Assessment of temporomandibular and cervical spine disorders in tinnitus patients

Bjorne, Assar

doi:10.1016/s0079-6123(07)66019-1

Cited by 50 publications

(40 citation statements)

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“…This type of tinnitus derives from complex somatosensory-auditory interactions and cross-modal mechanisms that mainly arise from musculoskeletal anatomical regions such as the temporomandibular joint (TMJ), craniocervical junction, cervical vertebrae, and neck and shoulder muscles (NECK) [Chan and Reade, 1994;Levine et al, 2003;Abel and Levine, 2004;Tullberg and Ernberg, 2006;Björne, 2007;Bernhardt et al, 2011;Vielsmeier et al, 2012;Buergers et al, 2014]. Animal studies have shown that projections from the auditory nerve and trigeminal and dorsal column ganglia and brainstem nuclei integrate in the cochlear dorsal nucleus [Haenggeli et al, 2005;Zhan et al, 2006;Dehmel et al, 2008;Wu et al, 2014]; furthermore, nonacoustic stimulation can modulate both the firing rates and temporal response patterns to the acoustic stimulation in the inferior colliculus, which receives inputs from the dorsal cochlear nucleus and the somatosensory nuclei [Zhou and Shore, 2006].…”

Section: Introductionmentioning

confidence: 99%

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

et al. 2016

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In a subpopulation of patients, tinnitus can be modulated by movements of the jaw or head and neck due to complex somatosensory-auditory interactions. In some of these subjects, tinnitus could be related to an underlying temporomandibular (TMJ) or craniocervical (NECK) dysfunction that, if correctly identified, could streamline treatment and increase chances of tinnitus improvement. However, it is still unclear whether somatic modulation of tinnitus could be used as a screening tool for identifying such patients. In this study, we included 310 tinnitus patients with normal hearing, no psychiatric comorbidities, and a positive history of TMJ and/or NECK dysfunction and/or a positive modulation of tinnitus to evaluate the characteristics of somatic modulation, investigate the relationship between positive history and positive modulation, and identify factors most strongly associated with somatic modulation. Tinnitus modulation was present in 79.67% of the patients. We found a significant association within the same subjects between a positive history and a positive tinnitus modulation for the same region, mainly for TMJ in unilateral tinnitus patients and for TMJ + NECK in bilateral tinnitus patients. A strong correlation between history and modulation in the same somatic region within the same subgroups of subjects was also identified. Most TMJ maneuvers resulted in an increased loudness, while NECK maneuvers showed an increase in tinnitus loudness in about 59% of cases. High-pitched tinnitus and male gender were associated with a higher prevalence of modulation; no differences were found for tinnitus onset, Tinnitus Handicap Inventory score, and age. In this paper, we report a strong association between history and modulation for the same regions within the same patients; such an association should always be investigated to improve chances of a correct diagnosis of somatosensory tinnitus.

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Section: Introductionmentioning

confidence: 99%

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

et al. 2016

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“…Furthermore, tinnitus is associated with various somatoform pathologies of the head and neck such as craniocervical disorders, temporomandibular joint disorder (TMD) and dental problems [Wright and Bifano, 1997;Montazem, 2000;Boniver, 2002;Levine, 2004;Björne, 2007]. This has led to the term 'somatic tinnitus', which is used for tinnitus that is thought to be caused by abnormal somatosensory-auditory neural interactions resulting from disorders in the head or neck regions with no detectable otological or neurological anomalies [Levine, 1999a].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Factors Associated with Neck and Jaw Muscle Modulation of Tinnitus

Won¹,

Yoo²,

Lee³

et al. 2013

Audiol Neurotol

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Forceful contractions of neck and jaw muscles have consistently been shown to modulate tinnitus and can be used to screen patients who are responsive to somatic stimulation and, therefore, optimal candidates for somatosensory-based treatment. To identify the factors associated with somatic modulation of tinnitus, 163 patients underwent 19 neck and jaw maneuvers after an extensive physiological and audiological profile was compiled. Overall, tinnitus was modulated in 57.1% of ears tested. Unilateral tinnitus showed greater prevalence of modulation. Neck maneuvers generally decreased tinnitus loudness, whereas jaw maneuvers increased loudness. Female gender and buzzing tinnitus were associated with a high prevalence of modulation and a decrease in tinnitus loudness. Loud tinnitus and low-pitched tonal tinnitus were associated with exacerbation of the condition as a result of somatic testing. Use of these characteristics to select optimal candidates for somatosensory-based tinnitus therapies may be essential for the development of an effective approach for tinnitus treatment.

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“…Há ainda estudos que relataram uma alta prevalência de DTM em pacientes com sintomas otológicos (AXELSSON et al, 2009;BJÖRNE, 2007;HILGENBERG et al, 2011;ERNBERG, 2006).…”

Section: Klasser Epstein 2010)unclassified

“…Entretanto, alguns autores relataram o encontro de alterações (RIGA et al, 2010;PEKKAN et al, 2010;KITSOULIS et al, 2011) ao passo que outros não encontraram achados significantes (HENDERSON et al, 1992;TOLLER;JUNIPER, 1993;HILGENBERG, 2009 Estudos ainda têm avaliado o efeito dos tratamentos para DTM nos sintomas auditivos dos pacientes e verificaram, em geral, uma melhora desses sintomas (ANGELI et al, 1999;ANGELI et al, 2003;BJÖRNE, 2007;FELÍCIO et al, 2008;GIORDANI;NÓBILO, 1995;GUTIÉRREZ et al, 2001;SOBHY et al, 2004;ERNBERG, 2006;WRIGHT, 2007;BIFANO, 1997).…”

Section: Klasser Epstein 2010)unclassified

“…A literatura traz controvérsias tanto a respeito dos mecanismos envolvidos na produção dos sintomas auditivos em portadores de DTM (CASALE; RINALDI; SALVINELLI, 2005;KOMORI, 1986;LACOUT et al, 2005;MYRHAUG, 1964;PASCOAL et al, 2001;PENKNER et al, 2000;RAMIREZ ARISTEGUIETA et al, 2010;SALVINELLI et al, 2003;SCHMIDT et al, 1998), como sobre o efeito do tratamento odontológico na resolução desses (ANGELI et al, 1999;ANGELI et al, 2003;BJÖRNE, 2007;FELÍCIO et al, 2008;GIORDANI;NÓBILO, 1995;GUTIÉRREZ et al, 2001;SOBHY et al, 2004;ERNBERG, 2006;WRIGHT, 2007; WRIGHT; BIFANO, 1997). A expectativa dos profissionais que atuam nessa área é de que a sintomatologia auditiva melhore e, até mesmo desapareça após tratamentos como o uso de placas oclusais e/ou adequação da oclusão (FELÍCIO et al, 1996).…”

Section: Introductionunclassified

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Terapia com placa oclusal com e sem guias anteriores de desoclusão em pacientes com disfunção temporomandibular e zumbido subjetivo

Venezian¹

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O objetivo deste estudo foi avaliar o efeito de placas oclusais com guias anteriores de desoclusão e placas oclusais com contatos bilaterais e anteriores simultâneos durante os movimentos excursivos da mandíbula em pacientes com disfunção temporomandibular (DTM) e zumbido subjetivo. Foram avaliados 264 pacientes encaminhados para tratamento da DTM na FORP/USP e selecionados 32 mulheres com DTM muscular, associada ou não a DTM articular, e zumbido subjetivo que preencheram os critérios de inclusão. O diagnóstico da DTM foi realizado com oResearch Diagnostic Criteria for Temporomadibular Disorders (RDC/TMD). As pacientes foram divididas randomicamente em dois grupos para utilizarem um dos dois tipos de placas. As avaliações incluíram dor à palpação, limiar de dor à pressão com algômetro, medidas da amplitude dos movimentos mandibulares, eletromiografia de superfície, relato da intensidade da dor e da loudness do zumbido em escala visual analógica (EVA) e das características do zumbido. Os pacientes também responderam a um questionário para quantificação da frequência e severidade dos sinais e sintomas de DTM (ProDTMMulti) e para a avaliação do impacto do zumbido no dia a dia (Tinnitus Handicap Inventory -THI). A avaliação eletromiográfica foi realizada em várias atividades com e sem placa oclusal (apertamento máximo voluntário, movimentos excursivos mandibulares, repouso e mastigação habitual) e comparada com um grupo de 13 mulheres assintomáticas. As avaliações foram realizadas inicialmente (A1), no dia de instalação das placas oclusais, após 60 dias da avaliação inicial (A2) e após 90 dias de uso da placa oclusal (A3). O período entre as avaliações A1 e A2 foi considerado um período controle. Os resultados mostraram uma significante melhora da dor relatada pelo pacientes e aumento da amplitude da abertura bucal sem dor nos dois grupos, sem diferença entre eles. A atividade eletromiográfica foi significativamente reduzida durante apertamento máximo voluntário com a placa oclusal em comparação com o apertamento em máxima intercuspidação habitual, para as demais atividades realizadas durante o exame não houve diferença significante. A avaliação do zumbido mostrou que em muitos pacientes houve remissão do sintoma após o tratamento com placa oclusal. Não houve diferença entre os grupos para todas as avaliações realizadas. Baseados nesses achados, pode-se concluir que o tratamento com ambas as placas promoveu melhora na sintomatologia dos pacientes, sem diferenças entre elas, e houve em muitos pacientes uma remissão do zumbido The patients also answered a questionnaire to quantify the frequency and severity of signs and symptoms of TMD (ProDTMMulti) and to assess the impact of tinnitus on a day-to-day (Tinnitus Handicap Inventory -THI). The electromyography evaluation was performed in different activities with and without occlusal splint (maximum voluntary clenching, excursive jaw movements, resting and habitual chewing) and compared to a group of 13 asymptomatic women. The assessments were performed initially (A1), a...

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Assessment of temporomandibular and cervical spine disorders in tinnitus patients

Cited by 50 publications

References 2 publications

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

Prevalence and Factors Associated with Neck and Jaw Muscle Modulation of Tinnitus

Terapia com placa oclusal com e sem guias anteriores de desoclusão em pacientes com disfunção temporomandibular e zumbido subjetivo

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