颞下颌关节疼痛/功能障碍患者的听力症状

Q Dentistry
Swedish dental journal Pub Date : 2016-01-01
Christina Mejersjö, Ingrid Näslund
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引用次数: 0

摘要

为了研究听力症状的频率及其与TMD症状的关系,转介到口腔面部疼痛诊所,Odontologen (Göteborg)的新患者在第一次预约时和与专家会面之前,被要求报告任何有关耳朵疼痛或充盈/肿胀、听力受损、对声音敏感和耳朵刺激/瘙痒的症状。他们还回答了一份关于颞下颌疼痛和/或功能障碍的标准化问卷,并将他们的TMD症状程度分为五分制的口头量表和视觉模拟量表。108名患者连续参与了这项研究,他们完成了问卷调查,并由诊所的不同专家进行了检查和诊断。68%的患者报告有耳部症状,44%的患者报告有耳胀感,37%的患者报告有听力受损。38%的患者之前曾咨询过医生,其中大多数患者因耳部症状接受过药物治疗。与男性相比,女性报告了更多的耳痛(P = 0.034)和更敏感的声音(P = 0.046)。年龄和听觉症状之间没有明显的联系。根据五级量表,TMD-症状的程度与听力症状有显著相关性(P < 0.001), Helkimo的临床功能障碍指数也有显著相关性(P = 0.005)。肌痛、关节痛、关节炎和头痛的诊断与听力症状有显著相关性,而与肌痛(骨关节炎)和椎间盘移位无相关性。耳部瘙痒常被报告(24%),并与肌痛(P = 0.003)和紧张性头痛(P = 0.018)相关。一名耳鼻喉科专家对19名报告耳朵充盈感的患者进行了医学检查,没有发现任何客观的耳部疾病。综上所述,听力症状在颞下颌关节疼痛和/或功能障碍患者中很常见,与TMD症状相关,应被视为TMD的可能症状。医生和牙医之间的合作可以给这些病人一个很好的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aural symptoms in patients referred for temporomandibular pain/dysfunction.

With the aim of studying frequency of aural symptoms and associations with symptoms of TMD new patients referred to the Orofacial Pain Clinic, Odontologen, Göteborg, were asked, at their first appointment and before meeting a specialist, to report any symptoms regarding pain or fullness/swelling of the ear, impaired hearing, sensitivity to sound, and irritation/itching of the ear. They also answered a standardized questionnaire regarding temporomandibular pain and/or dysfunction, and classified their degree of TMD symptoms on a five-point verbal scale and a visual analogue scale. 108 consecutive patients were included in the study, they completed the questionnaires and were examined and diagnosed by different specialists at the clinic. Any ear symptoms were reported by 68% of the patients, fullness of ear by 44% and impaired hearing by 37%. 38% of the patients had previously consulted a physician, and most of them had had pharmacological treatment due to their ear symptoms. Females reported more pain in the ear (P = 0.034) and more sensitivityto sound (P = 0.046) than men. No significant association was found between age and aural symptoms. The degree of TMD- symptoms, as reported by the five grade scale, showed significant association with aural symptoms (P < 0.001), as did the clinical dysfunction index of Helkimo (P = 0.005). The diagnoses of myalgia, arthralgia, arthritis and headache showed significant association with aural symptoms, while no association with crepitus (osteoartrosis) and disc displacement. Itching in the ear was frequently reported (24%) and was associated with myalgia (P = 0.003) and tension headache (P = 0.018). A medical examination by an ear-nose-throat specialist of 19 patients reporting a sensation of fullness of ear, did not reveal any objectifiable ear disease. To conclude, aural symptoms are common in patients with temporomandibular pain and/or dysfunction, are associated with TMD-symptoms and should be regarded as possible symptoms of TMD. A cooperation between physicians and dentists can give these patients a good treatment.

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来源期刊
Swedish dental journal
Swedish dental journal 医学-牙科与口腔外科
CiteScore
0.85
自引率
0.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: Swedish Dental Journal is the scientific journal of the Swedish Dental Association and the Swedish Dental Society. It is published 4 times a year to promote practice, education and research within odontology. Manuscripts containing original research are accepted for consideraion if neither the article nor any part of its essential substance has been or will be published elsewhere. Reviews, Case Reports and Short Communications will also be considered for publication.
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