华西口腔医学杂志2025，Vol.43Issue(3)：416-421,6.DOI:10.7518/hxkq.2025.2024370
伴耳鸣的颞下颌关节病患者临床症状与偏侧咀嚼习惯相关性的初步探讨
Preliminary study on the correlation between the clinical symptoms of temporomandibular disorder with tinnitus and chewing-side preference habits
摘要
Abstract
Objective This study aimed to investigate the correlation between clinical symptoms and unilateral chew-ing habits in patients with temporomandibular disorder(TMD)accompanied by tinnitus.Methods A total of 285 pa-tients diagnosed with TMD at the Department of Stomatology of the First Medical Center of Chinese People's Libera-tion Army General Hospital between December 2020 and May 2024 were included and divided into two groups:tinnitus group and non-tinnitus group.Analysis was conducted on the proportion of patients with unilateral chewing habits in both groups,the correlation between the side of tinnitus and the side of unilateral chewing,and the correlation of tinnitus with TMD clinical symptoms(joint clicking,joint pain,and limited mouth opening)and unilateral chewing habits.The correlation of the type of disc displacement with unilateral chewing and tinnitus was also examined.Results In the tin-nitus group,the proportions of patients with and without unilateral chewing habits were 90.70％(39/43)and 9.30％(4/43),respectively.In the non-tinnitus group,the proportions of patients with and without unilateral chewing habits were 76.03％(184/242)and 23.97％(58/242),respectively.The proportion of patients with unilateral chewing habits in the tin-nitus group was significantly higher than in the non-tinnitus group(x2=4.613,P＜0.05).Correlation analysis showed a positive correlation between tinnitus and unilateral chewing habits(P＜0.05).In the left-sided tinnitus group,the propor-tion of left-sided unilateral chewers[54.55％(12/22)]was higher than that of right-sided unilateral chewers[45.45％(10/22)].In the right-sided tinnitus group,the proportion of right-sided unilateral chewers[81.82％(9/11)]was higher than that of left-sided unilateral chewers[18.18％(2/11)].The difference was statistically significant(x2=7.282,P＜0.05).A positive correlation was also found between the side of tinnitus and the side of unilateral chewing habits(P＜0.05).The proportion of patients with pain was significantly higher in the tinnitus group than in the non-tinnitus group(P＜0.05).No significant difference in the proportion of joint clicking or limited mouth opening and disc displacement(no disc dis-placement,unilateral disc displacement,bilateral disc displacement,reducible disc displacement,or irreducible disc dis-placement)was found between the tinnitus and non-tinnitus groups(P＞0.05).Conclusion TMD with unilateral chew-ing habits may be a contributing factor to unexplained tinnitus.Unexplained tinnitus is correlated with joint pain in pa-tients with TMD.关键词
颞下颌关节病/耳鸣/偏侧咀嚼/关节盘移位/关节区疼痛Key words
temporomandibular disorder/tinnitus/chewing-side preference/disc displacement of temporoman-dibular joint/pain in the temporomandibular joint area分类
医药卫生引用本文复制引用
马博文,刘洪臣,姜华,黄东宗,徐鑫宇,王一涵,李晓星,胡一帆,杨淑芝,李鸿波,胡敏..伴耳鸣的颞下颌关节病患者临床症状与偏侧咀嚼习惯相关性的初步探讨[J].华西口腔医学杂志,2025,43(3):416-421,6.基金项目
国家重点研发计划(2023YFC3605600) （2023YFC3605600）
国家自然科学基金项目(8237030766) National Key Research and Development Plan(2023YFC3605600) （8237030766）
National Natural Science Foundation of China(8237030766) （8237030766）
