Tinnitus in Temporomandibular Disorders: Axis I and Axis II Findings According to the Diagnostic Criteria for Temporomandibular Disorders.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral & Facial Pain and Headache Pub Date : 2020-06-01 DOI:10.11607/ofph.2611

Eitan Mijiritsky, Ephraim Winocur, Alona Emodi-Perlman, Pessia Friedman-Rubin, Ehab Dahar, Shoshana Reiter

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引用次数: 5

Abstract

Aims: To examine the associations of self-reported presence of tinnitus with subtypes of temporomandibular disorders (TMD) as assessed by Axis I of the Diagnostic Criteria for TMD (DC/TMD) and with psychologic characteristics as assessed by Axis II.

Methods: This retrospective controlled study included 108 consecutive TMD patients referred to the Tel Aviv University Orofacial Pain Clinic. Each patient received full Axis I and Axis II diagnoses according to the DC/TMD. The patients were asked about currently experiencing tinnitus. Pearson chi-square test and Fisher exact test were used to test the associations between categorical variables. Mann-Whitney test was used to assess differences in continuous variables between categories. A P value < .05 was considered statistically significant.

Results: Thirty-three (30.6%) TMD patients reported experiencing tinnitus. There was a significantly higher prevalence of myofascial pain with referral (P = .008) and nonspecific physical symptoms (P = .014) among the TMD patients who reported tinnitus. In addition, those patients reported significantly longer pain duration compared to TMD patients without tinnitus (P = .039).

Conclusion: This study emphasizes the necessity of assessing both Axes I and II according to the DC/TMD in future studies and supports creating a standardized tinnitus screener tailored to TMD patients for future studies on tinnitus in TMD patients.

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颞下颌疾病的耳鸣:根据颞下颌疾病诊断标准的I轴和II轴的发现。

目的:研究自我报告的耳鸣与颞下颌疾病(TMD)诊断标准(DC/TMD)轴I评估的亚型以及轴II评估的心理特征之间的关系。方法:这项回顾性对照研究纳入了特拉维夫大学口腔面部疼痛诊所108例连续的TMD患者。每位患者均根据DC/TMD接受完整的轴I和轴II诊断。这些患者被问及目前是否有耳鸣症状。使用Pearson卡方检验和Fisher精确检验来检验分类变量之间的相关性。使用Mann-Whitney检验来评估类别间连续变量的差异。P值< 0.05认为有统计学意义。结果:33例(30.6%)TMD患者报告有耳鸣。在报告耳鸣的TMD患者中，转诊后肌筋膜疼痛(P = 0.008)和非特异性身体症状(P = 0.014)的患病率明显更高。此外，与没有耳鸣的TMD患者相比，这些患者报告的疼痛持续时间明显更长(P = 0.039)。结论:本研究强调了在未来的研究中根据DC/TMD同时评估I轴和II轴的必要性，并支持创建适合TMD患者的标准化耳鸣筛查器，用于未来TMD患者耳鸣的研究。

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

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.