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 |
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Přispěvatelé: | Medicine and Pharmacy academic/administration, Surgical clinical sciences, Ear, nose & throat, Rehabilitation Research, Oral Kinesiology |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
temporomandibular disorders lcsh:Medicine Temporomandibular disorders Audiology Somatosensory system Article law.invention Occlusal Splints Occlusal splints Tinnitus 03 medical and health sciences 0302 clinical medicine SDG 3 - Good Health and Well-being Randomized controlled trial law medicine otorhinolaryngologic diseases Treatment effect In patient tinnitus 030223 otorhinolaryngology Adult patients business.industry lcsh:R General Medicine Delayed treatment occlusal splints Human medicine medicine.symptom business 030217 neurology & neurosurgery |
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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