É a inflamação um mecanismo na Otalgia com origem na ATM?
DOI:
https://doi.org/10.34024/rnc.2011.v19.8321Palavras-chave:
Inflamação, Otalgia, Transtornos TemporomandibularesResumo
Objetivo. Testar as hipóteses de que a otalgia é mais frequente em indivíduos com distúrbios craniomandibulares (DCMs) e que aumenta com a severidade do distúrbio interno da articulação temporomandibular (DIAs-ATM). Método. Avaliamos 221 pacientes com DCMs e DIAs-ATM. História dos sintomas, avaliação clínica e testes diagnósticos para DIAs-ATM foram usados. Resultados. A prevalência de otalgia foi mais alta nos pacientes com DCMs do que nos controles e a diferença foi estatisticamente significante (p<0.0001 e p<0.003).
A prevalência de otalgia foi diferente entre grupos com DIAs-ATMs (p<0.003) e aumentou com a severidade desses distúrbios (análise de tendências p<0.0001). A frequência de otalgia foi mais alta nos indivíduos com dor nas inserções do disco, artralgia e osteoartrite. Conclusão. Os indivíduos com DCMs apresentam frequência mais alta de otalgia a qual aumenta com a severidade dos DIAs-ATM. Os indivíduos com DIAs mais severos apresentaram prevalências bem altas de otalgia. A inflamação e a dor são mecanismos associados no aparecimento da otalgia com origem na ATM.
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Publicado: 2011-12-31