咬合夹板治疗mims病和颞下颌关节紊乱。

Daniele Monzani, Carlo Baraldi, Enrico Apa, Matteo Alicandri-Ciufelli, Carlo Bertoldi, Elisabeth Röggla, Simona Guerzoni, Daniele Marchioni, Luca Pani
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引用次数: 2

摘要

目的:本回顾性研究旨在验证22例单侧明确msamimni病合并颞下颌关节紊乱患者的稳定咬合夹板治疗效果。方法:记录治疗前后6个月的听力和前庭测试结果,以及疾病特异性问卷得分。结果:患耳的平均听阈和声阻抗没有变化。无自发性和体位性眼球震颤。热量低反应和前庭肌源性诱发反应没有变化。在睁眼条件下和对未受影响的迷宫进行光动力刺激时,未观察到稳定体摇摆参数的变化。在闭眼条件下和对患耳进行光动力刺激时,记录了显著的降低。耳鸣障碍量表、情境性眩晕问卷和数字疼痛评定量表得分均有所提高。眩晕发作的次数减少了。结论:尽管其病理生理机制尚不明确,但咬合夹板治疗是一种减少mims病和伴发颞下颌关节紊乱的听觉症状的良好选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Occlusal splint therapy in patients with Ménière's disease and temporomandibular joint disorder.

Occlusal splint therapy in patients with Ménière's disease and temporomandibular joint disorder.

Occlusal splint therapy in patients with Ménière's disease and temporomandibular joint disorder.

Objective: This retrospective study aimed to verify the outcomes of stabilising occlusal splint therapy prescribed to 22 patients with unilateral definite Ménière's disease and comorbid temporomandibular joint disorder.

Methods: The results of a battery of audiometric and vestibular tests were recorded before and after 6 months of treatment, as well as the scores of disease-specific questionnaires.

Results: The average hearing threshold in the affected ear and the acoustic immittance were unchanged. No spontaneous and positional nystagmus were recorded. Caloric hypo-responsiveness and vestibular myogenic evoked responses did not vary. No changes of stabilometric body sway parameters in eyes opened condition and with optokinetic stimulation delivered to the unaffected labyrinth were observed. A significant reduction was recorded in eyes closed condition and with the optokinetic stimulation toward the affected ear. The Tinnitus Handicap Inventory, the Situational Vertigo Questionnaire and the Numeric Pain Rating Scale scores improved. The number of vertigo attacks was reduced.

Conclusions: Occlusal splint therapy is a favourable option to reduce aural symptoms of Ménière's disease and comorbid temporomandibular joint disorder, even if its pathophysiological mechanism remains elusive.

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