Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/588018497f8c9d0a098b4b5e
Revista de Odontologia da UNESP
Original Article

Zumbido em paciente com DTM: relato de um caso clínico

Tinnitus in patient with TMD: a clinical case report

Jorge, J.H.; Fernandes, F.; Campanha, N.H.; Todaro, P.F.; Camparis, C.M.

Downloads: 64
Views: 3960

Resumo

As desordens temporomandibulares abrangem um grande número de distúrbios funcionais. A correlação entre desordens temporomandibulares e sintomas otológicos é freqüentemente encontrada na literatura. Este estudo relata um caso clínico de zumbido associado à desordem temporomandibular. O tratamento constituiu-se de orientação sobre a etiologia da desordem, uso de placa miorrelaxante e fisioterapia. Após um mês de tratamento, o paciente apresentou redução significativa dos sintomas pré-tratamento. As características clínicas que levaram ao diagnóstico, bem como a eficácia do tratamento da desordem temporomandibular sobre o zumbido foram discutidas neste artigo.

Palavras-chave

Desordem temporomandibular, zumbido, articulação temporomandibular

Abstract

Temporomandibular disorders embrace a larger number of functional disturbances. Correlation between temporomandibular disorders and ontological symptoms is often found in literature, including tinnitus. This study reports a clinical case of tinnitus and temporomandibular disorders associates. The treatment consisted of orientation about etiology, occlusal splint using and physiotherapy. The patient presented significant reduction of the initial symptoms after a one month therapy. The clinical characteristics that lead to the diagnosis, as well as the efficacy of temporomandibular disorders treatment on tinnitus were discussed in this article.

Keywords

Temporomandibular disorders, tinnitus, temporomandibular joint

References



1. Pascoal MIN, Rapoport A, Chagas JFS, Pascoal MBN, Costa CC, Magna LA. Prevalência dos sintomas otológicos na desordem temporomandibular: estudo de 126 casos. Rev Bras Otorrinolaringol. 2001;67:627–33.

2. Sanchez TG, Brandão AL, Lima AS, Lorenzi MC, Bento RF. Reprodutibilidade do teste de modulação somática do zumbido e resultados após treinamento com contrações musculares repetidas. Arq Otorrinolaringol. 2003;7:189-95.

3. Tuz HH, Onder EM, Kisnisci RS. Prevalence of otologic complaints in patients with temporomandibular disorder. Am J Orthod Dentofacial Orthop. 2003;123:620-3.

4. Camparis CM, Formigoni G, Teixeira MJ, de Siqueira JT. Clinical evaluation of tinnitus in patients with sleep bruxism: prevalence and characteristics. J Oral Rehabil. 2005;32:808-14.

5. Costen JB. A syndrome of ear and sinus symptoms dependent upon disturbed function on the temporomandibular joint. Ann Otol Rhinol Laryngol. 1934;43:1-15.

6. Ash CM, Pinto OF. The TMJ and the middle ear: structural and functional correlates for aural symptoms associated with temporomandibular joint dysfunction. Int J Prosthodont. 1991;4:51-6.

7. Wright EF, Syms CA 3rd, Bifano SL. Tinnitus, dizziness, and nonotologic otalgia improvement through temporomandibular disorder therapy. Mil Med. 2000;165:733-6.

8. Wright EF, Bifano SL. Tinnitus improvement through TMD therapy. J Am Dent Assoc. 1997;128:1424-32.

9. Chan SW, Reade PC. Tinnitus and temporomandibular pain-dysfunction disorder. Clin Otolaryngol Allied Sci. 1994;19:370-80.

10. Parker WS, Chole RA. Tinnitus, vertigo and temporomandibular disorders. Am J Orthod Dentofacial Orthop. 1995;107:153-8.

11. Luz JGC, Maragno IC, Martin MC. Characteristics of chief complaints of patients with temporomandibular disorders in a Brazilian population. J Oral Rehabil. 1997;24:240-3.

12. Pavan N. Otalgia e distúrbio temporomandibular. Centro integrado de diagnóstico e tratamento de pacientes com dor orofacial e DTM. Disponível em http:// www.dtm.odo.br

13. Seedorf H, Jude HD. Otalgia as a result of certain temporomandibular joint disorders. Laryngorhinootologie. 2006;85:327-32.

14. Eggermont JJ. On the pathophysiology of tinnitus; a review and a peripheral model. Hear Res. 1990;48:111.

15. Torii K, Chiwata I. Relationship between habitual occlusal position and flat bite plane induced occlusal position in volunteers with and without temporomandibular joint sounds. J Craniomandib Pract. 2005;23:16-21.

16. Alencar Jr FGP. Oclusão, dores orofaciais e cefaléias. São Paulo: Editora Santos; 2005.

17. Fricton JR. Masticatory myofascial pain: an explanatory model integrating clinical, epidemiological and basic science research. Bull Group Int Rech Sci Stomatol Odontol. 1999;41:14-25.

18. Nicolakis P, Erdogmus B, Kopf A, Nicolakis M, Piehslinger E, Fialka-Moser V. Effectiveness of exercise therapy in patients with myofascial pain dysfunction syndrome. J Oral Rehabil. 2002;29:362-8.

19. Steigerwald DP, Verne SV, Young D. A retrospective evaluation of the impact of temporomandibular joint arthroscopy on the symptoms of headache, neck pain, shoulder pain, dizziness, and tinnitus. Cranio. 1996;14:46-54.

20. Wright EF. Referred craniofacial pain patterns in patients with temporomandibular disorder. J Am Dent Assoc. 2000;131:1307-15.

21. Magnusson T. Controle das desordens temporomandibulares. Rev Assoc Paul Cir Dent. 2005;59:368-72.

22. Cunha LA. Influência do método de aconselhamento nos sintomas de disfunção temporomandibular. Rev Assoc Paul Cir Dent. 2006;60:370-3.

23. Garcia AR, Sousa V. Desordens temporomandibulares: causa de dor de cabeça e limitação da função mandibular. Rev Assoc Paul Cir Dent. 1998;25:481-6.

24. Forssell H, Kirveskari P, Kangasniemi P. Response to occlusal treatment in headache patients previously treated by mock occlusal adjustment. Acta Odontol Scand. 1987;45:77-80.

25. Bakke M, Michler L, Möller E. Occlusal control of mandibular elevator muscles. Scand J Dent Res. 1992;100:284-91.

26. Giordani A, Nóbilo KA. Placa estabilizadora de Michigan e a sensação de zumbido. Rev Assoc Paul Cir Dent. 1995;49:395-9.

27. Monteiro MR. Zumbido–há benefício com o tratamento temporomandibular? Rev Assoc Paul Cir Dent. 2004;58:421-6.

28. Rubinstein B, Carlsson GE. Effects of stomatognathic treatment on tinnitus: a retrospective study. Cranio. 1987;5:254-9.
588018497f8c9d0a098b4b5e rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections