Otologic Symptoms and Quality of Life in Individuals with Temporomandibular Disorders: A Cross-Sectional Study

Yıl 2024, Cilt: 10 Sayı: 1, 42 - 49, 28.03.2024

Damla Torul Mehmet Melih Ömezli Muhammed Furkan Yılmaz

https://doi.org/10.19127/mbsjohs.1396927

Öz

Objective: Temporomandibular disorder (TMD) occurs as a result of alterations in the masticatory muscles and temporomandibular joint (TMJ). Otologic symptoms such as earache, hearing loss, and tinnitus may be observed in TMD patients and may impair quality of life (QOL). This paper aims to evaluate the frequency of otological symptoms, and their association with QOL in TMD patients.
Methods: The archival records of patients who applied to the Maxillofacial Surgery Clinic of Ordu University with TMD complaints between December 2022 and August 2023 were reviewed retrospectively. Demographic data, otological symptoms such as tinnitus, hearing loss, and earache, and Visual Analog Scale (VAS) scores regarding QOL and masticatory efficacy were recorded.
Results: One hundred-four patients (83 females, 21 males), with a mean age of 35.75 ± 15.09 years were included. No significant differences were observed among patients with/without earache, tinnitus, and hearing loss in terms of QOL and masticatory efficiency scores (p > 0.05), except significant difference between patients with/without tinnitus in terms of QOL (p < 0.01). No significant differences were observed between genders in QOL and masticatory efficiency scores (p > 0.05).
Conclusion: The frequency of otologic symptoms in TMD patients is high and tinnitus significantly impacts the QOL. For the optimum management of TMD patients with otological symptoms a multidisciplinary approach with dental clinicians and otolaryngologists should be performed.

Anahtar Kelimeler

Otolaryngology, Quality of Life, Temporomandibular Disorders, Tinnitus

Kaynakça

• Gauer RL, Semidey MJ. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician. 2015;91(6):378-386.
• De Rossi SS, Greenberg MS, Liu F, Steinkeler A. Temporomandibular disorders: evaluation and management. Med Clin North Am. 2014;98(6):1353-1384.
• Wright EF, North SL. Management and treatment of temporomandibular disorders: a clinical perspective. J Man Manip Ther. 2009;17(4):247-254.
• Murphy MK, MacBarb RF, Wong ME, Athanasiou KA. Temporomandibular disorders: a review of etiology, clinical management, and tissue engineering strategies. Int J Oral Maxillofac Implants. 2013;28(6):e393-e414.
• Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 2013;57(3):465-479.
• Yap AU, Peng BMH, Lim SY, Lee DZR. Association of temporomandibular disorders severity with otologic and concomitant pain symptoms in Asian youths [published online ahead of print, 2022 Jun 20]. Cranio. 2022;1-7.
• Gonçalves DA, Dal Fabbro AL, Campos JA, Bigal ME, Speciali JG. Symptoms of temporomandibular disorders in the population: an epidemiological study. J Orofac Pain. 2010;24(3):270-278.
• Wright WH. Deafness as influenced by malposition of the jaws. J Natl Dent Assoc. 1920;7(12):979–992.
• Monson GS. Some important factors which influence occlusion. Dent Regist. 1922;76(7):317-323.
• Decker JC. Traumatic deafness as a result of retrusion of the condyles of the mandible. Ann Otol Rhinol Laryngol. 1925;34(2):519-527.
• Goodfriend DJ. Symptomatology and treatment of abnormalities of the mandibular articulation. Dent Cosmos. 1933;75:844-852.
• Ferendiuk E, Zajdel K, Pihut M. Incidence of otolaryngological symptoms in patients with temporomandibular joint dysfunctions. Biomed Res Int. 2014;2014:824684.
• Costen JB. A syndrome of ear and sinus symptoms dependent upon disturbed function of the temporomandibular joint. Ann Otol Rhinol Laryngol. 1934;43(1):1-15.
• Henderson DH, Cooper JC Jr, Bryan GW, Van Sickels JE. Otologic complaints in temporomandibular joint syndrome. Arch Otolaryngol Head Neck Surg. 1992;118(11):1208-1213.
• Myrhaug H. The incidence of ear symptoms in cases of malocclusion and temporo-mandibular joint disturbances. Br J Oral Surg. 1964;2(1):28-32.
• Pinto OF. A new structure related to the temporomandibular joint and middle ear. J Prosthet Dent. 1962;12(1):95-103.
• Komori E, Sugisaki M, Tanabe H, Katoh S. Discomalleolar ligament in the adult human. Cranio. 1986;4(4):299–305.
• Loughner 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(1):14-22.
• Parker WS, Chole RA. Tinnitus, vertigo, and temporomandibular disorders. Am J Orthod Dentofacial Orthop. 1995;107(2):153-158.
• Kusdra PM, Stechman-Neto J, Leão BLC, Martins PFA, Lacerda ABM, Zeigelboim BS. Relationship between Otological Symptoms and TMD. Int Tinnitus J. 2018;22(1):30-34.
• Cooper BC, Cooper DL. Recognizing otolaryngologic symptoms in patients with temporomandibular disorders. Cranio. 1993;11(4):260–267.
• Tuz HH, Onder EM, Kisnisci RS. Prevalence of otologic complaints in patients with temporomandibular disorder. Am J Orthod Dentofacial Orthop. 2003;123(6):620-623.
• Porto De Toledo I, Stefani FM, Porporatti AL, Mezzomo LA, Peres MA, Flores-Mir C, et al. Prevalence of otologic signs and symptoms in adult patients with temporomandibular disorders: a systematic review and meta-analysis. Clin Oral Investig. 2017;21(2):597-605.
• de Felício CM, Melchior Mde O, Ferreira CL, Da Silva MA. Otologic symptoms of temporomandibular disorder and effect of orofacial myofunctional therapy. Cranio. 2008;26(2):118-125.
• Lacerda AB, Facco C, Zeigelboim BS, Cristoff K, Stechman J Neto, Fonseca VR. The impact of tinnitus on the quality of life in patients with temporomandibular dysfunction. Int Tinnitus J. 2016;20(1):24-30.
• Calderon Pdos S, Hilgenberg PB, Rossetti LM, Laurenti JV, Conti PC. Influence of tinnitus on pain severity and quality of life in patients with temporomandibular disorders. J Appl Oral Sci. 2012;20(2):170-173.
• Omidvar S, Jafari Z. Association Between Tinnitus and Temporomandibular Disorders: A Systematic Review and Meta-Analysis. Ann Otol Rhinol Laryngol. 2019;128(7):662-675.
• Chole RA, Parker WS. Tinnitus and vertigo in patients with temporomandibular disorder. Arch Otolaryngol Head Neck Surg. 1992;118(8):817-821.
• Buergers R, Kleinjung T, Behr M, Vielsmeier V. Is there a link between tinnitus and temporomandibular disorders? J Prosthet Dent. 2014;111(3):222-227.
• 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. 2015;19(2):47-51.
• Skog C, Fjellner J, Ekberg E, Häggman-Henrikson B. Tinnitus as a comorbidity to temporomandibular disorders-A systematic review. J Oral Rehabil. 2019;46(1):87-99.