Avaliação vestibular em mulheres com disfunção temporomandibular

Abstract

OBJETIVO: avaliar o comportamento vestibular em pacientes com disfunção temporomandibular. MÉTODOS: avaliaram-se 27 pacientes do sexo feminino, na faixa etária de 30 a 53 anos, encaminhadas do Centro de Diagnóstico e Tratamento da Articulação Temporomandibular para o Laboratório de Otoneurologia da Universidade Tuiuti do Paraná. Realizaram-se os seguintes procedimentos: anamnese, inspeção otológica e avaliação vestibular por meio da vectoeletronistagmografia. RESULTADOS: as queixas mais freqüentes foram: dificuldade ou dor ao movimento do pescoço (77,7%), dor irradiada para ombro/braço (77,7%), zumbido e formigamento de extremidade superior (77,7%), tontura e dor de cabeça (66,6%), ansiedade (55,5%), sensação de cabeça oca (51,8%), agitação durante o sono (51,8%) e depressão (51,8%). O exame vestibular esteve alterado em 20 pacientes (74,0%) na prova calórica. Houve freqüência de alteração no sistema vestibular periférico. Houve predomínio das síndromes vestibulares periféricas deficitárias. CONCLUSÃO: ressalta-se a importância de se estudar a relação do sistema vestibular com a disfunção temporomandibular uma vez que observamos, na presente pesquisa, um número elevado de alteração no exame labiríntico.

Auditory characteristics of individuals with temporomandibular dysfunctions and dentofacial deformities

“…However, Penkner et al 20 demonstrated that masticatory muscle spasms do not affect the function of the soft palate tensor muscle and the Eustachian tube. More recently, other studies found an association between pain on palpation of the mandibular condyle and the presence of otalgia in TMD subjects. 8,11,24 Additionally, high prevalence of tinnitus and vertigo 9,28,30 symptoms as well as ear fullness, 8,14,25 was observed in the research population. These conditions may be related both to TMD signs, the presence of muscle tension, 29 and pain on palpation in the masticatory muscles.…”

“…Auditory complaints and symptoms such as otalgia, tinnitus, hypoacusis, ear fullness and vertigo are often correlated to the presence of TMDs. 9,11,19,21,24,26,28,30 Several studies have been conducted in order to understand the etiology of auditory symptoms in subjects with TMD, firstly described by Costen. 6 The author suggested that poor positioning of the mandibular condyle, caused by loss of posterior tooth support, could cause blockage of the Eustachian tube, symptoms of otalgia, tinnitus and vertigo.…”

The impact of tinnitus on the quality of life in patients with temporomandibular dysfunction

“…11 TMD can also generate secondary auditory symptoms such as earache, tinnitus, vertigo, dizziness, hearing loss, referred pain or headaches [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] .…”

Influência do tratamento ortodôntico-cirúrgico nos sinais e sintomas de disfunção temporomandibular em indivíduos com deformidades dentofaciais

“…One patient complained about earache after surgery, what can be related to pain during mandibular condyle palpation in subjects with dysfunction (21) . Studies that make an association between earache, tunnitus, hearing loss, ear fullness and vertigo with DTM are common in the literature (22)(23)(24) .…”

“…On the patients evaluated at this study, it was observed that, even with the structural correction resultant from the orthodonthic surgery treatment, the stomatognathic system reorganization did not occur naturally; and speech and language pathology intervention was necessary in order to adapt the orofacial functions. We should pay attention on masticatory function, in which the default is influenced by temporomandibular dysfunction and presence of changes in mandibular movement (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) .…”