Zeynep GÜMRÜKÇÜ, Emre BALABAN, Mert KARABAĞ, Emine DEMİR

TEMPOROMANDİBULAR EKLEM AĞRISININ MİGREN, OTOLOJİK SEMPTOMLAR, BAŞ DÖNMESİ VE BOYUN/OMUZ AĞRISI İLE İLİŞKİSİNİN RETROSPEKTİF OLARAK DEĞERLENDİRİLMESİ

Amaç: Amaç: Bu çalışmanın amacı Temporomandibuler Eklem ağrısı vizüel analog skala (VAS) değerleri ile migren, kulak çınlaması, duyma kaybı, baş dönmesi, boyun/omuz ağrısı arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: Çalışmaya, Temmuz 2018 ve Mayıs 2019 tarihleri arasında TME ağrısı şikayeti ile Recep Tayyip Erdoğan Üniversitesi Ağız Diş Çene Hastalıkları ve Cerrahisi Anabilim Dalı'na başvuran 61 hasta dahil edilmiştir. Kayıtlar arasından TME-VAS skorları (0-10) ile kulak çınlaması, baş dönmesi, migren, boyun ve omuz ağrısı ve işitme kaybı (var/yok) aralarındaki ilişki değerlendirildi. Bulgular: Çalışmaya yaşları 14 ile 87 arası sırada değişen 61 hasta (ortalama: 33.0 ± 15.5) dahil edildi. Migren hastalarında anlamlı derecede yüksek TME-VAS skorları bulundu (P = 0.017). Boyun ağrısı olan hastalarda VAS skoru istatistiksel olarak anlamlı düzeyde yüksek bulundu (p = 0,036). Tinnitus, baş dönmesi, omuz ağrısı, işitme kaybı ve TME-VAS skoru arasında anlamlı fark bulunmadı (p> 0.05). Sonuç: TME ağrısı komşu ve benzer sinir iletim yollarına sahip olduğundan migrenle ilişkilidir bu sebeple migren tanılı hastalarda VAS skoru daha yüksek olabilir. Boyun ağrısı olan hastalarda TME-VAS skoru daha yüksektir.

Anahtar Kelimeler:

Temporomandibular eklem, ağrı, kulak çınlaması

RETROSPECTIVE EVALUATION OF THE RELATIONSHIP BETWEEN TEMPOROMANDIBULAR JOINT PAIN WITH MIGRAINE, OTOLOGICAL SYMPTOMS, DIZZINESS AND NECK/SHOULDER PAIN

Aim: The aim of this study was to evaluate the relationship between temporomandibular joint (TMJ) pain visual analog scalescores (VAS) with migraine, tinnitus, hear loss, dizziness and shoulder/neck pain in patients with temporomandibular joint pain.Materials and Methods: The study included 61 patient’s records who were presented to the Department of Oral andMaxillofacial Surgery, Faculty of Dentistry, Recep Tayyip Erdoğan University between July 2018 and May 2019 with thecomplaint of TMJ pain. The relationship between visual analog scale (VAS) scores (0-10) with tinnitus, dizziness, migraine,neck/shoulder pain and hear loss (absent/present) were evaluated.Results: Sixty one patient, aged from 14 to 87 (Mean: 33.0±15.5), were evaluated in this study. Significantly higher TMJ-VASscores were found in patients with migraine relative to without migraine (P=0.017). Significantly higher TMJ-VAS scores werefound in patients with neck pain (p=0.036). Any statistically significant difference was not found between tinnitus, dizziness,shoulder pain, hear loss and VAS score (p>0.05).Conclusion: TMJ pain is associated with migraine because it has adjacent and similar nerve conduction pathways, so the VASscore may be higher in patients diagnosed with migraine. TMJ-VAS score is higher in patients with neck pain.

Keywords:

Temporomandibular joint, pain, tinnitus migraine, shoulder pain, neck pain,

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