Ziya SALTÜRK, Erdinç ÖZÇELİK, Tolgar Lütfi KUMRAL, Ozan ÇAKIR, Şeref KASIMOĞLU, Yavuz ATAR, Güven YILDIRIM, Güler BERKİTEN, Ayşe Enise GÖKER, Yavuz UYAR

Uyku bruksizmine bağlı tinnitusun yaşam kalitesi üzerine etkileri

Amaç: Bu yazıda uyku bruksizmi olan hastalarda tinnitusun öznel ve nesnel özellikleri incelendi.Hastalar ve Yöntemler: Çalışmaya uyku bruksizmi ve tinnitusu olan 57 hasta 12 erkek; 45 kadın; ort. yaş 33.89±12.50 yıl; dağılım 19-55 yıl uyku bruksizmi grubu ile sadece tinnitusu olan 24 hasta 6 erkek, 18 kadın; ort. yaş 43.75±16.19 yıl; dağılım 21-58 yıl kontrol grubu dahil edildi. Uyku bruksizmi tanısı Amerikan Uyku Tıbbı Akademisi diyagnostik kriterlerine göre konuldu. Hastalara saf ses odyometri uygulanarak standart ve yüksek frekanslardaki işitme eşikleri belirlendi. Tinnitus frekansı ve şiddeti değerlendirildi. Tinnitusun öznel yönleri tinnitus engel dökümü ile belirlendi.Bulgular: İstatistiksel değerlendirme uyku bruksizmi grubunda işitme eşiklerinin 1000 Hz ve 2000 Hz dışında anlamlı olarak daha düşük olduğunu gösterdi. Tinnitus frekansı uyku bruksizmi grubunda 3000 Hz ile 18000 Hz arasında iken kontrol grubunda 6000 Hz ile 16000 Hz arasındaydı ve farklılık istatistiksel olarak anlamlı değildi p=0.362 . Uyku bruksizmi grubunda tinnitus şiddeti ve tinnitus engel dökümü puanları kontrol grubuna göre anlamlı olarak daha düşüktü sırasıyla p=0.024 ve p=0.000 .Sonuç: Uyku bruksizmi ve temporomandibüler eklem sorunlarına bağlı tinnitus yüksek frekanslıdır ve sadece tinnitusu olan hastalara göre daha az şiddetlidir

Anahtar Kelimeler:

Bruksizm, frekans, işitme, tinnitus engel dökümü, tinnitus

Effects of sleep bruxism related tinnitus on quality of life

Objectives: This study aims to analyze the subjective and objective characteristics of tinnitus in sleep bruxism patients. Patients and Methods: The study included 57 patients 12 males; 45 females; mean age 33.89±12.50 years; range 19 to 55 years with sleep bruxism and tinnitus sleep bruxism group and 24 patients 6 males, 18 females; mean age 43.75±16.19 years; range 21 to 58 years only with tinnitus control group . Sleep bruxism was diagnosed by the diagnostic criteria of American Academy of Sleep Medicine. Patients were performed pure tone audiometry to detect hearing thresholds at standard and high frequencies. Tinnitus frequency and loudness were assessed. Subjective aspects of tinnitus were identified by tinnitus handicap inventory. Results: The statistical analysis revealed that the sleep bruxism group had significantly lower hearing thresholds except 1000 Hz and 2000 Hz. Tinnitus frequency was between 3000 Hz and 18000 Hz in sleep bruxism group while it was between 6000 and 16000 Hz in control group with no statistically significant difference p=0.362 . Sleep bruxism group had significantly lower tinnitus loudness and tinnitus handicap inventory scores in comparison to control group p=0.024 and p=0.000, respectively . Conclusion: Tinnitus caused by sleep bruxism and temporomandibular joint issues has higher frequency and lower loudness compared to patients with only tinnitus.

Keywords:

Bruxism, frequency, hearing, tinnitus handicap inventory, tinnitus,

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