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  1. Article: Relationship between Otological Symptoms and TMD.

    Kusdra, Pamela Maria / Stechman-Neto, Jose / Leão, Bianca Lopes Cavalcante de / Martins, Paulo Francisco Arant / Lacerda, Adriana Bender Moreira de / Zeigelboim, Bianca Simone

    The international tinnitus journal

    2018  Volume 22, Issue 1, Page(s) 30–34

    Abstract: Background: Patients with any type of temporomandibular disorder (TMD) may have several symptoms in their temporomandibular joints, masticatory muscles and associated structures, and may have otological symptoms such as tinnitus, ear fullness, ear pain, ...

    Abstract Background: Patients with any type of temporomandibular disorder (TMD) may have several symptoms in their temporomandibular joints, masticatory muscles and associated structures, and may have otological symptoms such as tinnitus, ear fullness, ear pain, hearing loss, hyperacusis, and vertigo, which may be due to the anatomical proximity between the temporomandibular joint, muscles innervated by the trigeminal nerve, and ear structures. Objective: This study found a prevalence of ear complaints described in the medical records of patients (n = 485) at the Center for Diagnosis and Treatment of the Temporomandibular Joint and Dental-Facial Functional Alterations at Tuiuti University of Paraná (CDATM/UTP), with TMD evaluated by the Research Diagnostic Criteria/Temporomandibular Disorders (RDC/ TMD).
    Method: After approval by the ethics committee were examined 485 medical records of patients of the CDATM/UTP, of both sexes a period of 2 years. The data analyzed were gender, age and the presence of reported otologic symptoms. The data were organized and subjected to statistical analysis using SPSS (IBM Statistic 20.0).
    Results: The results showed a higher number of female patients between 41 and 50 years old. There was a prevalence of otological symptoms (tinnitus, deafness, dizziness, imbalance, and ear fullness) in 87% of TMD cases, regardless of sex and age. Tinnitus was the symptom with the highest prevalence (42%), followed by the ear fullness (39%).
    Conclusion: These data support the correlation between temporomandibular disorders and otological symptoms, even without being caused directly by the ear.
    MeSH term(s) Adult ; Age Factors ; Dizziness/etiology ; Ear Diseases/diagnosis ; Ear Diseases/etiology ; Earache/etiology ; Female ; Hearing Loss/etiology ; Humans ; Hyperacusis/etiology ; Male ; Middle Aged ; Sex Factors ; Symptom Assessment ; Temporomandibular Joint Disorders/complications ; Tinnitus/etiology ; Vertigo/etiology
    Language English
    Publishing date 2018-06-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1402694-6
    ISSN 0946-5448
    ISSN 0946-5448
    DOI 10.5935/0946-5448.20180005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Diagnostic validity of methods for assessment of swallowing sounds: a systematic review.

    Taveira, Karinna Veríssimo Meira / Santos, Rosane Sampaio / Leão, Bianca Lopes Cavalcante de / Stechman Neto, José / Pernambuco, Leandro / Silva, Letícia Korb da / De Luca Canto, Graziela / Porporatti, André Luís

    Brazilian journal of otorhinolaryngology

    2018  Volume 84, Issue 5, Page(s) 638–652

    Abstract: Introduction: Oropharyngeal dysphagia is a highly prevalent comorbidity in neurological patients and presents a serious health threat, which may lead to outcomes of aspiration pneumonia, ranging from hospitalization to death. This assessment proposes a ... ...

    Abstract Introduction: Oropharyngeal dysphagia is a highly prevalent comorbidity in neurological patients and presents a serious health threat, which may lead to outcomes of aspiration pneumonia, ranging from hospitalization to death. This assessment proposes a non-invasive, acoustic-based method to differentiate between individuals with and without signals of penetration and aspiration.
    Objective: This systematic review evaluated the diagnostic validity of different methods for assessment of swallowing sounds, when compared to videofluroscopy swallowing study to detect oropharyngeal dysphagia.
    Methods: Articles in which the primary objective was to evaluate the accuracy of swallowing sounds were searched in five electronic databases with no language or time limitations. Accuracy measurements described in the studies were transformed to construct receiver operating characteristic curves and forest plots with the aid of Review Manager v. 5.2 (The Nordic Cochrane Centre, Copenhagen, Denmark). The methodology of the selected studies was evaluated using the Quality Assessment Tool for Diagnostic Accuracy Studies-2.
    Results: The final electronic search revealed 554 records, however only 3 studies met the inclusion criteria. The accuracy values (area under the curve) were 0.94 for microphone, 0.80 for doppler, and 0.60 for stethoscope.
    Conclusion: Based on limited evidence and low methodological quality because few studies were included, with a small sample size, from all index testes found for this systematic review, doppler showed excellent diagnostic accuracy for the discrimination of swallowing sounds, whereas microphone-reported good accuracy discrimination of swallowing sounds of dysphagic patients and stethoscope showed best screening test.
    MeSH term(s) Acoustics ; Auscultation/methods ; Deglutition ; Deglutition Disorders/diagnosis ; Diagnostic Techniques and Procedures ; Fluoroscopy ; Humans ; Sound ; Videotape Recording
    Language English
    Publishing date 2018-02-03
    Publishing country Brazil
    Document type Comparative Study ; Journal Article ; Systematic Review
    ZDB-ID 2428110-4
    ISSN 1808-8686 ; 1808-8694
    ISSN (online) 1808-8686
    ISSN 1808-8694
    DOI 10.1016/j.bjorl.2017.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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