Oral splint therapy in patients with Menière's disease and temporomandibular disorder: a long-term, controlled study.
Meniere disease
Temporomandibular disorders
Temporomandibular joint
Temporomandibular joint dysfunction syndrome
Vertigo
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
23
05
2022
accepted:
08
08
2022
pubmed:
27
8
2022
medline:
8
2
2023
entrez:
26
8
2022
Statut:
ppublish
Résumé
To assess the effect of oral splint therapy on audio-vestibular symptoms in patients with Menière's disease (MD) and temporomandibular disorder (TMD). Retrospective case-control study. Treatment group: 37 patients with MD and TMD who received gnatological treatment. 26 patients with MD and TMD who had never received gnatological treatment. The number of vertigo spells in 6 months (primary endpoint), pure-tone audiometry average (PTA), MD stage, functional level, Dizziness handicap Index (DHI), Tinnitus handicap Index (THI) and Aural Fullness Scale (AFS) were compared at baseline and after 24 months according to groups. Analysis of Covariance was used to determine the treatment effect. Groups were comparable for demographic, clinical data, baseline PTAs and the number of vertigo spells. Analysis of covariance showed a significant effect of gnathological treatment on number of vertigo spells ([Formula: see text] = 0.258, p < 0.001), PTA ([Formula: see text] = 0.201, p < 0.001), MD stage ([Formula: see text] = 0.224, p < 0.001), functional level ([Formula: see text] = 0.424, p < 0.001), DHI ([Formula: see text] = 0.421, p < 0.001), THI ([Formula: see text] = 0.183, p < 0.001), but not for AFS ([Formula: see text] = 0.005, p = 0.582). The treatment group showed vertigo control of class A in 86.5% and class B in 13.5% of patients. In the control group, vertigo control was of class A in 19.2% of patients and class B in 11.5%, class C in 30.8%, class D in 11.5%, class E in 19.2% and class F in 7.7%. Classes of vertigo control differed significantly (X Oral splint therapy could represent a viable treatment in patients with TMD and uncontrolled MD disease. The effects are maintained at least after 2 years.
Identifiants
pubmed: 36018357
doi: 10.1007/s00405-022-07604-3
pii: 10.1007/s00405-022-07604-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1169-1182Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Lopez-Escamez JA, Carey J, Chung W-H, Goebel JA, Magnusson M, Mandalà M, Newman-Toker DE, Strupp M, Suzuki M, Trabalzini F, Bisdorff A (2015) Diagnostic Criteria for Ménière’s Disease. J Vestib Res 25:1–7. https://doi.org/10.3233/VES-150549
doi: 10.3233/VES-150549
Oberman BS, Patel VA, Cureoglu S, Isildak H (2017) The aetiopathologies of Ménière’s disease: a contemporary review. Acta Otorhinolaryngol Ital 37:250–263. https://doi.org/10.14639/0392-100X-793
doi: 10.14639/0392-100X-793
Nevoux J, Barbara M, Dornhoffer J, Gibson W, Kitahara T, Darrouzet V (2018) International Consensus (ICON) on treatment of Ménière’s disease. Eur Ann Otorhinolaryngol Head Neck Dis 135:S29–S32. https://doi.org/10.1016/j.anorl.2017.12.006
doi: 10.1016/j.anorl.2017.12.006
Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J-P, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A, Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, De Laat A, de Leeuw R, Maixner W, van der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF (2014) Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 28:6–27. https://doi.org/10.11607/jop.1151
doi: 10.11607/jop.1151
Al-Moraissi EA, Farea R, Qasem KA, Al-Wadeai MS, Al-Sabahi ME, Al-Iryani GM (2020) Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: network meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg 49:1042–1056. https://doi.org/10.1016/j.ijom.2020.01.004
doi: 10.1016/j.ijom.2020.01.004
Ramirez LM, Ballesteros LE, Sandoval GP (2008) Topical review: temporomandibular disorders in an integral otic symptom model. Int J Audiol 47:215–227. https://doi.org/10.1080/14992020701843137
doi: 10.1080/14992020701843137
Stechman-Neto J, Porporatti AL, Porto de Toledo I, Costa YM, Conti PCR, De Luca CG, Mezzomo LA (2016) Effect of temporomandibular disorder therapy on otologic signs and symptoms: a systematic review. J Oral Rehabil 43:468–479. https://doi.org/10.1111/joor.12380
doi: 10.1111/joor.12380
American Academy of Otolaryngology-Head and Neck Foundation Inc (1995) Committee on hearing and equilibrium guidelines for the diagnosis and evaluation of therapy in Menière’s disease. Otolaryngol Head Neck Surg 113:181–185. https://doi.org/10.1016/S0194-5998(95)70102-8
doi: 10.1016/S0194-5998(95)70102-8
Villa MP, Bernkopf E, Pagani J, Broia V, Montesano M, Ronchetti R (2002) Randomized controlled study of an oral jaw-positioning appliance for the treatment of obstructive sleep apnea in children with malocclusion. Am J Respir Crit Care Med 165:123–127. https://doi.org/10.1164/ajrccm.165.1.2011031
doi: 10.1164/ajrccm.165.1.2011031
Nola G, Mostardini C, Salvi C, Ercolani AP, Ralli G (2010) Validity of Italian Adaptation of the Dizziness Handicap Inventory (DHI) and evaluation of the quality of life in patients with acute dizziness. Acta Otorhinolaryngol Ital 30:190
Monzani D, Genovese E, Marrara A, Gherpelli C, Pingani L, Forghieri M, Rigatelli M, Guadagnin T, Arslan E (2008) Validity of the Italian adaptation of the tinnitus handicap inventory, focus on quality of life and psychological distress in tinnitus-sufferers. Acta Otorhinolaryngol Ital 28:126–134
Garduño-Anaya MA, De Toledo HC, Hinojosa-González R, Pane-Pianese C, Ríos-Castañeda LC (2005) Dexamethasone inner ear perfusion by intratympanic injection in unilateral Ménière’s disease: a two-year prospective placebo-controlled double-blind randomized trial. Otolaryngol Neck Surg 133:285–294. https://doi.org/10.1016/j.otohns.2005.05.010
doi: 10.1016/j.otohns.2005.05.010
Vickerstaff V, Omar RZ, Ambler G (2019) Methods to adjust for multiple comparisons in the analysis and sample size calculation of randomised controlled trials with multiple primary outcomes. BMC Med Res Methodol 19:129. https://doi.org/10.1186/s12874-019-0754-4
doi: 10.1186/s12874-019-0754-4
Brown TA (2015) Confirmatory factor analysis for applied research, 2nd edn. Guilford Publications, New York
Levy KJ (1980) A Monte Carlo study of analysis of covariance under violations of the assumptions of normality and equal regression slopes. Educ Psychol Meas 40:835–840. https://doi.org/10.1177/001316448004000404
doi: 10.1177/001316448004000404
Effat KG (2016) Otological symptoms and audiometric findings in patients with temporomandibular disorders: Costen’s syndrome revisited. J Laryngol Otol 130:1137–1141. https://doi.org/10.1017/S0022215116009300
doi: 10.1017/S0022215116009300
Kusdra PM, Stechman-Neto J, Leão BLC, Martins PFA, Lacerda ABM, Zeigelboim BS (2018) Relationship between otological symptoms and TMD. Int Tinnitus J 22:30–34
doi: 10.5935/0946-5448.20180005
Franz B, Anderson C (2007) The potential role of joint injury and eustachian tube dysfunction in the genesis of secondary Ménière’s disease. Int Tinnitus J 13:132–137
Vaira LA, Soma D, Meloni SM, Dellàversana Orabona G, Piombino P, De Riu G (2017) Vertiginous crisis following temporomandibular joint athrocentesis: a case report. Oral Maxillofac Surg 21:79–81. https://doi.org/10.1007/s10006-016-0603-0
doi: 10.1007/s10006-016-0603-0
Bjorne A, Agerberg G (2003) Symptom relief after treatment of temporomandibular and cervical spine disorders in patients with Meniere’s disease: a three-year follow-up. CRANIO® 21:50–60. https://doi.org/10.1080/08869634.2003.11746232
doi: 10.1080/08869634.2003.11746232
Monzani D, Baraldi C, Apa E, Alicandri-Ciufelli M, Bertoldi C, Röggla E, Guerzoni S, Marchioni D, Pani L (2022) Occlusal splint therapy in patients with Ménière’s disease and temporomandibular joint disorder. ACTA Otorhinolaryngol Ital 42:89–96. https://doi.org/10.14639/0392-100X-N1641
doi: 10.14639/0392-100X-N1641
Green JD, Verrall A, Gates GA (2007) Quality of life instruments in Ménière’s disease. Laryngoscope 117:1622–1628. https://doi.org/10.1097/MLG.0b013e3180caa14f
doi: 10.1097/MLG.0b013e3180caa14f
Levine RA, Abel M, Cheng H (2003) CNS somatosensory-auditory interactions elicit or modulate tinnitus. Exp Brain Res 153:643–648. https://doi.org/10.1007/s00221-003-1747-3
doi: 10.1007/s00221-003-1747-3
Jufas N, Marchioni D, Tarabichi M, Patel N (2016) Endoscopic anatomy of the protympanum. Otolaryngol Clin N Am 49:1107–1119. https://doi.org/10.1016/j.otc.2016.05.009
doi: 10.1016/j.otc.2016.05.009
Thilander B, Carlsson GE, Ingervall B (1976) Postnatal development of the human temporomandibular joint. I. A histological study. Acta Odontol Scand 34:117–126. https://doi.org/10.3109/00016357609026564
doi: 10.3109/00016357609026564
Kierner AC, Mayer R, Kirschhofer K (2002) Do the tensor tympani and tensor veli palatini muscles of man form a functional unit?: a histochemical investigation of their putative connections. Hear Res 165:48–52. https://doi.org/10.1016/S0378-5955(01)00419-1
doi: 10.1016/S0378-5955(01)00419-1
Şencimen M, Yalçin B, Doğan N, Varol A, Okçu KM, Ozan H, Aydintuğ YS (2008) Anatomical and functional aspects of ligaments between the malleus and the temporomandibular joint. Int J Oral Maxillofac Surg 37:943–947. https://doi.org/10.1016/j.ijom.2008.07.003
doi: 10.1016/j.ijom.2008.07.003
Riga M, Xenellis J, Peraki E, Ferekidou E, Korres S (2010) Aural symptoms in patients with temporomandibular joint disorders: multiple frequency tympanometry provides objective evidence of changes in middle ear impedance. Otol Neurotol 31:1359–1364. https://doi.org/10.1097/MAO.0b013e3181edb703
doi: 10.1097/MAO.0b013e3181edb703
Miehe J, Mogensen S, Lyhne N, Skals R, Hougaard DD (2022) Wideband Tympanometry as a diagnostic tool for Meniere’s disease: a retrospective case-control study. Eur Arch Otorhinolaryngol 279:1831–1841. https://doi.org/10.1007/s00405-021-06882-7
doi: 10.1007/s00405-021-06882-7
Albu S, Babighian G, Amadori M, Trabalzini F (2015) Endolymphatic sac surgery versus tenotomy of the stapedius and tensor tympani muscles in the management of patients with unilateral definite Meniere’s disease. Eur Arch Otorhinolaryngol 272:3645–3650. https://doi.org/10.1007/s00405-014-3428-1
doi: 10.1007/s00405-014-3428-1
Cuenca-Martínez F, Herranz-Gómez A, Madroñero-Miguel B, Reina-Varona Á, La Touche R, Angulo-Díaz-Parreño S, Pardo-Montero J, del Corral T, López-de-Uralde-Villanueva I (2020) Craniocervical and cervical spine features of patients with temporomandibular disorders: a systematic review and meta-analysis of observational studies. J Clin Med 9:2806. https://doi.org/10.3390/jcm9092806
doi: 10.3390/jcm9092806
Brandt T, Bronstein AM (2001) Cervical vertigo. J Neurol Neurosurg Psychiatry 71:8–12. https://doi.org/10.1136/jnnp.71.1.8
doi: 10.1136/jnnp.71.1.8
Bjorne A, Agerberg G (1996) Craniomandibular disorders in patients with Menière’s disease: a controlled study. J Orofac Pain 10:28–37
Vass Z, Shore SE, Nuttall AL, Miller JM (1998) Direct evidence of trigeminal innervation of the cochlear blood vessels. Neuroscience 84:559–567. https://doi.org/10.1016/s0306-4522(97)00503-4
doi: 10.1016/s0306-4522(97)00503-4
Shore SE, Vass Z, Wys NL, Altschuler RA (2000) Trigeminal ganglion innervates the auditory brainstem. J Comp Neurol 419:271–285. https://doi.org/10.1002/(sici)1096-9861(20000410)419:3%3c271::aid-cne1%3e3.0.co,2-m
doi: 10.1002/(sici)1096-9861(20000410)419:3<271::aid-cne1>3.0.co,2-m
Diagne M, Valla J, Delfini C, Buisseret-Delmas C, Buisseret P (2006) Trigeminovestibular and trigeminospinal pathways in rats: retrograde tracing compared with glutamic acid decarboxylase and glutamate immunohistochemistry. J Comp Neurol 496:759–772. https://doi.org/10.1002/cne.20964
doi: 10.1002/cne.20964
Lickteig R, Lotze M, Kordass B (2013) Successful therapy for temporomandibular pain alters anterior insula and cerebellar representations of occlusion. Cephalalgia Int J Headache 33:1248–1257. https://doi.org/10.1177/0333102413491028
doi: 10.1177/0333102413491028
Shinder ME, Taube JS (2010) Differentiating ascending vestibular pathways to the cortex involved in spatial cognition. J Vestib Res Equilib Orientat 20:3–23. https://doi.org/10.3233/VES-2010-0344
doi: 10.3233/VES-2010-0344
Ostrowsky K, Magnin M, Ryvlin P, Isnard J, Guenot M, Mauguière F (2002) Representation of pain and somatic sensation in the human insula: a study of responses to direct electrical cortical stimulation. Cereb Cortex 12:376–385. https://doi.org/10.1093/cercor/12.4.376
doi: 10.1093/cercor/12.4.376
Xiao X, Zhang Y-Q (2018) A new perspective on the anterior cingulate cortex and affective pain. Neurosci Biobehav Rev 90:200–211. https://doi.org/10.1016/j.neubiorev.2018.03.022
doi: 10.1016/j.neubiorev.2018.03.022
Lickteig R, Lotze M, Lucas C, Domin M, Kordass B (2012) Changes in cortical activation in craniomandibular disorders during splint therapy—a single subject FMRI study. Ann Anat Anat Anz Off Organ Anat Ges 194:212–215. https://doi.org/10.1016/j.aanat.2011.10.006
doi: 10.1016/j.aanat.2011.10.006
Espinosa-Sanchez JM, Lopez-Escamez JA (2016) Menière’s disease. In: Handbook of clinical neurology, Vol 137. Elsevier Amsterdam pp 257–277. https://doi.org/10.1016/B978-0-444-63437-5.00019-4
Nakayama M, Kabaya K (2013) Obstructive sleep apnea syndrome as a novel cause for Ménièreʼs disease. Curr Opin Otolaryngol Head Neck Surg 21:503–508. https://doi.org/10.1097/MOO.0b013e32836463bc
doi: 10.1097/MOO.0b013e32836463bc
Cunali PA, Almeida FR, Santos CD, Valdrighi NY, Nascimento LS, Dal’Fabbro C, Tufik S, Bittencourt LRA (2009) Prevalence of temporomandibular disorders in obstructive sleep apnea patients referred for oral appliance therapy. J Orofac Pain 23:339–344
Speciali JG, Dach F (2015) Temporomandibular dysfunction and headache disorder. Headache 55(Suppl 1):72–83. https://doi.org/10.1111/head.12515
doi: 10.1111/head.12515