Abstract：
OBJECTIVE: This systematic review summarised the results reported in randomised controlled trials (RCTs) aimed at evaluating the different treatment approaches in patients with tinnitus associated with temporomandibular disorders (TMD) evaluated with the diagnostic criteria of temporomandibular disorders (DC/TMD), and the possible predictive factors influencing treatment outcomes.
METHODS: The electronic databases Medline, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACs) were searched systematically up to March 2023. Only RCTs with full texts were included in this study. The eligibility of the RCTs selected was based on the PICO model (participants, intervention, comparators, outcomes), and subjects of any age, sex or ethnicity, were included when showing both tinnitus and TMD, diagnosed through DC/TMD criteria.
RESULTS: From a total of 635 articles, only five RCTs were included and the data from a total of 329 participants were examined. Two RCTs focused on the efficacy of the multidisciplinary approach among people with tinnitus who have TMD; two RCTs examined prognostic indicators predicting a positive outcome after multidisciplinary orofacial treatment; one RCT analysed low-level laser therapy\'s effectiveness with Nd:YAG laser.
CONCLUSIONS: A multidisciplinary non-invasive approach is the most efficacious treatment for tinnitus in patients diagnosed with TMD. Baseline tinnitus severity, gender, quality of life, age, and tinnitus duration were considered predictive factors of clinical outcomes in patients diagnosed with DMTs and referring tinnitus.
METHODS: The electronic databases Medline, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACs) were searched systematically up to March 2023. Only RCTs with full texts were included in this study. The eligibility of the RCTs selected was based on the PICO model (participants, intervention, comparators, outcomes), and subjects of any age, sex or ethnicity, were included when showing both tinnitus and TMD, diagnosed through DC/TMD criteria.
RESULTS: From a total of 635 articles, only five RCTs were included and the data from a total of 329 participants were examined. Two RCTs focused on the efficacy of the multidisciplinary approach among people with tinnitus who have TMD; two RCTs examined prognostic indicators predicting a positive outcome after multidisciplinary orofacial treatment; one RCT analysed low-level laser therapy\'s effectiveness with Nd:YAG laser.
CONCLUSIONS: A multidisciplinary non-invasive approach is the most efficacious treatment for tinnitus in patients diagnosed with TMD. Baseline tinnitus severity, gender, quality of life, age, and tinnitus duration were considered predictive factors of clinical outcomes in patients diagnosed with DMTs and referring tinnitus.
摘要：
目的：本系统综述总结了随机对照试验（RCT）报告的结果，旨在评估与颞下颌关节紊乱病（DC/TMD）相关的耳鸣患者的不同治疗方法，以及影响治疗结果的可能预测因素。
方法：电子数据库Medline，WebofScience,截至2023年3月，系统搜索了拉丁美洲和加勒比健康科学文献（LILAC）。本研究仅包括具有全文的RCT。所选RCT的资格是基于PICO模型(参与者，干预，比较器,结果)，和任何年龄的受试者，性别或种族，当显示耳鸣和TMD时，通过DC/TMD标准诊断。
结果：在总共635篇文章中，仅纳入5项RCT,共纳入329名参与者的数据.两项RCT重点研究了多学科方法在患有TMD的耳鸣患者中的疗效；两项RCT检查了预测多学科口面治疗后阳性结果的预后指标；一项RCT分析了Nd：YAG激光低水平激光治疗的有效性。
结论：多学科非侵入性方法是治疗TMD患者耳鸣的最有效方法。基线耳鸣严重程度，性别,生活质量,年龄,和耳鸣持续时间被认为是诊断为DMT和转诊耳鸣的患者临床结局的预测因素。
方法：电子数据库Medline，WebofScience,截至2023年3月，系统搜索了拉丁美洲和加勒比健康科学文献（LILAC）。本研究仅包括具有全文的RCT。所选RCT的资格是基于PICO模型(参与者，干预，比较器,结果)，和任何年龄的受试者，性别或种族，当显示耳鸣和TMD时，通过DC/TMD标准诊断。
结果：在总共635篇文章中，仅纳入5项RCT,共纳入329名参与者的数据.两项RCT重点研究了多学科方法在患有TMD的耳鸣患者中的疗效；两项RCT检查了预测多学科口面治疗后阳性结果的预后指标；一项RCT分析了Nd：YAG激光低水平激光治疗的有效性。
结论：多学科非侵入性方法是治疗TMD患者耳鸣的最有效方法。基线耳鸣严重程度，性别,生活质量,年龄,和耳鸣持续时间被认为是诊断为DMT和转诊耳鸣的患者临床结局的预测因素。
