸣之间的相关性，以及它们与其他心理测量数据的关联——据我们所知，这种方法以前还没有被采用到这种程度。方法：从2017年到2020年，我们使用完整的WISE分析了1369例匿名患者记录。这包括不同的问卷调查和症状相关的筛选问题。阳性的筛查反应引发了额外的评估，如短耳鸣障碍量表（THI-12）和患者健康问卷4 （PHQ-4）。评估耳部症状、耳鸣严重程度和耳鸣频率。此外，斯皮尔曼相关性与其他关于疼痛、焦虑、抑郁、健康、压力和失眠的问卷进行了对比。结果：1369例口腔颌面部疾病患者中，女性占69%。值得注意的是，由于严重的耳部症状，19.7%（269）的患者完成了THI-12；其中，女性占62.1%。女性THI-12平均评分为9.3分（SD = 7.0），显著低于男性11.6分（SD = 6.8）（p = 0.007）。此外，所有耳鸣患者与重度耳鸣患者的性别分布差异有统计学意义（p = 0.032），重度耳鸣患者男性比例增加。THI-12与所有WISE问卷均呈正相关，与PHQ-4相关性最强(p)。结论：我们的研究揭示了口腔面部和耳部疾病的共同发生，尤其是耳鸣。观察到的性别差异的实际意义表明，在出现口面部疼痛、耳鸣及其相关痛苦的男性患者中，应积极解决这一问题，以启动多学科治疗方法。临床试验号：不适用。由于本研究是对匿名数据的回顾性分析，因此不需要进行试验注册。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head & Face Medicine DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.70

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Head & Face Medicine is a multidisciplinary open access journal that publishes basic and clinical research concerning all aspects of cranial, facial and oral conditions. The journal covers all aspects of cranial, facial and oral diseases and their management. It has been designed as a multidisciplinary journal for clinicians and researchers involved in the diagnostic and therapeutic aspects of diseases which affect the human head and face. The journal is wide-ranging, covering the development, aetiology, epidemiology and therapy of head and face diseases to the basic science that underlies these diseases. Management of head and face diseases includes all aspects of surgical and non-surgical treatments including psychopharmacological therapies.