Abstract
Objective: This study aimed to investigate the effect of the disease on
the middle ear resonance frequencies with wide-band tympanometry in the
people with temporomandibular disorder (TMD). Methods: A total of 40
individuals (24 patients, 16 control groups), 18 years of age and older,
25 females and 15 males, were included in the study. For the patients
who came to the Oral Diagnosis Department of XXXX University with the
complaint of TMD, the patient’s history and detailed examination were
taken by the specialist dentist. Pure tone audiometry (125-8000 Hz
air-way, 250-4000 Hz bone conduction thresholds) and speech audiometry,
acoustic immitance and middle ear resonance measurements, outer ear
resonance test were applied. Results: TMD ipsilateral and contralateral
middle ear resonance values for each individual of the study group and
control group and statistical data were determined. No difference was
observed in the mean values of the 3 groups for middle ear resonance.
However, there was a significant difference between the middle ear
resonance values of the TMD ipsilateral and control groups. Conclusion:
In a patient population with TMD the increase in middle ear RF values in
the ipsilateral ears of the lesion may provide evidence of an increase
in the stiffness of the middle ear system, offering a new perspective on
the pathophysiology of the disease. KEY POINTS 1) Middle ear canal
resonance frequency can be determined with wideband tympanometry (WBT).
2) There was no difference in the mean values of the three groups for
the ipsilateral of the temporamandibular disorder, the contralateral of
the temporamandibular disorder and the middle ear resonance values of
the control group. 3) It was observed that there was a significant
difference between the ipsilateral resonance values of the TMD patient
group and the middle ear resonance values of the control group. 4) This
study aims to present additional findings and methods for differential
diagnosis by showing the differences between clinical tests applied to
individuals with TMD and middle ear findings of normal individuals. 5)
This study will also provide the first findings of minor middle ear
pathology in patients with TMJ disorders by WBT.