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Int. arch. otorhinolaryngol. (Impr.) ; 24(1): 68-72, Jan.-Mar. 2020. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1090546

RESUMEN

Abstract Introduction The prevalence of tinnitus is higher in individuals with temporoman- dibular joint disorder (TMD) than in the general population. Magnetic resonance imaging (MRI) of the temporomandibular joint (TMJ) is the method of choice for investigation, and it has been hypothesized that specific MRI findings might be observed in TMD with comorbid tinnitus. Objective To comparatively describe MRI findings in patients with TMD with and without tinnitus, identifying the most common TMJ alterations and determining whether a correlation exists between severity of TMD and tinnitus. Methods A cross-sectional study of 53 adult patients with bilateral or unilateral TMD (30 with and 23 without tinnitus). The association between tinnitus and morphological aspects of TMD (changes in condylar morphology, articular eminence morphology, and disc morphology), disc displacement (with/without reduction), condylar translation, and intra-articular effusion was analyzed on MRI images. Results The mean patient age was 46.12 ± 16.1 years. Disc displacement was the most common finding in both groups (24 patients with tinnitus versus 15 without; p = 0.043). Only the frequency of disc displacement with reduction was significantly different between groups. Conclusion Additional imaging techniques should be explored to detect specific aspects of the relationship between tinnitus and TMD.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Articulación Temporomandibular/diagnóstico por imagen , Acúfeno/diagnóstico por imagen , Imagen por Resonancia Magnética , Trastornos de la Articulación Temporomandibular/diagnóstico por imagen , Audiometría de Respuesta Evocada , Audiometría de Tonos Puros , Articulación Temporomandibular/patología , Acúfeno/diagnóstico , Acúfeno/etiología , Índice de Severidad de la Enfermedad , Trastornos de la Articulación Temporomandibular/complicaciones , Trastornos de la Articulación Temporomandibular/patología , Estudios Transversales
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