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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2020; 24(01): e68-e72
DOI: 10.1055/s-0039-1688840
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

The Role of Magnetic Resonance Imaging of the Temporomandibular Joint to Investigate Tinnitus in Adults with Temporomandibular Joint Disorder: A Comparative Study

Danielle Lavinsky 
1   Department of Surgical Sciences, Graduate Program in Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
Joel Lavinsky
2   Department of Otorhinolaringology, Clinica Lavinsky, Porto Alegre, RS, Brazil
,
Enio Tadashi Setogutti
3   Department of Magnetic Resonance Imaging, Hospital Ernesto Dornelles, Porto Alegre, RS, Brazil
,
Daniela Disconzi Seitenfus Rehm
4   Department of Temporomandibular Disorder and Orofacial Pain, Associação Brasileira de Odontologia, Porto Alegre, RS, Brazil
,
Luiz Lavinsky
1   Department of Surgical Sciences, Graduate Program in Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
› Author Affiliations
Further Information

Publication History

26 October 2018

17 March 2019

Publication Date:
04 November 2019 (online)

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Abstract

Introduction The prevalence of tinnitus is higher in individuals with temporomandibular joint disorder (TMD) than in the general population. Magnetic resonance imaging (MRI) of the temporomandibular joint (TMJ) is the method of choice for investigation, and it has been hypothesized that specific MRI findings might be observed in TMD with comorbid tinnitus.

Objective To comparatively describe MRI findings in patients with TMD with and without tinnitus, identifying the most common TMJ alterations and determining whether a correlation exists between severity of TMD and tinnitus.

Methods A cross-sectional study of 53 adult patients with bilateral or unilateral TMD (30 with and 23 without tinnitus). The association between tinnitus and morphological aspects of TMD (changes in condylar morphology, articular eminence morphology, and disc morphology), disc displacement (with/without reduction), condylar translation, and intra-articular effusion was analyzed on MRI images.

Results The mean patient age was 46.12 ± 16.1 years. Disc displacement was the most common finding in both groups (24 patients with tinnitus versus 15 without; p = 0.043). Only the frequency of disc displacement with reduction was significantly different between groups.

Conclusion Additional imaging techniques should be explored to detect specific aspects of the relationship between tinnitus and TMD.

Keywords

magnetic resonance imaging - temporomandibular joint - temporomandibular joint disorders - tinnitus
 

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