Günay Yapıcı YAVUZ, Aydin KESKİNRÜZGAR, Mahmut KOPARAL, Mustafa UTKUN, Göksel ŞİMŞEK KAYA

Temporomandibular Eklem Düzensizliği Bulunan Hastalarda Kulak Semptomları Prevelansının Araştırılması

Amaç: Temporomandibular eklem düzensizliği bulunan hastalarda temporomandibular eklem, çiğneme kasları ve ilişkili olduğu yapılarda çeşitli semptomlara sebep olabilmektedir. Yakın komşulukta olduğu yapılardan olan kulakta kulak ağrısı, kulak çınlaması, kulakta dolgunluk hissi, kulak kaşıntısı, işitmede azalma, baş dönmesi, denge kaybı gibi semptomlara neden olabilmektedir. Bu çalışmanın amacı, Temporomandibular eklem düzensizliğine eşlik eden kulak semptomları prevelansının değerlendirilmesidir. Gereç ve Yöntemler:Retrospektif çalışma Ocak 2017-Aralık 2017 tarihleri arasında Adıyaman Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi AD’na TME bölgesinde ağrı ve/veya disfonksiyon şikayeti ile başvuran 214 hasta ile planlandı. Hastaların seçimi TMD/ATK’ye göre yapıldı. TMD teşhisi konan hastalarda kulak ağrısı, kulak çınlaması, kulakta dolgunluk hissi, kulak kaşıntısı, işitmede azalma, baş dönmesi, denge kaybı semptomlarının varlığı araştırıldı. Hastalara kulak semptomlarını var veya yok şeklinde değerlendirebilecekleri formlar dolduruldu. Semptomların şiddeti ile bilgi edinilmedi. Bulgular:214 TMD hastasının 65’inde kulak semptomuna rastlanmadı. 149 hastada ise en az bir kulak semptomu gözlendi. 149 hastanın 117’sinde kulak ağrısı (%78.5), 77’sinde kulak çınlaması (%51.7), 56’sında kulakta dolgunluk hissi (%37.6), 50’sinde kulak kaşıntısı (%33.6), 3’ünde işitmede azalma (%2), 61’inde baş dönmesi (%40.9) ve 50’sinde denge kaybı (%33.6) tespit edildi. 149 hastanın 120’i kadın (% 80.5), 29’i erkektir. (%19.5)Sonuçlar:TMD’ye kulak semptomları arasında en fazla kulak ağrısı, ikinci sırada kulak çınlaması ve en az ise işitmede azalma eşlik etmektedir. Anahtar Kelimeler:TMD, kulak semptomları, kulak ağrısı, kulak çınlaması

Anahtar Kelimeler:

TMD, Kulak semptomları, kulak ağrısı, kulak çınlaması

A Study of the Prevalence of Otolaryngologic Symptoms in Patients with Temporomandibular Joint Dysfunction

ABSTRACTPurpose: Temporomandibular joint dysfunction can lead to various symptoms in the temporomandibular joint, masticatory muscles, and related structures in patients. It can lead to symptoms like otalgia, tinnitus, aural fullness, itchiness in the ear, hearing loss, vertigo, and loss of balance in the ear, a structure of close proximity. The purpose of this study is the evaluation of the prevalence of otolaryngologic symptoms that accompany temporomandibular joint dysfunction.Materials and Methods: The retrospective study was planned with 214 patients referred with pain and/or complaints of dysfunction to the Adıyaman University Faculty of Dentistry Maxillofacial Surgical Department between the dates of January – December 2017. The selection of the patients was done based on TMD/ATK. The presence of the symptoms of otalgia, tinnitus, aural fullness, itchiness in the ear, hearing loss, vertigo, and loss of balance in was researched in patients diagnosed with TMD. The patients were asked to fill out forms in which they were able to assess their otolaryngologic symptoms as either present or not. Information was not obtained regarding the severity of the symptoms.Findings: No otolaryngologic symptoms were encountered in 65 of the 214 TMD patients. In 149 patients, at least one otolaryngologic symptom was observed. Of the 149 patients, otalgia was detected in 117 (78.5%), tinnitus in 77 (51.7%), aural fullness in 56 (37.6%), itchiness in the ear in 50 (33.6%), hearing loss in 3 (2%), vertigo in 61 (40.9%), and loss of balance in 50 (33.6%). Of the 149 patients, 120 (80.5%) were female and 29 (19.5%) were male. Conclusion: Among the otolaryngologic symptoms of TMD, otalgia most accompanies the disease, tinnitus is the second most prevalent, and hearing loss is the least encountered symptom.

Keywords:

TMD, aural symptoms, otalgia, tinnitus,

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