Treatment of Somatosensory Tinnitus: A Randomized Controlled Trial Studying the Effect of Orofacial Treatment as Part of a Multidisciplinary Program

Autor: Laure Jacquemin, Corine M. Visscher, Annemarie van der Wal, Vedat Topsakal, Paul Van de Heyning, Annick Gilles, Willem De Hertogh, Marc J. Braem, Vincent Van Rompaey, Sarah Michiels
Přispěvatelé: Medicine and Pharmacy academic/administration, Surgical clinical sciences, Ear, nose & throat, Rehabilitation Research, Oral Kinesiology
Rok vydání: 2020
Předmět:
Zdroj: Journal of Clinical Medicine
Volume 9
Issue 3
Journal of Clinical Medicine, Vol 9, Iss 3, p 705 (2020)
Van der Wal, A, Michiels, S, Van de Heyning, P, Braem, M, Visscher, C, Topsakal, V, Gilles, A, Jacquemin, L, Van Rompaey, V & De Hertogh, W 2020, ' Treatment of somatosensory tinnitus : A randomized controlled trial studying the effect of orofacial treatment as part of a multidisciplinary program ', Journal of Clinical Medicine, vol. 9, no. 3, 705, pp. 1-11 . https://doi.org/10.3390/jcm9030705
Journal of Clinical Medicine, 9(3):705, 1-11. MDPI AG
ISSN: 2077-0383
Popis: Background: Tinnitus, or ringing in the ears, is a perception of sound in the absence of overt acoustic stimulation. In some cases, tinnitus can be influenced by temporomandibular somatosensory input, then called temporomandibular somatosensory tinnitus (TST). It is, however, not entirely known if orofacial treatment can decrease tinnitus severity. The purpose of this study was to evaluate the effect of orofacial treatment on tinnitus complaints in patients with TST. Methods: Adult patients with TST were included, and all patients received information and advice about tinnitus and conservative orofacial treatment consisting of physical therapy, and, in case of grinding, occlusal splints were applied. Included patients were randomly assigned to an early start group and a delayed start group according to our delayed treatment design. Results: In total, 40 patients were included in each group. The treatment effect on tinnitus severity was investigated using the tinnitus questionnaire (TQ) and Tinnitus Functional Index (TFI). Regarding the TQ score, no clinically relevant reductions were observed, and no significant differences in the decrease were observed between the early start group and delayed start group. Contrarily, a significantly higher percentage of patients showed a decrease in the TQ degree in the early start group compared to the delayed start group (30.0% versus 2.8%, p = 0.006). The TFI score did show a significantly greater and clinically relevant reduction in the early start group compared to the delayed start group (p = 0.042). Conclusion: A multidisciplinary non-invasive orofacial treatment was able to reduce tinnitus severity in patients with temporomandibular related somatosensory tinnitus.
Databáze: OpenAIRE
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