Prevalence of otologic signs and symptoms in adult patients with temporomandibular disorders: a systematic review and meta-analysis

Toledo, Isabela Porto de; Stefani, Fabiane Miron; Porporatti, André Luís; Mezzomo, Luís André; Peres, Marco Aurélio; Flores-Mir, Carlos; Canto, Graziela De Luca

doi:10.1007/s00784-016-1926-9

Cited by 55 publications

(42 citation statements)

References 33 publications

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“…Unfortunately, although the study notes that all patients underwent impedance audiometry, these results were not reported. Porto De Toledo et al performed a systematic review and meta‐analysis on the prevalence of otologic signs and symptoms in patients with TMJD, and in their review of eight studies found that otologic symptoms were quite common: ear fullness (74.8%), otalgia (55.1%), tinnitus (52.1%), vertigo (40.8%), and hearing loss (38.9%) . However, these studies did not quantify or measure the severity of these otologic complaints using a validated outcomes instrument, hence the need for the present study.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of eustachian tube dysfunction symptoms in temporomandibular joint disorder patients

et al. 2019

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Objectives/Hypothesis Ear fullness and pressure is a common complaint seen in otolaryngology clinics and frequently is attributed to eustachian tube dysfunction (ETD). In addition to traditional tympanometry and physical examination, the seven‐item Eustachian Tube Dysfunction Questionnaire (ETDQ‐7) has recently been used to aid in the diagnosis of ETD and to assess its severity. Temporomandibular joint disorder (TMJD) is a common condition that causes similar symptoms to ETD and has been recognized as a potential confounding condition in patients presenting with ETD symptoms. We sought to determine the cross‐sectional prevalence of ETD symptoms in patients with TMJD using the ETDQ‐7. Study Design Prospective cross‐sectional analysis. Methods An analysis was performed of ETDQ‐7 scores in patients diagnosed with TMJD. Results A total of 21 patients with confirmed TMJD completed the ETDQ‐7 at routine consult or follow‐up for their TMJD. The mean ± standard deviation ETDQ‐7 score for the cohort was 24.5 ± 12.5. Two‐thirds of patients had an ETDQ‐7 score of >14.5, which has been used in the literature to denote clinically significant ETD. No single question was scored significantly higher than the others. Conclusions Symptoms of ETD are highly prevalent among patients with TMJD determined by patient‐reported outcome measures. It is not clear if these symptoms reflect true derangement of eustachian tube function in these patients or whether there is only clinical similarity between ETD and TMJD. However, future research efforts may resolve this dilemma. Level of Evidence 4 Laryngoscope, 130:E233–E236, 2020

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Section: Discussionmentioning

confidence: 99%

The prevalence of eustachian tube dysfunction symptoms in temporomandibular joint disorder patients

et al. 2019

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“…Some articles reported a high prevalence of tinnitus in patients with TMD, but they did not compare the results with those of healthy controls to see whether there truly exist any significant relationships. Hence, we have performed a systematic study with the aim of determining if there is a higher prevalence of tinnitus in patients with TMDs than in patients without TMDs.…”

Section: Introductionmentioning

confidence: 99%

Is there a higher prevalence of tinnitus in patients with temporomandibular disorders? A systematic review and meta‐analysis

Mottaghi

Menéndez‐Díaz

Cobo

et al. 2018

J of Oral Rehabilitation

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The aim of this study was to determine whether there exists a higher prevalence of tinnitus in patients with temporomandibular disorders (TMDs) than in patients without TMDs. A systematic review was conducted in PubMed/MEDLINE for articles published between January 1992 and April 2018 in accordance with the PRISMA statement. Studies were included in this review only if they assessed TMDs using the research diagnostic criteria (RDC)/TMD or DC/TMD. A total of five studies were included in the systematic review, and a random-effects meta-analysis of three of the studies was conducted. In all of the selected studies, the prevalence of tinnitus was higher in patients with TMDs (35.8% to 60.7%) than in patients without TMDs (9.7% to 26.0%). The odds ratio of suffering from tinnitus among patients with TMDs was 4.45 (95% CI 1.64-12.11. P = 0.003). Thus, despite the limitations of the included studies, this review demonstrates that the prevalence of tinnitus in TMD patients is significantly higher than that in patients without TMD.

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“…[8][9][10] EF was reported to be manifested in approximately 75% of TMD patients. 11 It has been suggested that EF associated with TMD is the result of stomatognathic dysfunction, which transmits unnecessary charges to the middle ear muscles or bony network between the TMJ and middle ear. 12 In spite of this potential underlying mechanism, TMD tends to be neglected by otolaryngologists when evaluating otologic symptoms in a clinical setting.…”

Section: Introductionmentioning

confidence: 99%

Clinical implications of magnetic resonance imaging in temporomandibular disorders patients presenting ear fullness

Lee

Park

et al. 2017

The Laryngoscope

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Prevalence of otologic signs and symptoms in adult patients with temporomandibular disorders: a systematic review and meta-analysis

Abstract: This study intends to provide understanding over the prevalence of otologic signs and symptoms in TMD cases in adults.

Cited by 55 publications

References 33 publications

The prevalence of eustachian tube dysfunction symptoms in temporomandibular joint disorder patients

The prevalence of eustachian tube dysfunction symptoms in temporomandibular joint disorder patients

Is there a higher prevalence of tinnitus in patients with temporomandibular disorders? A systematic review and meta‐analysis

Clinical implications of magnetic resonance imaging in temporomandibular disorders patients presenting ear fullness

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