Otoneurological assessment and quality of life of individuals with complaints of dizziness and temporomandibular disorders: a case-control study

Objectives: To evaluate the impact of temporomandibular disorders on the quality of life of patients with dizziness. Methods: An observational, case-control study evaluated 60 individuals with dizziness (20 cases and 40 controls), who were matched for gender and age. The individuals underwent to ana...

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Main Authors: Mônica Claudino Medeiros Honorato, Luiz Felipe Tavares, Henrique de Paula Bedaque, Erika Barioni Mantello, Erika Oliveira de Almeida, Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro, Lidiane Maria de Brito Macedo Ferreira
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869422000696
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author Mônica Claudino Medeiros Honorato
Luiz Felipe Tavares
Henrique de Paula Bedaque
Erika Barioni Mantello
Erika Oliveira de Almeida
Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro
Lidiane Maria de Brito Macedo Ferreira
author_facet Mônica Claudino Medeiros Honorato
Luiz Felipe Tavares
Henrique de Paula Bedaque
Erika Barioni Mantello
Erika Oliveira de Almeida
Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro
Lidiane Maria de Brito Macedo Ferreira
author_sort Mônica Claudino Medeiros Honorato
collection DOAJ
description Objectives: To evaluate the impact of temporomandibular disorders on the quality of life of patients with dizziness. Methods: An observational, case-control study evaluated 60 individuals with dizziness (20 cases and 40 controls), who were matched for gender and age. The individuals underwent to anamnesis, overall physical and otoneurological examination, tonal and vocal audiometry and impedanciometry, video head impulse test and the dizziness handicap inventory questionnaire. Results: The otoscopy was normal for all patients. There was an association between the presence of temporomandibular disorders and aural fullness (p < 0.01) and otalgia (p < 0.01). Audiometry was normal in 90% of the patients in the case group, with a significant association between temporomandibular disorders and normal audiometry (p < 0.01). The video head impulse test findings were normal in 66% of the patients in the case group and 45% of the control group, and there was no association between having temporomandibular disorders and vestibular alterations at the video head impulse test (p = 0.12). There were significant differences in total dizziness handicap inventory and in the functional and emotional domains (p < 0.01), with higher scores in the control group. Conclusion: Aural fullness and otalgia symptoms are associated with temporomandibular disorders in patients with dizziness, and there is an association between normal complementary audiological tests and temporomandibular disorders. Vestibular alterations are not associated with temporomandibular disorders. However, patients with dizziness and without temporomandibular disorders showed greater quality of life impairment. Level of evidence: 3. Original case-control study.
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spelling doaj.art-18241a75561a46b1a723476a734376f62022-12-22T04:21:49ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-0188S185S191Otoneurological assessment and quality of life of individuals with complaints of dizziness and temporomandibular disorders: a case-control studyMônica Claudino Medeiros Honorato0Luiz Felipe Tavares1Henrique de Paula Bedaque2Erika Barioni Mantello3Erika Oliveira de Almeida4Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro5Lidiane Maria de Brito Macedo Ferreira6Universidade Federal do Rio Grande do Norte, Departamento de otorrinolaringologia, Natal, RN, Brasil; Corresponding author.Universidade Federal do Rio Grande do Norte, Departamento de fisioterapia, Natal, RN, BrasilUniversidade Federal do Rio Grande do Norte, Departamento de otorrinolaringologia, Natal, RN, BrasilUniversidade Federal do Rio Grande do Norte, Departamento de fonoaudiologia, Natal, RN, BrasilUniversidade Federal do Rio Grande do Norte, Departamento de odontologia, Natal, RN, BrasilUniversidade Federal do Rio Grande do Norte, Departamento de fisioterapia, Natal, RN, BrasilUniversidade Federal do Rio Grande do Norte, Departamento de otorrinolaringologia, Natal, RN, BrasilObjectives: To evaluate the impact of temporomandibular disorders on the quality of life of patients with dizziness. Methods: An observational, case-control study evaluated 60 individuals with dizziness (20 cases and 40 controls), who were matched for gender and age. The individuals underwent to anamnesis, overall physical and otoneurological examination, tonal and vocal audiometry and impedanciometry, video head impulse test and the dizziness handicap inventory questionnaire. Results: The otoscopy was normal for all patients. There was an association between the presence of temporomandibular disorders and aural fullness (p < 0.01) and otalgia (p < 0.01). Audiometry was normal in 90% of the patients in the case group, with a significant association between temporomandibular disorders and normal audiometry (p < 0.01). The video head impulse test findings were normal in 66% of the patients in the case group and 45% of the control group, and there was no association between having temporomandibular disorders and vestibular alterations at the video head impulse test (p = 0.12). There were significant differences in total dizziness handicap inventory and in the functional and emotional domains (p < 0.01), with higher scores in the control group. Conclusion: Aural fullness and otalgia symptoms are associated with temporomandibular disorders in patients with dizziness, and there is an association between normal complementary audiological tests and temporomandibular disorders. Vestibular alterations are not associated with temporomandibular disorders. However, patients with dizziness and without temporomandibular disorders showed greater quality of life impairment. Level of evidence: 3. Original case-control study.http://www.sciencedirect.com/science/article/pii/S1808869422000696Temporomandibular jointDizzinessQuality of life
spellingShingle Mônica Claudino Medeiros Honorato
Luiz Felipe Tavares
Henrique de Paula Bedaque
Erika Barioni Mantello
Erika Oliveira de Almeida
Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro
Lidiane Maria de Brito Macedo Ferreira
Otoneurological assessment and quality of life of individuals with complaints of dizziness and temporomandibular disorders: a case-control study
Brazilian Journal of Otorhinolaryngology
Temporomandibular joint
Dizziness
Quality of life
title Otoneurological assessment and quality of life of individuals with complaints of dizziness and temporomandibular disorders: a case-control study
title_full Otoneurological assessment and quality of life of individuals with complaints of dizziness and temporomandibular disorders: a case-control study
title_fullStr Otoneurological assessment and quality of life of individuals with complaints of dizziness and temporomandibular disorders: a case-control study
title_full_unstemmed Otoneurological assessment and quality of life of individuals with complaints of dizziness and temporomandibular disorders: a case-control study
title_short Otoneurological assessment and quality of life of individuals with complaints of dizziness and temporomandibular disorders: a case-control study
title_sort otoneurological assessment and quality of life of individuals with complaints of dizziness and temporomandibular disorders a case control study
topic Temporomandibular joint
Dizziness
Quality of life
url http://www.sciencedirect.com/science/article/pii/S1808869422000696
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