This study investigated the prevalence of four otologic (ear-related) complaints (otalgia, tinnitus, vertigo, hearing loss) in 200 patients with temporomandibular disorder (TMD) and compared it to a control group without TMD. The study found that TMD patients reported significantly higher rates of otologic complaints than the control group, with over three-quarters of TMD patients reporting at least one complaint. Otalgia was the most commonly reported complaint across the different TMD subgroups. However, there were only a small number of patients that had objective evidence of hearing loss related to their subjective complaints. The study suggests TMD may be associated with increased reports of otologic symptoms.
This study evaluated 58 patients with objective tinnitus caused by middle ear myoclonus (MEM). The patients tended to be young, with onset mostly under age 50. Stressful events and noise exposure were common triggers. Examinations found subtle tympanic membrane motions and test perturbations. Most patients experienced partial or full remission of tinnitus with medical therapy involving anticonvulsants and muscle relaxants. Surgery to section the middle ear tendons provided good outcomes for intractable cases. The study characterized clinical features and treatment responses to help diagnose and manage this rare form of tinnitus.
This document summarizes a case series study on the role of microbes in chronic suppurative otitis media (CSOM) - atticoantral disease. The study included 50 CSOM patients who underwent ear swab cultures before surgery and specimen cultures during surgery. Pseudomonas species and Staphylococcus were found to be the most common microorganisms in both preoperative and operative samples. The samples collected preoperatively and during surgery were found to be similar in over 80% of cases. The study aimed to explore relationships between preoperative cultures and intraoperative specimens in CSOM.
Role of the new imaging modalities in the investigation of meniere diseaseCristian Yañez
The study evaluated imaging findings in 23 patients with definite Meniere's disease (MD) compared to 50 control subjects. High-resolution CT scans found that the vestibular aqueduct (VA) was nonvisualized more frequently in the MD group (27.8% of diseased ears vs 3.4% in controls), as was the endolymphatic duct-endolymphatic sac complex on MRI (39.1% vs 64.1%). Pneumatization around the VA was also lower in the MD group. The results suggest impaired flow of endolymph toward the endolymphatic sac may be involved in the pathophysiology of MD at different disease stages.
Tympanosclerosis is a condition where the tissues of the middle ear and eardrum become hardened and thickened. It is commonly caused by chronic or repeated middle ear infections. In one study of 115 patients who underwent surgery for tympanosclerosis, those with fixation of the malleus and mobile stapes had better hearing results after surgery than those with stapes fixation. Another study found that 11.6% of 775 patients with chronic middle ear infections also had tympanosclerosis. The majority of hearing loss associated with tympanosclerosis was of the conductive type. The exact causes and pathogenesis of tympanosclerosis are still being researched.
Background: Perforated tympanic membrane and middle ear infection are among common complications treated by tympanoplasty. This study was aimed to compare the effects of underlay and overlay tympanoplasty on the improvement of hearing and tympanic membrane landmarks and post-operative complications as well.
This study was performed Department of Otor hinolaryngology, Jubilee Mission Medical College, thrissur, Kerala for a period of 2 years commencing from December 2012 to November 2014. To review our experience with deep neck space infections and to study changing trends. The objectives were to study clinical presentation, etiology, associated systemic diseases, bacteriology, radiology, management and outcome of deep neck space infections.40 Patients coming from both urban and rural areas irrespective of age and sex admitted in department of ENT with deep neck space infections which was confirmed either clinically or radiologically. Superficial skin abscesses and abscesses due to infections of external neck injuries were excluded from the study \r\n.
Clinico-demographic trend of Benign Vocal Cord Lesions among Urban Population...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Epidemiology of Orofacial Pain in Population of Jammu City in India: An Origi...DrHeena tiwari
This study evaluated the etiology of orofacial pain among 400 patients visiting private clinics in Jammu, India. The results showed that dental caries leading to pulpitis was the most common cause of orofacial pain, affecting 96 patients. Periodontal disease and tooth sensitivity were also significant causes. Orofacial pain was more prevalent in females aged 26-35 years. The pain most commonly worsened during sleep and evenings and lasted less than 1 hour for many subjects. This study concluded that dental caries is the primary etiology of orofacial pain in this population and treatment should be tailored based on the identified cause.
This study evaluated 58 patients with objective tinnitus caused by middle ear myoclonus (MEM). The patients tended to be young, with onset mostly under age 50. Stressful events and noise exposure were common triggers. Examinations found subtle tympanic membrane motions and test perturbations. Most patients experienced partial or full remission of tinnitus with medical therapy involving anticonvulsants and muscle relaxants. Surgery to section the middle ear tendons provided good outcomes for intractable cases. The study characterized clinical features and treatment responses to help diagnose and manage this rare form of tinnitus.
This document summarizes a case series study on the role of microbes in chronic suppurative otitis media (CSOM) - atticoantral disease. The study included 50 CSOM patients who underwent ear swab cultures before surgery and specimen cultures during surgery. Pseudomonas species and Staphylococcus were found to be the most common microorganisms in both preoperative and operative samples. The samples collected preoperatively and during surgery were found to be similar in over 80% of cases. The study aimed to explore relationships between preoperative cultures and intraoperative specimens in CSOM.
Role of the new imaging modalities in the investigation of meniere diseaseCristian Yañez
The study evaluated imaging findings in 23 patients with definite Meniere's disease (MD) compared to 50 control subjects. High-resolution CT scans found that the vestibular aqueduct (VA) was nonvisualized more frequently in the MD group (27.8% of diseased ears vs 3.4% in controls), as was the endolymphatic duct-endolymphatic sac complex on MRI (39.1% vs 64.1%). Pneumatization around the VA was also lower in the MD group. The results suggest impaired flow of endolymph toward the endolymphatic sac may be involved in the pathophysiology of MD at different disease stages.
Tympanosclerosis is a condition where the tissues of the middle ear and eardrum become hardened and thickened. It is commonly caused by chronic or repeated middle ear infections. In one study of 115 patients who underwent surgery for tympanosclerosis, those with fixation of the malleus and mobile stapes had better hearing results after surgery than those with stapes fixation. Another study found that 11.6% of 775 patients with chronic middle ear infections also had tympanosclerosis. The majority of hearing loss associated with tympanosclerosis was of the conductive type. The exact causes and pathogenesis of tympanosclerosis are still being researched.
Background: Perforated tympanic membrane and middle ear infection are among common complications treated by tympanoplasty. This study was aimed to compare the effects of underlay and overlay tympanoplasty on the improvement of hearing and tympanic membrane landmarks and post-operative complications as well.
This study was performed Department of Otor hinolaryngology, Jubilee Mission Medical College, thrissur, Kerala for a period of 2 years commencing from December 2012 to November 2014. To review our experience with deep neck space infections and to study changing trends. The objectives were to study clinical presentation, etiology, associated systemic diseases, bacteriology, radiology, management and outcome of deep neck space infections.40 Patients coming from both urban and rural areas irrespective of age and sex admitted in department of ENT with deep neck space infections which was confirmed either clinically or radiologically. Superficial skin abscesses and abscesses due to infections of external neck injuries were excluded from the study \r\n.
Clinico-demographic trend of Benign Vocal Cord Lesions among Urban Population...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Epidemiology of Orofacial Pain in Population of Jammu City in India: An Origi...DrHeena tiwari
This study evaluated the etiology of orofacial pain among 400 patients visiting private clinics in Jammu, India. The results showed that dental caries leading to pulpitis was the most common cause of orofacial pain, affecting 96 patients. Periodontal disease and tooth sensitivity were also significant causes. Orofacial pain was more prevalent in females aged 26-35 years. The pain most commonly worsened during sleep and evenings and lasted less than 1 hour for many subjects. This study concluded that dental caries is the primary etiology of orofacial pain in this population and treatment should be tailored based on the identified cause.
This document provides guidelines for diagnosing and managing otitis media with effusion (OME) in children from 2 months to 12 years old. It recommends that clinicians use pneumatic otoscopy as the primary diagnostic method to distinguish OME from acute otitis media. For children with OME, clinicians should document symptoms and risk factors, and promptly evaluate children at risk for speech or learning problems. The guidelines recommend watchful waiting for 3 months for low-risk children with OME, and hearing tests if OME persists longer than 3 months or if language delays are suspected. It provides additional recommendations on follow-up care, surgical referral criteria, and treatments that are not recommended such as antibiotics or decongestants
This document outlines a thesis protocol for evaluating temporal bone pathologies using high resolution computed tomography (HRCT). It provides background on the complex anatomy of the temporal bone and limitations of plain radiography. HRCT is presented as an excellent tool for depicting boundaries, localizing disease, and evaluating complications. The study aims to evaluate various temporal bone pathologies using HRCT and assess extent of involvement, intracranial complications, and relationship to neurovascular structures. It describes the research methodology, including patient selection criteria, HRCT techniques, statistical analysis, and ethics approval that will be followed.
To describe the frequency, type, and clinical course
of hearing loss in Wegener’s granulomatosis and assess hearing
loss as an indicator of disease activity.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document summarizes a study on treating muscle tension dysphonia. The study examined 11 patients with muscle tension dysphonia over one year. Both primary and secondary muscle tension dysphonia cases were included. All patients received voice therapy. Outcomes were measured before and after therapy using auditory-perceptual ratings, quality of life measures, and visual-perceptual laryngeal evaluations. Results found voice therapy to be very effective for improving muscle tension dysphonia based on improved scores on all outcome measures after therapy. The document concludes voice therapy should be the primary treatment for both primary and secondary muscle tension dysphonia cases.
Effects of orthodontic & orthopedic treatment on TMJ /certified fixed orthodo...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Meniere's disease is a disorder of the inner ear that causes episodes of vertigo, hearing loss, tinnitus, and aural fullness. It is thought to be caused by endolymphatic hydrops, or a buildup of fluid in the inner ear. While the exact mechanisms are unclear, it may involve disturbances in fluid homeostasis, genetics, migraines, and damage to inner ear ganglion cells. The document discusses the history, symptoms, diagnostic criteria, pathophysiology including histopathological findings, epidemiology, and experimental models of the disease.
Presentación de la sesión 2 sobre alianzas científicas en la I+i en salud en el marco de las XII Jornadas Salud Investiga celebradas el 28 de noviembre de 2016 en Málaga.
Trabajo 'Red COST TINNET: Better Understanding the Heterogeneity of Tinnitus to Improve and Develop New Treatments (TINNET)' de José Antonio López Escámez. IP en Genyo y FEA en el Complejo Hospitalario de Granada.
Hearing loss among elderly patients in an ear clinic in nigeriaAlexander Decker
This study investigated hearing loss patterns among elderly patients seen at an ear clinic in Nigeria. Of the 586 patients who underwent audiometry over 3 years, 88 (15%) were elderly (age 65+). The mean age was 72.4 years and most were males. Over 80% had hearing loss, and 82% of those had disabling hearing loss. While sensorineural hearing loss was most common, mixed and conductive hearing losses were also present. Moderately severe hearing loss was the most prevalent. The majority had a sloping audiometric pattern typical of presbycusis, but other patterns occurred as well. Disabling hearing loss is very common in the elderly and often goes unaddressed, risking social
Fifteen minute music intervention reduces pre-radiotherapy anxietyRodrigo Tomazelli
The study investigated the effects of a 15-minute music intervention on reducing pre-radiotherapy anxiety in 200 oncology patients. Patients were randomly assigned to either a music group, which received 15 minutes of music therapy before radiation treatment, or a control group, which received 15 minutes of rest. Both groups showed significant decreases in state and trait anxiety scores from before to after the intervention. However, the decreases were significantly greater in the music group compared to the control group. The music group also saw a significantly greater decrease in systolic blood pressure compared to the control group. The study concluded that music therapy effectively decreased levels of state anxiety, trait anxiety, and systolic blood pressure in oncology patients before radiotherapy treatment.
Dental Patterns in Peruvians: A Panoramic Radiography StudyIván E Pérez
The dental pattern is defined as the combination of distinct codes assigned to describe specific tooth conditions including virgin, missing, and restored teeth that comprise the complete dentition or from discrete groups of teeth. This pattern can be then compared to the dentition of individual/s in an attempt to determine positive identification. The aims of the present investigation were to study and determine the diversity of dental patterns in Peruvian citizens based on a sample of panoramic radiographs. Digital panoramic radiographs of 900 adult Peruvian patients (450 female and 450 male) were evaluated to determine the dental patterns. The most frequent dental patterns found in the complete dentition, maxillae, upper-anterior and lower-anterior sextants were all-virgin-teeth (0.3%), all-extracted teeth (1.9%), all-virgin teeth (1%) and all-virgin-teeth (34.2% and 72.3%) respectively. The diversity was calculated by the use of the Simpson´s diversity index, the resulting values for the full-dentition, maxilla and mandible were over the 99.8% value and were similar to those previously reported in the scientific literature. This study demonstrates the positive benefit of dental patterns in the process of identification. Additionally a combination of codes is proposed that could prove useful in cases where a better radiographic description is required.
This study examined 17 cases of temporomandibular joint ankylosis treated at a tertiary hospital in India between 2017-2018. The results found that females were more affected than males, with the highest number of cases occurring in patients aged 7-14 years old. Bilateral ankylosis was more common than unilateral. The majority of patients presented with intracapsular ankylosis. Various surgical treatments were used, with coronoidectomy combined with interpositional arthroplasty using a costochondral graft and physiotherapy being the most common approach. All 17 patients received treatment and were undergoing follow up care. The study aims to better understand patterns of TMJ ankylosis in the region in order to
This study examined the association between darkening of third molar roots seen on preoperative panoramic radiographs and exposure of the inferior alveolar nerve during surgery. 116 patients with darkening of third molar roots were selected as the case group, and 193 patients with other high-risk radiographic signs near the roots were selected as the control group. The nerve was exposed in 27.6% of cases with isolated darkening and 7.8% of controls. Darkening alone or with other signs significantly increased the risk of nerve exposure compared to other signs alone. Having both darkening and other adjacent signs carried the greatest risk of exposure compared to darkening alone or other signs alone or combined. Differentiating between isolated dark
This study examined the association between darkening of third molar roots seen on preoperative panoramic radiographs and exposure of the inferior alveolar nerve during surgery. 116 patients with darkening of third molar roots were selected as the case group, and 193 patients with other high-risk radiographic signs near the roots were selected as the control group. The nerve was exposed in 27.6% of cases with isolated darkening and 7.8% of controls. Darkening alone or with other signs significantly increased the risk of nerve exposure compared to other signs alone. The risk was greatest for darkening accompanied by other adjacent signs, with an odds ratio over 5 times higher than for other signs alone. This suggests differentiating
Evaluation of Radiotherapy Effect on Auditory System in Patients with Head and Neck Tumors by Seyedeh Mahtab Ashja Arvan in Experiments in Rhinology & Otolaryngology
Radiotherapy in patients with head and neck tumors may result in damage of different organs such as eyes and ears. However, there is no consensus regarding the level of damage, especially its effect on hearing threshold. This study has been designed to determine the effect of radiotherapy on auditory system of patients with head and neck tumors.
https://crimsonpublishers.com/ero/fulltext/ERO.000509.php
This study retrospectively analyzed 163 patients treated for spondylodiscitis (spinal infection) between 1992-2000. Patients were divided into 3 treatment groups:
Group A (70 patients) received non-operative treatment including antibiotics and bracing. 8 later required surgery.
Group B (56 patients) underwent posterior decompression alone. 24 later required additional surgery for debridement and stabilization.
Group C (37 patients) received decompression and internal stabilization. Only 6 later required re-operation.
Non-operative treatment was effective for most patients. Decompression alone had a higher re-operation rate compared to decompression with internal stabilization. Overall, surgical treatment improved neurological outcomes compared to non-
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
Int Endodontic J - 2022 - Kvist - Clinical decision making of post‐treatment ...DrDipaliShah
This document discusses clinical decision making regarding post-treatment disease in root-filled teeth. It begins by noting that 25-50% of root-filled teeth show signs of post-treatment disease on radiographs, though many are asymptomatic. There is no consensus among clinicians on how to manage such cases. The document outlines the typical options of no treatment, monitoring, extraction, or retreatment via surgical or non-surgical methods. It discusses how decisions are inherently subjective based on a clinician's knowledge and experience. Descriptive research has found wide variation in how clinicians decide to manage individual cases. The concept of "success" and "failure" integrates biological, evaluative, and normative components, but health and disease exist
ANTHROPOMETRIC VARIATION OF EXTERNAL EAR AND ITS CORRELATION WITH AGEindexPub
Objective: This study was purposed to anthropological variations of external ear in different sexes, and associative changes in male and female external ears according to their height and age. Material and Methods: All possible dimensions of the external ear of 300 people (211 males and 89 females, aged 18 and above, were measured in accordance with standard anthropometric measurement procedures. A total of 7 dimensions i.e. Total Ear Length, Total Ear Width, Lobular Length, and Lobular Width were measured.
Profiles of Iconic Fashion Personalities.pdfTTop Threads
The fashion industry is dynamic and ever-changing, continuously sculpted by trailblazing visionaries who challenge norms and redefine beauty. This document delves into the profiles of some of the most iconic fashion personalities whose impact has left a lasting impression on the industry. From timeless designers to modern-day influencers, each individual has uniquely woven their thread into the rich fabric of fashion history, contributing to its ongoing evolution.
This document provides guidelines for diagnosing and managing otitis media with effusion (OME) in children from 2 months to 12 years old. It recommends that clinicians use pneumatic otoscopy as the primary diagnostic method to distinguish OME from acute otitis media. For children with OME, clinicians should document symptoms and risk factors, and promptly evaluate children at risk for speech or learning problems. The guidelines recommend watchful waiting for 3 months for low-risk children with OME, and hearing tests if OME persists longer than 3 months or if language delays are suspected. It provides additional recommendations on follow-up care, surgical referral criteria, and treatments that are not recommended such as antibiotics or decongestants
This document outlines a thesis protocol for evaluating temporal bone pathologies using high resolution computed tomography (HRCT). It provides background on the complex anatomy of the temporal bone and limitations of plain radiography. HRCT is presented as an excellent tool for depicting boundaries, localizing disease, and evaluating complications. The study aims to evaluate various temporal bone pathologies using HRCT and assess extent of involvement, intracranial complications, and relationship to neurovascular structures. It describes the research methodology, including patient selection criteria, HRCT techniques, statistical analysis, and ethics approval that will be followed.
To describe the frequency, type, and clinical course
of hearing loss in Wegener’s granulomatosis and assess hearing
loss as an indicator of disease activity.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document summarizes a study on treating muscle tension dysphonia. The study examined 11 patients with muscle tension dysphonia over one year. Both primary and secondary muscle tension dysphonia cases were included. All patients received voice therapy. Outcomes were measured before and after therapy using auditory-perceptual ratings, quality of life measures, and visual-perceptual laryngeal evaluations. Results found voice therapy to be very effective for improving muscle tension dysphonia based on improved scores on all outcome measures after therapy. The document concludes voice therapy should be the primary treatment for both primary and secondary muscle tension dysphonia cases.
Effects of orthodontic & orthopedic treatment on TMJ /certified fixed orthodo...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Meniere's disease is a disorder of the inner ear that causes episodes of vertigo, hearing loss, tinnitus, and aural fullness. It is thought to be caused by endolymphatic hydrops, or a buildup of fluid in the inner ear. While the exact mechanisms are unclear, it may involve disturbances in fluid homeostasis, genetics, migraines, and damage to inner ear ganglion cells. The document discusses the history, symptoms, diagnostic criteria, pathophysiology including histopathological findings, epidemiology, and experimental models of the disease.
Presentación de la sesión 2 sobre alianzas científicas en la I+i en salud en el marco de las XII Jornadas Salud Investiga celebradas el 28 de noviembre de 2016 en Málaga.
Trabajo 'Red COST TINNET: Better Understanding the Heterogeneity of Tinnitus to Improve and Develop New Treatments (TINNET)' de José Antonio López Escámez. IP en Genyo y FEA en el Complejo Hospitalario de Granada.
Hearing loss among elderly patients in an ear clinic in nigeriaAlexander Decker
This study investigated hearing loss patterns among elderly patients seen at an ear clinic in Nigeria. Of the 586 patients who underwent audiometry over 3 years, 88 (15%) were elderly (age 65+). The mean age was 72.4 years and most were males. Over 80% had hearing loss, and 82% of those had disabling hearing loss. While sensorineural hearing loss was most common, mixed and conductive hearing losses were also present. Moderately severe hearing loss was the most prevalent. The majority had a sloping audiometric pattern typical of presbycusis, but other patterns occurred as well. Disabling hearing loss is very common in the elderly and often goes unaddressed, risking social
Fifteen minute music intervention reduces pre-radiotherapy anxietyRodrigo Tomazelli
The study investigated the effects of a 15-minute music intervention on reducing pre-radiotherapy anxiety in 200 oncology patients. Patients were randomly assigned to either a music group, which received 15 minutes of music therapy before radiation treatment, or a control group, which received 15 minutes of rest. Both groups showed significant decreases in state and trait anxiety scores from before to after the intervention. However, the decreases were significantly greater in the music group compared to the control group. The music group also saw a significantly greater decrease in systolic blood pressure compared to the control group. The study concluded that music therapy effectively decreased levels of state anxiety, trait anxiety, and systolic blood pressure in oncology patients before radiotherapy treatment.
Dental Patterns in Peruvians: A Panoramic Radiography StudyIván E Pérez
The dental pattern is defined as the combination of distinct codes assigned to describe specific tooth conditions including virgin, missing, and restored teeth that comprise the complete dentition or from discrete groups of teeth. This pattern can be then compared to the dentition of individual/s in an attempt to determine positive identification. The aims of the present investigation were to study and determine the diversity of dental patterns in Peruvian citizens based on a sample of panoramic radiographs. Digital panoramic radiographs of 900 adult Peruvian patients (450 female and 450 male) were evaluated to determine the dental patterns. The most frequent dental patterns found in the complete dentition, maxillae, upper-anterior and lower-anterior sextants were all-virgin-teeth (0.3%), all-extracted teeth (1.9%), all-virgin teeth (1%) and all-virgin-teeth (34.2% and 72.3%) respectively. The diversity was calculated by the use of the Simpson´s diversity index, the resulting values for the full-dentition, maxilla and mandible were over the 99.8% value and were similar to those previously reported in the scientific literature. This study demonstrates the positive benefit of dental patterns in the process of identification. Additionally a combination of codes is proposed that could prove useful in cases where a better radiographic description is required.
This study examined 17 cases of temporomandibular joint ankylosis treated at a tertiary hospital in India between 2017-2018. The results found that females were more affected than males, with the highest number of cases occurring in patients aged 7-14 years old. Bilateral ankylosis was more common than unilateral. The majority of patients presented with intracapsular ankylosis. Various surgical treatments were used, with coronoidectomy combined with interpositional arthroplasty using a costochondral graft and physiotherapy being the most common approach. All 17 patients received treatment and were undergoing follow up care. The study aims to better understand patterns of TMJ ankylosis in the region in order to
This study examined the association between darkening of third molar roots seen on preoperative panoramic radiographs and exposure of the inferior alveolar nerve during surgery. 116 patients with darkening of third molar roots were selected as the case group, and 193 patients with other high-risk radiographic signs near the roots were selected as the control group. The nerve was exposed in 27.6% of cases with isolated darkening and 7.8% of controls. Darkening alone or with other signs significantly increased the risk of nerve exposure compared to other signs alone. Having both darkening and other adjacent signs carried the greatest risk of exposure compared to darkening alone or other signs alone or combined. Differentiating between isolated dark
This study examined the association between darkening of third molar roots seen on preoperative panoramic radiographs and exposure of the inferior alveolar nerve during surgery. 116 patients with darkening of third molar roots were selected as the case group, and 193 patients with other high-risk radiographic signs near the roots were selected as the control group. The nerve was exposed in 27.6% of cases with isolated darkening and 7.8% of controls. Darkening alone or with other signs significantly increased the risk of nerve exposure compared to other signs alone. The risk was greatest for darkening accompanied by other adjacent signs, with an odds ratio over 5 times higher than for other signs alone. This suggests differentiating
Evaluation of Radiotherapy Effect on Auditory System in Patients with Head and Neck Tumors by Seyedeh Mahtab Ashja Arvan in Experiments in Rhinology & Otolaryngology
Radiotherapy in patients with head and neck tumors may result in damage of different organs such as eyes and ears. However, there is no consensus regarding the level of damage, especially its effect on hearing threshold. This study has been designed to determine the effect of radiotherapy on auditory system of patients with head and neck tumors.
https://crimsonpublishers.com/ero/fulltext/ERO.000509.php
This study retrospectively analyzed 163 patients treated for spondylodiscitis (spinal infection) between 1992-2000. Patients were divided into 3 treatment groups:
Group A (70 patients) received non-operative treatment including antibiotics and bracing. 8 later required surgery.
Group B (56 patients) underwent posterior decompression alone. 24 later required additional surgery for debridement and stabilization.
Group C (37 patients) received decompression and internal stabilization. Only 6 later required re-operation.
Non-operative treatment was effective for most patients. Decompression alone had a higher re-operation rate compared to decompression with internal stabilization. Overall, surgical treatment improved neurological outcomes compared to non-
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
Int Endodontic J - 2022 - Kvist - Clinical decision making of post‐treatment ...DrDipaliShah
This document discusses clinical decision making regarding post-treatment disease in root-filled teeth. It begins by noting that 25-50% of root-filled teeth show signs of post-treatment disease on radiographs, though many are asymptomatic. There is no consensus among clinicians on how to manage such cases. The document outlines the typical options of no treatment, monitoring, extraction, or retreatment via surgical or non-surgical methods. It discusses how decisions are inherently subjective based on a clinician's knowledge and experience. Descriptive research has found wide variation in how clinicians decide to manage individual cases. The concept of "success" and "failure" integrates biological, evaluative, and normative components, but health and disease exist
ANTHROPOMETRIC VARIATION OF EXTERNAL EAR AND ITS CORRELATION WITH AGEindexPub
Objective: This study was purposed to anthropological variations of external ear in different sexes, and associative changes in male and female external ears according to their height and age. Material and Methods: All possible dimensions of the external ear of 300 people (211 males and 89 females, aged 18 and above, were measured in accordance with standard anthropometric measurement procedures. A total of 7 dimensions i.e. Total Ear Length, Total Ear Width, Lobular Length, and Lobular Width were measured.
Profiles of Iconic Fashion Personalities.pdfTTop Threads
The fashion industry is dynamic and ever-changing, continuously sculpted by trailblazing visionaries who challenge norms and redefine beauty. This document delves into the profiles of some of the most iconic fashion personalities whose impact has left a lasting impression on the industry. From timeless designers to modern-day influencers, each individual has uniquely woven their thread into the rich fabric of fashion history, contributing to its ongoing evolution.
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Digital Marketing with a Focus on Sustainabilitysssourabhsharma
Digital Marketing best practices including influencer marketing, content creators, and omnichannel marketing for Sustainable Brands at the Sustainable Cosmetics Summit 2024 in New York
The Steadfast and Reliable Bull: Taurus Zodiac Signmy Pandit
Explore the steadfast and reliable nature of the Taurus Zodiac Sign. Discover the personality traits, key dates, and horoscope insights that define the determined and practical Taurus, and learn how their grounded nature makes them the anchor of the zodiac.
Brian Fitzsimmons on the Business Strategy and Content Flywheel of Barstool S...Neil Horowitz
On episode 272 of the Digital and Social Media Sports Podcast, Neil chatted with Brian Fitzsimmons, Director of Licensing and Business Development for Barstool Sports.
What follows is a collection of snippets from the podcast. To hear the full interview and more, check out the podcast on all podcast platforms and at www.dsmsports.net
Cover Story - China's Investment Leader - Dr. Alyce SUmsthrill
In World Expo 2010 Shanghai – the most visited Expo in the World History
https://www.britannica.com/event/Expo-Shanghai-2010
China’s official organizer of the Expo, CCPIT (China Council for the Promotion of International Trade https://en.ccpit.org/) has chosen Dr. Alyce Su as the Cover Person with Cover Story, in the Expo’s official magazine distributed throughout the Expo, showcasing China’s New Generation of Leaders to the World.
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2. medical and dental history, history of the TMD
problems, and evaluation of clinical signs or symp-
toms. The patients were also questioned about oto-
logic complaints, including tinnitus, vertigo, otalgia,
and hearing loss. Temporomandibular magnetic res-
onance images were taken of all patients in sagittal
and coronal sections; the same protocol was strictly
followed for all patients who had TMD signs or
symptoms.
The patients were divided into 3 groups. Group 1
consisted of 22 (11%) who were diagnosed with
MPD.16
Group 2 consisted of 154 patients (77%)
diagnosed with internal derangement of the TMJ; this
group included internal derangement types I, II, and
III.16
Group 3 consisted of 24 patients with either
myalgia or MPD and internal derangement signs and
symptoms. The groups were based on research diag-
nostic criteria described by Dworkin and LeResche.16
All patients who described having at least 1 oto-
logic complaint were sent to the ear, nose, and throat
and the audiology departments of Ankara University
for clinical consultation and audiologic tests that in-
cluded pure tone audiometry, impedance test, and reflex
tympanometry.
A control group of 50 asymptomatic, normal sub-
jects (group 4) was randomly selected from the patients
referred to the department of oral and maxillofacial
surgery for minor dentoalveolar surgery. All were fit
and healthy (American Society of Anesthesiology,
status I or II patients), with no current (or history of)
TMD problems.
The collected data and comparison of the groups
having the otologic complaints were evaluated with
chi-square test for independent samples.
RESULTS
Of the 200 patients, 165 were female and 35 were
male; they were aged 13 to 67 years (mean 29.6 years).
Forty-five patients (22.5%) said that they had no
otologic complaints; 155 (77.5%) reported at least 1
complaint; 100 (50%) reported earache, and 91 (45.5%)
reported tinnitus. Vertigo and loss of hearing were
noted in 72 (36%) and 47 (23.5%) patients, respec-
tively.
Group 1 comprised 22 patients (17 females, 5
males) with a mean age of 32.5 years. Otalgia was
reported in 14 (63.6%), tinnitus in 13 (59.1%), and
vertigo in 11 (50%); hearing loss was noted in 5
(36.4%) patients.
Group 2 comprised 154 patients (127 females, 27
males) with a mean age of 29.2 years. The prevalence
of otologic complaints was 71 (46.1%) for otalgia, 68
(44.2%) for tinnitus, 50 (32.5%) for vertigo, and 34
(22%) for hearing loss.
Group 3 comprised 24 patients (21 females, 3
males) with a mean age of 29.5 years. Otalgia, vertigo,
tinnitus, and difficulty in hearing were reported in 11
(45.8%), 10 (41.6%), 15 (62.5%), and 8 (30.0%)
patients, respectively.
Among the 155 TMD patients with at least 1 of the
4 otologic complaints, only 3 (1.9%) also had objective
coincidence (hearing loss) related to their subjective
complaints after specialist consultation. The causes of
hearing loss in these patients included deafness related
to otitis media in 1 patient and otosclerosis in 2
patients, with 15% and 20% diminished hearing.
Group 4 comprised 50 control subjects (27 females,
23 males), aged 15 to 66 years (mean 37.2 years).
Fig. Schematic view of relationship of nerves, TMJ, and ear structures.
American Journal of Orthodontics and Dentofacial Orthopedics
Volume 123, Number 6
Tuz, Onder, and Kisnisci 621
3. Otalgia was reported in 4 patients (8%), tinnitus in 13
(26%), vertigo in 7 (14%), and hearing loss in 7 (14%).
Statistically, no significant difference was found for
the prevalence of otalgia, tinnitus, vertigo, and hearing
loss among the 3 study groups. However, otalgia in
TMD patients was higher than in the control group; this
difference was statistically significant. Tinnitus and
vertigo were significantly higher in the symptomatic
patients than in the control group. Hearing loss was also
higher in the study groups than in the control group, but
this difference was not statistically significant (Table).
DISCUSSION
In this study, the TMD patients were divided into
groups with a diagnosis of either MPD (group 1) or
internal derangement of the types I, II, or III (group 2)
according to research diagnostic criteria for TMD.16
A
third group was also created to include patients having
both myogenic and internal derangement signs or
symptoms at the early pretreatment stage. This group
was formed with no attempt to elucidate the primary
cause, which could have been either internal derange-
ment or myalgia/MPD. The TMD groups were de-
signed to delineate the effects of different mechanisms
that might produce aural symptoms, because several
hypotheses in the literature describe various mecha-
nisms and structures, as well as functional and behav-
ioral patterns.1,2,8,17
In groups 1 and 3, the ratios of the
patients with otalgia, vertigo, and tinnitus were higher
than in the internal derangement group alone. However,
this difference was not statistically significant. Simi-
larly, no statistically significant difference was found
between group 3 and the other 2 groups.
Some investigators have hypothesized that eusta-
chian tube dysfunction, masticatory muscle dysfunc-
tion, or reflex-sympathetic vasospasm of labyrinthine
vessels occurs secondary to abnormal stimulation of
autonomic nerves of the TMJ.17-19
Hypotheses empha-
sizing structural effects inducing aural symptoms in-
clude mandibular overclosure and posterior displace-
ment of the condyle that secondarily puts pressure on
the auriculotemporal nerve and chorda tympani, as well
as the eustachian tube, which might produce erosion of
the tympanic plate.2,20
Moreover, reflex disturbances of
the tensor tympani and veli palatini muscles, as well as
the otomandibular (eg, diskomalleolar and tympano-
mandibular) ligaments are among the structural causes
for aural symptoms.1
Otalgia, vertigo, and tinnitus as subjective com-
plaints were noted significantly more frequently in the
experimental groups than in the control group. In
contrast, the difference in the incidence of hearing loss
was not found to be statistically significant. The inci-
dence of patients with hearing loss complaints was
23.5%, although the audiometric documentation
showed true hearing loss in only 3 patients (1.5%).
Thus, the ear, nose, and throat consultants failed to find
any objective pathologic condition to explain the ear
symptoms. Rubinstein21
suggested that subjective com-
plaints are not correlated with the objectively assessed
level of hearing loss. Williamson,22
to validate otologic
symptoms in patients with TMD, reported that none of
them had an otologic disorder when examined by
specialists. In another study, no significant difference of
pretreatment audiometric findings was found between
12 internal derangement and 9 MPD patients, and, more
interestingly, no difference was found between pre-
treatment and posttreatment audiometric measure-
ments. That study also concluded that a correlation was
not found between reduced hearing sensitivity and
audiometric results.23
Toller and Juniper24
reported
results from audiograms, tympanograms, and eusta-
chian tube function tests on 57 TMD patients and
showed no statistically significant differences when
compared with 57 control subjects.
The reported prevalence of otologic complaints in
TMD patients varies in the literature. However, only
few complaints are supported by audiometric documen-
tation.18,24
The frequency of otalgia, tinnitus, hearing
loss, and vertigo are reported with ranges of 20% to
100%, 31% to 59%, 15% to 32%, and up to 70%,
respectively.8,9,17,25-29
Nevertheless, it is well docu-
Table. Distribution of patients
Group Otalgia Tinnitus Vertigo
Loss of
hearing
Difference
between control
and groups 1–3*
1 (MPD) (n ⫽ 22)* 14 (63.6) 13 (59.1) 11 (50.0) 5 (36.4) P ⬍ .05
2 (ID) (n ⫽ 154)* 71 (46.1) 68 (44.2) 50 (32.5) 34 (22) P ⬍ .01
3 (MPD-ID) (n ⫽ 24)* 15 (62.5) 10 (41.6) 11 (45.8) 8 (30.0) P ⬍ .002
4 (Control) (n ⫽ 50)* 4 (8) 13 (26) 7 (14) 7 (14) P ⬍ .14
Data presented as n (%). MPD, myofascial pain syndrome; ID, internal derangement.
*Total number of patients in each group does not equal sum of each row because most patients have more than 1 complaint.
American Journal of Orthodontics and Dentofacial Orthopedics
June 2003
622 Tuz, Onder, and Kisnisci
4. mented that TMD patients with otalgia or tinnitus have
higher pain and dysfunction scores than do TMD
patients without otologic symptoms.29,30
The differ-
ences in the occurrence rates of subjective otologic
symptoms could be due to the lack of constant or
persistent ear symptoms, the failure to use audiometric
tests, the lack of asymptomatic control subjects, and the
inclusion of especially elderly patients.
Our working hypothesis was mainly based on
whether arthrogenic/anatomic causes due to internal
derangement or myogenic disorders alone or combined
can influence the rank order, incidence, and occurrence
of otologic complaints. Our findings are nonsupportive,
with no statistically significant results. Otalgia was the
most frequently encountered complaint, followed by
tinnitus, vertigo, and subjective deafness.
CONCLUSIONS
Several factors play a role in the occurrence of
otologic symptoms in patients with TMD, with no
predilection of the otologic symptoms between TMD
subgroups. Patients with signs and symptoms of inter-
nal derangement and MPD or a combination of internal
derangement and myalgia/MPD were equally affected
by these disturbances.
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American Journal of Orthodontics and Dentofacial Orthopedics
Volume 123, Number 6
Tuz, Onder, and Kisnisci 623