Comparative audiometric evaluation of temporomandibular disorder patients with otological symptoms

J Craniomaxillofac Surg. 2010 Apr;38(3):231-4. doi: 10.1016/j.jcms.2009.07.001. Epub 2009 Aug 4.

Abstract

Objectives: The purpose of this study was to assess the audiological status of temporomandibular disorder (TMD) patients with otological symptoms and to make comparisons with that of a control group of subjects without TMD and otological symptoms.

Methods: 25 TMD patients with otological symptoms and 20 age and gender matched controls, 45 subjects in total, were included in the study. All subjects underwent a series of audiological tests that included pure-tone audiometry, impedance test and reflex tympanometry. The audiological parameters recorded in the two groups were compared statistically by means of unpaired t tests and corrected according to Bonferroni in the case of repeated tests.

Results: The pure-tone thresholds at frequencies 125, 250, 500Hz, and 6kHz showed significant differences between the TMD patients and control subjects after the Bonferroni correction (p<0.007). Compliance peaks demonstrated significant differences when the TMD and control groups were compared (p<0.05).

Conclusions: The findings indicate that TMD patients with otological complaints have hearing impairment at low frequencies and also perhaps, at high frequencies.

MeSH terms

  • Acoustic Impedance Tests
  • Adolescent
  • Adult
  • Audiometry / methods*
  • Case-Control Studies
  • Compliance
  • Ear Diseases / complications*
  • Ear Diseases / diagnosis*
  • Earache / complications
  • Earache / diagnosis
  • Female
  • Hearing Loss / complications
  • Hearing Loss / diagnosis
  • Humans
  • Male
  • Middle Aged
  • Pressure
  • Statistics, Nonparametric
  • Temporomandibular Joint Disorders / complications*
  • Tinnitus / complications
  • Tinnitus / diagnosis
  • Vertigo / complications
  • Vertigo / diagnosis
  • Young Adult