A Study of the Prevalence of Otolaryngologic Symptoms in Patients with Temporomandibular Joint Dysfunction
Abstract
ABSTRACT
Purpose: Temporomandibular joint dysfunction can lead
to various symptoms in the temporomandibular joint, masticatory muscles, and
related structures in patients. It can lead to symptoms like otalgia, tinnitus,
aural fullness, itchiness in the ear, hearing loss, vertigo, and loss of
balance in the ear, a structure of close proximity. The purpose of this study
is the evaluation of the prevalence of otolaryngologic symptoms that accompany
temporomandibular joint dysfunction.
Materials and Methods: The retrospective study was
planned with 214 patients referred with pain and/or complaints of dysfunction
to the Adıyaman University Faculty of Dentistry Maxillofacial
Surgical Department between the dates of January – December 2017. The selection
of the patients was done based on TMD/ATK. The presence of the symptoms of
otalgia, tinnitus, aural fullness, itchiness in the ear, hearing loss, vertigo,
and loss of balance in was researched in patients diagnosed with TMD. The
patients were asked to fill out forms in which they were able to assess their
otolaryngologic symptoms as either present or not. Information was not obtained
regarding the severity of the symptoms.
Findings: No otolaryngologic symptoms were encountered
in 65 of the 214 TMD patients. In 149 patients, at least one otolaryngologic
symptom was observed. Of the 149 patients, otalgia was detected in 117 (78.5%),
tinnitus in 77 (51.7%), aural fullness in 56 (37.6%), itchiness in the ear in
50 (33.6%), hearing loss in 3 (2%), vertigo in 61 (40.9%), and loss of balance
in 50 (33.6%). Of the 149 patients, 120 (80.5%) were female and 29 (19.5%) were
male.
Conclusion: Among the otolaryngologic symptoms of TMD,
otalgia most accompanies the disease, tinnitus is the second most prevalent,
and hearing loss is the least encountered symptom.
Keywords
References
- 1. Akhter R, Morita M, Ekuni D, Hassan NMM, Furuta M, Yamanaka R, Matsuka R, Wilson D. Self-reported aural symptoms, headache and temporomandibular disorders in Japanese young adults. BMC Musculoskeletal Disorders 2013; 14: 1-7.
- 2. Lam DK, Lawrence HP, Tenenbaum HC. Aural symptoms in temporomandibular disorder patients attending a craniofacial pain unit. J Orofac Pain 2001; 15: 146–157.
- 3. Parker WS, Chole RA. Tinnitus, vertigo, and temporomandibular disorders. Am J Orthod Dentofacial Orthop 1995; 107: 153–158.
- 4. Tuz HH, Önder EM, Kişnişçi RS. Prevalence of otologic complaints in patients with temporomandibular disorders. J Orthod Dentofacial Orthop 2003; 123: 620-623.
- 5. Myrhaug H. The incidence of ear symptoms in cases of malocclusion and temporomandibular joint disturbances. Br J Oral Surg 1964; 2: 28-32.
- 6. Malkin DP. The role of TMJ dysfunction in the etiology of middle ear disease. Int J Orthod 1987; 25: 20-21.
- 7. Morgan DH. Tinnitus of TMJ origin a preliminary report. Cranio 1992; 10: 124-129.
- 8. Laughner BA, Larkin LH, Mahan PE. Discomalleolar and anterior malleolar ligaments: possible causes of middle ear damage during temporomandibular joint surgery. Oral Surg Oral Med Oral Pathol 1989; 68: 14-22.
- 9. Pekkan G, Aksoy S, Hekimoğlu C, Oghan F. Comparative audiometric evaluation of temporomandibular disorder patients with otological symptoms. Journal of Cranio-Maxillo-Facial Surgery 2010; 38,: 231-234.
- 10. Ferendiuk E, Zajdel K, Pihut M. Incidence of Otolaryngological Symptoms in Patients with Temporomandibular Joint Dysfunctions. BioMed Research International 2014; 24:1-5.
- 11. Toledo IP, Stefani FM, Porporatti AL, Mezzomo LA, Peres MA, Flores-Mir C, Canto GL. Prevalence of otologic signs and symptoms in adult patients with temporomandibular disorders: a systematic review and meta-analysis. Clin Oral Invest 2017; 21: 597-605.
- 12. Keersmaekers K, De Boever JA, Van Den Berghe L. Otalgia in patients with temporomandibular joint disorders. J Prosthet Dent 1996; 75:72-76.
- 13. Rubinstein B. Tinnitus and craniomandibular disorders–is there a link? Swed Dent J Suppl 1993; 95:1-46.
- 14. Chole RA, Parker WS. Tinnitus and vertigo in patients with temporomandibular disorder. Arch Otolaryngol Head Neck Surg 1992;118:817-21.
- 15. Dolowitz DA, Ward JW, Fingerle DO, Smith CC. The role of muscular incoordination in the pathogenesis of the temporomandibular joint syndromes. Laryngoscope 1964; 74: 790-801.
- 16. Dworkin SF, LeResche L. Research Diagnostic Criteria for Temporomandibular disorders (RDC/TMD): criteria, examinations and specifications, critique. J Craniomandib Disord 1992; 6: 301-355.
- 17. Monson G. Some important factors which influence occlusion. Journal of the American Dental Association 1922; 9: 498-503.
- 18. Decker CJ. Traumatic deafness as a result of retrusion of the condyles of the mandible. Ann Otol Rhinol Laryngol 1925; 34: 519-527.
- 19. Goodfriend DJ. Symptomatology and treatment of abnormalities of the mandibular articulation. Dent Cosmos 1933; 75: 844-852.
- 20. Costen JB. A syndrome of ear and sinus symptoms dependent upon disturbed function of the temporomandibular joint. Am Otol Rhinol Larygol 1934;43:1-15.21. Ash CM, Pinto OF. The TMJ and the middle ear: structural and functional correlates for aural symptoms associated with temporomandibular joint dysfunction. Int J Prosthodont 1991; 4: 51-57.
- 22. Tozoğlu S, Bayramoğlu Z, Özkan O. Outcome of otologic symptoms after temporomandibular joint arthrocentesis. The Journal of Craniofacial Surgery 2015; 26:344-347.
- 23. Wieckiewicz M, Grychowska N, Wojciechowski K, Pelc A, Augustyniak M, Sleboda A, Zietek M. Prevalence and correlation between TMD based on RDC/TMD diagnoses, oral parafunctions and psychoemotional stress in Polish university students. BioMed research international 2014; 1-7.
- 24. Cooper BC, Cooper DL. Recognizing otolaryngologic symptoms in patients with temporomandibular disorders. Cranio: J Craniomandibular Pract 1993; 11:260–267.
- 25. Kitsoulis P, Marini A, Iliou K, Galani V, Zimpis A, Kanavaros P, Paraskevas G. Signs and symptoms of temporomandibular joint disorders related to the degree of mouth opening and hearing loss. BMC Ear, Nose Throat Disord 2011; 25: 11:5.
- 26. Maciejewska-Szaniec Z, Maciejewska B, Mehr K, Piotrowski P, Michalak M, Wiskirska-Woznica B, Klatkiewicz T, Czajka-Jakubowska A. Incidence of otologic symptoms and evaluation of the organ of hearing in patients with temporomandibular disorders. Medical Science Monitor 2017; 23: 5123-5129.
- 27. Kusdra PM, Stechman-Neto J, Leão BLC, Martins PFA, Lacerda ABM, Zeigelboim BS. Relationship between Otological Symptoms and TMD. Int Tinnitus J 2018 1; 22: 30-34.
- 28. Vasconcelos BC, Barbosa LM, Barbalho JC, Araújo GM, Melo AR, Santos LA. Ear pruritus: a new otologic finding related to temporomandibular disorder. Gen Dent 2016 ;64 :39-43.
- 29. Mejersjö C, Näslund I. Aural symptoms in patients referred for temporomandibular pain/dysfunction. Swed Dent J. 2016; 40 :13-20.
- 30. Ciancaglini R, Loreti P, Radaelli G. Ear, nose, and throat symptoms in patients with TMD: the association of symptoms according to severity of arthropathy. J Orofac Pain. 1994 ;8 :293-297.
- 31. Chole RA, Parker WS. Tinnitus and vertigo in patients with temporomandibular disorder. Arch Otolaryngol Head Neck Surg 1992 ; 118 : 817-821.
- 32. Manfredini D, Olivo M, Ferronato G, Marchese R, Martini A, Guarda-Nardini L. Prevalence of tinnitus in patients with different temporomandibular disorders symptoms. Int Tinnitus J 2014; 19:47-51.
Temporomandibular Eklem Düzensizliği Bulunan Hastalarda Kulak Semptomları Prevelansının Araştırılması
Abstract
Amaç: Temporomandibular eklem düzensizliği bulunan
hastalarda temporomandibular eklem, çiğneme kasları ve ilişkili olduğu
yapılarda çeşitli semptomlara sebep olabilmektedir. Yakın komşulukta olduğu
yapılardan olan kulakta kulak ağrısı, kulak çınlaması, kulakta dolgunluk hissi,
kulak kaşıntısı, işitmede azalma, baş dönmesi, denge kaybı gibi semptomlara
neden olabilmektedir. Bu çalışmanın amacı, Temporomandibular eklem
düzensizliğine eşlik eden kulak semptomları prevelansının değerlendirilmesidir.
Gereç ve Yöntemler:Retrospektif çalışma Ocak 2017-Aralık 2017
tarihleri arasında Adıyaman Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve
Çene Cerrahisi AD’na TME bölgesinde ağrı ve/veya disfonksiyon şikayeti ile
başvuran 214 hasta ile planlandı. Hastaların seçimi TMD/ATK’ye göre yapıldı. TMD
teşhisi konan hastalarda kulak ağrısı, kulak çınlaması, kulakta dolgunluk
hissi, kulak kaşıntısı, işitmede azalma, baş dönmesi, denge kaybı
semptomlarının varlığı araştırıldı. Hastalara kulak semptomlarını var veya yok
şeklinde değerlendirebilecekleri formlar dolduruldu. Semptomların şiddeti ile
bilgi edinilmedi.
Bulgular:214
TMD hastasının 65’inde kulak semptomuna rastlanmadı. 149 hastada ise en az bir
kulak semptomu gözlendi. 149 hastanın 117’sinde kulak ağrısı (%78.5), 77’sinde
kulak çınlaması (%51.7), 56’sında kulakta dolgunluk hissi (%37.6), 50’sinde
kulak kaşıntısı (%33.6), 3’ünde işitmede azalma (%2), 61’inde baş dönmesi (%40.9)
ve 50’sinde denge kaybı (%33.6) tespit edildi. 149 hastanın 120’i kadın (%
80.5), 29’i erkektir. (%19.5)
Sonuçlar:TMD’ye kulak semptomları arasında en fazla kulak
ağrısı, ikinci sırada kulak çınlaması ve en az ise işitmede azalma eşlik
etmektedir.
Anahtar Kelimeler:TMD, kulak semptomları, kulak ağrısı, kulak
çınlaması
Keywords
References
- 1. Akhter R, Morita M, Ekuni D, Hassan NMM, Furuta M, Yamanaka R, Matsuka R, Wilson D. Self-reported aural symptoms, headache and temporomandibular disorders in Japanese young adults. BMC Musculoskeletal Disorders 2013; 14: 1-7.
- 2. Lam DK, Lawrence HP, Tenenbaum HC. Aural symptoms in temporomandibular disorder patients attending a craniofacial pain unit. J Orofac Pain 2001; 15: 146–157.
- 3. Parker WS, Chole RA. Tinnitus, vertigo, and temporomandibular disorders. Am J Orthod Dentofacial Orthop 1995; 107: 153–158.
- 4. Tuz HH, Önder EM, Kişnişçi RS. Prevalence of otologic complaints in patients with temporomandibular disorders. J Orthod Dentofacial Orthop 2003; 123: 620-623.
- 5. Myrhaug H. The incidence of ear symptoms in cases of malocclusion and temporomandibular joint disturbances. Br J Oral Surg 1964; 2: 28-32.
- 6. Malkin DP. The role of TMJ dysfunction in the etiology of middle ear disease. Int J Orthod 1987; 25: 20-21.
- 7. Morgan DH. Tinnitus of TMJ origin a preliminary report. Cranio 1992; 10: 124-129.
- 8. Laughner BA, Larkin LH, Mahan PE. Discomalleolar and anterior malleolar ligaments: possible causes of middle ear damage during temporomandibular joint surgery. Oral Surg Oral Med Oral Pathol 1989; 68: 14-22.
- 9. Pekkan G, Aksoy S, Hekimoğlu C, Oghan F. Comparative audiometric evaluation of temporomandibular disorder patients with otological symptoms. Journal of Cranio-Maxillo-Facial Surgery 2010; 38,: 231-234.
- 10. Ferendiuk E, Zajdel K, Pihut M. Incidence of Otolaryngological Symptoms in Patients with Temporomandibular Joint Dysfunctions. BioMed Research International 2014; 24:1-5.
- 11. Toledo IP, Stefani FM, Porporatti AL, Mezzomo LA, Peres MA, Flores-Mir C, Canto GL. Prevalence of otologic signs and symptoms in adult patients with temporomandibular disorders: a systematic review and meta-analysis. Clin Oral Invest 2017; 21: 597-605.
- 12. Keersmaekers K, De Boever JA, Van Den Berghe L. Otalgia in patients with temporomandibular joint disorders. J Prosthet Dent 1996; 75:72-76.
- 13. Rubinstein B. Tinnitus and craniomandibular disorders–is there a link? Swed Dent J Suppl 1993; 95:1-46.
- 14. Chole RA, Parker WS. Tinnitus and vertigo in patients with temporomandibular disorder. Arch Otolaryngol Head Neck Surg 1992;118:817-21.
- 15. Dolowitz DA, Ward JW, Fingerle DO, Smith CC. The role of muscular incoordination in the pathogenesis of the temporomandibular joint syndromes. Laryngoscope 1964; 74: 790-801.
- 16. Dworkin SF, LeResche L. Research Diagnostic Criteria for Temporomandibular disorders (RDC/TMD): criteria, examinations and specifications, critique. J Craniomandib Disord 1992; 6: 301-355.
- 17. Monson G. Some important factors which influence occlusion. Journal of the American Dental Association 1922; 9: 498-503.
- 18. Decker CJ. Traumatic deafness as a result of retrusion of the condyles of the mandible. Ann Otol Rhinol Laryngol 1925; 34: 519-527.
- 19. Goodfriend DJ. Symptomatology and treatment of abnormalities of the mandibular articulation. Dent Cosmos 1933; 75: 844-852.
- 20. Costen JB. A syndrome of ear and sinus symptoms dependent upon disturbed function of the temporomandibular joint. Am Otol Rhinol Larygol 1934;43:1-15.21. Ash CM, Pinto OF. The TMJ and the middle ear: structural and functional correlates for aural symptoms associated with temporomandibular joint dysfunction. Int J Prosthodont 1991; 4: 51-57.
- 22. Tozoğlu S, Bayramoğlu Z, Özkan O. Outcome of otologic symptoms after temporomandibular joint arthrocentesis. The Journal of Craniofacial Surgery 2015; 26:344-347.
- 23. Wieckiewicz M, Grychowska N, Wojciechowski K, Pelc A, Augustyniak M, Sleboda A, Zietek M. Prevalence and correlation between TMD based on RDC/TMD diagnoses, oral parafunctions and psychoemotional stress in Polish university students. BioMed research international 2014; 1-7.
- 24. Cooper BC, Cooper DL. Recognizing otolaryngologic symptoms in patients with temporomandibular disorders. Cranio: J Craniomandibular Pract 1993; 11:260–267.
- 25. Kitsoulis P, Marini A, Iliou K, Galani V, Zimpis A, Kanavaros P, Paraskevas G. Signs and symptoms of temporomandibular joint disorders related to the degree of mouth opening and hearing loss. BMC Ear, Nose Throat Disord 2011; 25: 11:5.
- 26. Maciejewska-Szaniec Z, Maciejewska B, Mehr K, Piotrowski P, Michalak M, Wiskirska-Woznica B, Klatkiewicz T, Czajka-Jakubowska A. Incidence of otologic symptoms and evaluation of the organ of hearing in patients with temporomandibular disorders. Medical Science Monitor 2017; 23: 5123-5129.
- 27. Kusdra PM, Stechman-Neto J, Leão BLC, Martins PFA, Lacerda ABM, Zeigelboim BS. Relationship between Otological Symptoms and TMD. Int Tinnitus J 2018 1; 22: 30-34.
- 28. Vasconcelos BC, Barbosa LM, Barbalho JC, Araújo GM, Melo AR, Santos LA. Ear pruritus: a new otologic finding related to temporomandibular disorder. Gen Dent 2016 ;64 :39-43.
- 29. Mejersjö C, Näslund I. Aural symptoms in patients referred for temporomandibular pain/dysfunction. Swed Dent J. 2016; 40 :13-20.
- 30. Ciancaglini R, Loreti P, Radaelli G. Ear, nose, and throat symptoms in patients with TMD: the association of symptoms according to severity of arthropathy. J Orofac Pain. 1994 ;8 :293-297.
- 31. Chole RA, Parker WS. Tinnitus and vertigo in patients with temporomandibular disorder. Arch Otolaryngol Head Neck Surg 1992 ; 118 : 817-821.
- 32. Manfredini D, Olivo M, Ferronato G, Marchese R, Martini A, Guarda-Nardini L. Prevalence of tinnitus in patients with different temporomandibular disorders symptoms. Int Tinnitus J 2014; 19:47-51.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Dentistry |
| Journal Section | Research |
| Authors | |
| Publication Date | August 1, 2020 |
| Submission Date | January 22, 2019 |
| Published in Issue | Year 2020 Volume: 7 Issue: 2 |
Cited By
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