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Audiol > Volume 3(1); 2007 > Article
Audiology 2007;3(1): 28-35.
Published online: June 30, 2007.
doi: http://dx.doi.org/10.21848/audiol.2007.3.1.28
하악 운동이 정상인의 청력평가 및 이명에 미치는 영향
신은영1, 김진숙2, 남의철3, 박문서4
1한림대학교 대학원 청각학전공
2한림대학교 자연과학대학 언어청각학부 청각언어연구소
3강원대학교 의과대학 이비인후과학교실
4경희대학교 의과대학 이비인후과학교실
Effects of the Temporomandibular Joint Displacement for Hearing Function Test and Tinnitus
Eun-Yeong Shin1, Jin-Sook Kim2, Eui-Cheol Nam3, Moon-Suh Park4
1Graduate Program in Audiology, Hallym University, Chuncheon, Korea
2Division of Speech Pathology & Audiology, Research Institute of Audiology & Speech Pathology, Hallym University, Chuncheon, Korea
3Department of Otolaryngology, Kangwon National University, College of Medicine, Chunchon, Korea,
4Department of Otolaryngology, Kyunghee University, College of Medicine, Seoul, Korea
Correspondence  Eun-Yeong Shin ,Tel: (033) 248-2226, Fax: (033) 256-3420, Email: shinsfr@hallym.ac.kr
Received: February 6, 2007;  Accepted: March 27, 2007.  Published online: June 30, 2007.
ABSTRACT
This study was carried out to gather more knowledge of the relation temporomandibular joint (TMJ) with ear problem and tinnitus. To investigate the effects of the TMJ displacement, auditory function was observed with 30 subjects (male;15, female;15, 60 ears) who have normal hearing. The experiment was performed of three positions for the testing:mouth at resting position (R), maximally opening the mouth (O), clenching the teeth together as forcefully as possible (C). Depending on each position and related TMJ displacement, the perception of a certain sound or tinnitus was observed when the participants were in the sound proofed room. About 73.3% reported the perception of certain sounds within 10 minutes, the generative regions were different from positions. The characteristics of tinnitus were expressed as high pitched (16.7%), wind-like (16.7%), pulsatile (16.7%), ringing (13.3%), low pitched (10.0%) sounds in R position. And about 83.3% showed changes in tinnitus by TMJ displacement (O, C). PTA showed statistical significance at 250 and 4,000 Hz in each position and pure tone average (500, 1,000, 2,000, 4,000 Hz) showed borderline significance in statistical analysis. DP/NF, results of DPOAE, showed statistical significance only at 141 Hz which might not be related to the experiment. In evaluating of ABR, both V wave absolute amplitude and II-III inter-latency were recorded significance in statistical analysis. Therefore, TMJ movement should be considered when auditory function test and evaluation of tinnitus are performed. And more data should be gathered for additional TMJ related researches in the future.
Key Words: Tinnitus·TMJ·Auditory function test·Neurological model of somatic tinnitus.
중심단어: 이명· TMJ· 청능평가· Somatic tinnitus 모델.
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