A Study of the Prevalence of Otolaryngologic Symptoms in Patients with Temporomandibular Joint Dysfunction

Yıl 2020, Cilt: 7 Sayı: 2, 220 - 225, 01.08.2020

Günay Yapıcı Yavuz Aydın Keskinrüzgar Mahmut Koparal Mustafa Utkun Göksel Şimşek Kaya

https://doi.org/10.15311/selcukdentj.515895

Cited By: 1

Öz

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.

Anahtar Kelimeler

TMD, aural symptoms, otalgia, tinnitus

Temporomandibular Eklem Düzensizliği Bulunan Hastalarda Kulak Semptomları Prevelansının Araştırılması

Öz

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

Anahtar Kelimeler

TMD, Kulak semptomları, kulak ağrısı, kulak çınlaması

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