PREVALENCE OF OTOLARYNGOLOGICAL SYMPTOMS IN PATIENTS WITH TEMPOROMANDIBULAR DISORDERS- A CROSS-SECTIONAL STUDY

Aim:To investigate the prevalence of otolaryngological symptoms with Temporomandibular Disorders (TMD) in TMD patients. Materials and Methods: In this cross sectional study, the sample consisted of 172 TMD patients, both males and females of 18-59 years. Diagnosis of TMD was based on Research Diagnostic Criteria for TMD (RDC-TMD) Axis 1. The prevalence of otolaryngological symptoms was determined using questionnaire. Results: Of the 172 TMD patients evaluated, 81 patients were having Muscular disorder alone or combined with Intracapsular disorder. Out of the 81 patients having muscular disorder, 74 had ear symptoms (91.4%). Conclusion: A high prevalence (91.4%) of Otolaryngological symptoms with TMD was found in the present study. Ruling out causes of ear symptoms other than TMD by an ENT specialist is essential before proceeding with the treatment of these category of patients for a better prognosis.

Аналіз варіантів поєднання різних форм скронево-нижньощелепних розладів за результатами обстеження хворих

This paper is dedicated to the improvement of diagnosis quality of combined forms of temporomandibular disorders (TMD) by means of characteristic of their structure. In research, the combination varieties of TMD different forms were determined and analyzed due to the examination results of 114 patients and peculiarities of disorders’ distribution taking into account the patients’gender were studied. The percentage of patients with a combination of different forms of TMD made up (51.8+4.7)%, i.e., every second TMD patient was subjected to the course of several different disorders simultaneously. Among them the percentage of women – (88.1±4.2) %, men– (11.9±4.2) %, the women/men ratio was equal to 7.4:1.0 correspondingly. Among the varieties of a combination of different forms of TMD, the percentage of the option «muscular disorder + TMJ internal disorder» was (37.3±6.3) %, «muscular disorder + arthritis» – (33.9±6.2) %, other options of combined disorders were (28.8±5.7) %. The obtained results point to the necessity of primary consideration on the symptoms reveal of TMJ internal disorders and muscular disorders that combine most frequently, when performing differential diagnosis.

Evaluation of the life quality in patients with Temporomandibular Disorders

<p><strong>AIMS: </strong>To evaluate influence of variables gender, diagnosis and severity of types of Temporomandibular Disorder (TMD) on the quality of life of the individual. <strong>METHODS: </strong>The sample consisted of one hundred one individuals seeking TMD treatment at the Faculdade de Odontologia/ Universidade Federal de Juiz de Fora. The TMD diagnosis was done through the RDC/TMD: Axis I (<em>Research Diagnostic Criteria/Temporomandibular Disorder)</em>. The severity of TMD was established by the Temporomandibular Index (TMI) and the impact on quality of life by the OHIP-14 (<em>Oral Health Impact Profile</em>). The data was tabulated and analyzed by the Mann-Whitney test, T student test and Spearman correlation analysis (α=0,05). <strong>RESULTS: </strong>Most patients had diagnosis of muscular disorder, followed by diagnoses of arthralgia and disk displacement, respectively. All patients had a negative impact on at least one question from OHIP-14.<strong><strong>CONCLUSIONS</strong>: </strong>Women presented worse quality of life when compared to men. The presence of muscular disorder was related to greater impact on quality of life (p&lt;0,05). The relationship between severity of TMD and quality of life in the muscle sub-index of TMI was observed in all domains of OHIP-14 (p&lt;0,05). In addition, there was positive correlation between TMI and the psychological incapacity.</p>

The experience of a woman working in nursing suffering from De Quervain's disease

This is a case study with a phenomenological approach on the experience of a woman who works in nursing and suffers from the de Quervain's disease, an osteo-muscular disorder related to working conditions. This study aimed to understand what means to be a woman working in nursing and suffering from an osteo-muscular disorder related to working conditions through a worker of the Material and Sterilization Center of a private hospital. The philosophical referential from Martin Heidegger was used for the comprehensive analysis of the statement in question. The analysis revealed that the physiopathological process of the de Quervain's disease caused changes in the worker's life, characterized by painful manifestations and especially by physical limitations, which generate a multiplicity of feelings. Anguish is present in the process of accepting the disease, when the worker perceives the fragility of her existence and recognizes herself as the one responsible for her own care, reaching authenticity and transcending the disease.