Recurrent tinnitus and associated ear symptoms in adults Acúfeno recurrente y síntomas asociados del oído en adultos

This study aimed to reveal in general population the prevalence, associations, and statistical model of recurrent tinnitus by means of a mailed questionnaire. The study sample consisted of 1720 randomly selected adults who were classified into three subgroups: recurrent (once a month or more often), occasional (less often than once a month), and no tinnitus. According to age and gender standardized prevalence, recurrent tinnitus was reported in 15% of the sample. It was statistically highly significantly associated with earache, fullness of ears, shoulder pain, the 25-years age group, and visits to a physician. The strongest predictor of recurrent tinnitus was fullness of ears followed by earache, shoulder ache, and temporomandibular disorder pain. We conclude that recurrent tinnitus seems to be quite common in adults and associated with earache and fullness of ears. In patients with tinnitus without clinical findings, the examination of the stomatognathic system and cervical spine is recommended.     

Efficacy of mandibular manipulation technique for temporomandibular disorders patients with mouth opening limitation: a randomized controlled trial for comparison with improved multimodal therapy

Purpose

Manual therapy has been used for the treatment of patients with temporomandibular disorders (TMD) with mouth-opening limitations. However, the curative effect of manipulation differs among researchers, and its necessity remains controversial. The purpose of this study was to confirm the efficacy of manipulation using a randomized controlled trial (RCT).

针灸联合手法推拿治疗颞下颌关节紊乱病60例临床观察

目的:观察针灸联合手法推拿治疗颞下颌关节紊乱病的临床疗效。方法:采用随机、单盲、对照的临床诊疗方法将符合纳入标准的120例患者随机分成治疗组、对照组各60例,治疗组用针灸联合手法推拿进行治疗,对照组单纯针灸给予治疗,2组治疗2个疗程后运用视觉模拟评分法(VAS)、颞下颌关节活动度等评价指标对其临床疗效进行评估。结果:治疗组治愈率66%,总有效率98%;对照组治愈率46%,总有效率73%,2组比较差异有统计学意义(P0.05);2组患者颞下颌功能活动、关节疼痛治疗后均得到明显好转(P0.01),治疗组好转程度显著优于对照组(P0.05);治疗组复发率(4%)低于对照组,差异有统计学意义(P0.05)。结论:针灸联合手法推拿治疗颞下颌关节紊乱病有较好临床疗效,较单纯运用针灸治疗具有优势,值得临床推广应用。     

60例老年缺牙患者颞颌关节紊乱病的修复治疗

目的研究老年人因缺牙后引起颞颌关节紊乱病(TMD)的特点及正确修复治疗的重要性。方法对60例60岁以上的老年人缺牙伴TMD患者进行、咬合、曲度、关系、垂直距离等检查分析;针对缺牙后的不同情况及咬合关系,采取调、重建,正确垂直距离恢复、义齿修复等措施进行临床修复治疗。结果缺牙修复治疗3～6个月内36例治愈,8例显效,6例有效,1年后全部显效。结论正确的调,及时缺牙修复,重建咬合和符合生理运动的曲线是治疗缺牙患者TMD的关键方法,也是预防老年人TMD的重要措施。     

透刺配合特定电磁波治疗颞下颌关节紊乱病42例

目的：观察透刺配合特定电磁波（TDP）治疗颞下颌关节紊乱病（TMD）的临床疗效。方法：对42例TMD患者采用颊车透刺下关、太阳透刺下关为主,并配合TDP颞下颌关节区照射治疗2个疗程,然后评价颞下颌关节疼痛VAS积分、张口度及临床疗效。结果：颞下颌关节疼痛VAS积分显著减少（P〈0.05）,关节开口度显著增加（P〈0.05）,总有效率为96.7%。结论：毫针透刺加TDP治疗能显著缓解颞下颌关节区的疼痛,恢复关节正常功能,治疗颞下颌关节紊乱病有较佳的临床效果。     

正畸治疗与颞下颌关节症状的相关研究

目的：探讨正畸治疗和颞下颌关节紊乱病（TMD）的关系。方法：设计正畸组、错[牙合]组和正常组的调查表,用Visual Foxpro6．0建立相应的数据库,对173例已正畸治疗者、95例有错[牙合]畸形但未治疗者和32例正常对照进行TMD症状、体征及相关情况的问卷调查和专科检查,所得结果用基于Helkimo指数改良设计的数据库进行分析,采用SPSS10．0软件包进行成组设计两样本比较的秩和检验。结果：正畸组和错[牙合]组在主诉症状指数、临床症状指数和咬合指数的分布上存在显著差异（P〈0．001）;正畸组和正常组在主诉症状指数和临床症状指数的分布上有显著差异（P〈0．001）,但在咬合指数的分布上无显著性差异（P〉0．05）。结论：正畸治疗后患者在一定时期内易出现颞下颌关节紊乱病的症状和体征。     

少年儿童颞下颌关节紊乱病的临床分析

目的探讨颞下颌关节紊乱病（以下简称TMD）少年儿童的发病情况及其对生长发育的影响。方法统计分析我院诊治的200例少年儿童颞下颌关节紊乱病患者的临床资料，就其病因、发病隋况等问题进行了初步的分析。结果TMD病因复杂，少年儿童TMD者大部分为早期，弹响是关节功能紊乱、结构紊乱和器质破坏的外在表现。结论对少年儿童TMD患者的早期防治是必要的，TMD是有可能治愈和控制的。     

低位咬合伴颞下颌关节结构紊乱患者的咬合重建治疗临床效果分析

目的：对低位咬合伴颞下颌关节结构紊乱患者进行咬合重建修复,分析其临床效果。方法：观察14例符合条件患者治疗前、暂时性胎垫治疗后、永久性修复治疗后临床症状、关节间隙及肌电图的变化。结果：（1）暂时性胎垫及永久性修复治疗后临床症状和关节间隙与治疗前相比,结果均有统计学意义（P〈0．05）。（2）静息状态下胎垫治疗及永久性修复后,颞肌前束（TA）和咬肌（MM）肌电活动减弱,有统计学意义（P〈0．05）;但在最大紧咬状态下胎垫治疗后肌电活动变化无统计学意义（P〉0．05）,而永久性修复后肌电活动显著增强,变化有统计学意义（P〈0．05）。结论：咬合重建缓解了颞下颌关节相关症状,永久性修复较暂时性修复达到了更为理想的咬合接触状态,咬合过程中咀嚼肌的功能得到了充分的发挥。