Clinical Oral Investigations

, Volume 21, Issue 2, pp 597–605 | Cite as

Prevalence of otologic signs and symptoms in adult patients with temporomandibular disorders: a systematic review and meta-analysis

  • Isabela Porto De Toledo
  • Fabiane Miron Stefani
  • André Luís Porporatti
  • Luis André Mezzomo
  • Marco A. Peres
  • Carlos Flores-Mir
  • Graziela De Luca Canto
Original Article



This study aims to estimate the prevalence of otologic signs and symptoms in adult patients with temporomandibular disorders (TMD).

Material and methods

Search strategies were developed for each of the following databases: PubMed, LILACS, Scopus, Web of Science, Proquest, LIVIVO, and Google Scholar and OpenGrey was used to assess the grey literature. It was included in this review only observational studies using either research diagnostic criteria (RDC)/TMD or DC/TMD indexes were selected. The Critical Appraisal Checklist for Studies Reporting Prevalence Data from the Joanna Briggs Institute was used to assess the risk of bias of the included studies. A proportion random effects meta-analysis was conducted within the eight included studies.


Eight studies met the eligibility criteria and were selected. All of the included studies used the RDC/TMD and report associated otologic signs and symptoms. The studies were clustered into groups based on prevalence for each individual sign or symptom. The most prevalent otologic symptom associated with TMD was ear fullness (74.8 % standard deviation (SD), 43.02 to 96.25 %; n = 50), followed by otalgia (55.1 % SD, 31.78 to 77.30; n = 386), tinnitus (52.1 % SD, 38.43 to 65.74; n = 1293), vertigo (40.8 % SD, 11.29 to 74.72; n = 374), and hearing loss (38.9 % SD, 2.83 to 85.46; n = 744).


The prevalence of otologic signs and symptoms in adult patients with TMD is high. The most prevalent otologic symptom in patient adults with TMD is ear fullness.

Clinical relevance

This study intends to provide understanding over the prevalence of otologic signs and symptoms in TMD cases in adults.


Review Meta-analysis Temporomandibular disorders Otologic signs and symptoms Prevalence 

Supplementary material

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Isabela Porto De Toledo
    • 1
  • Fabiane Miron Stefani
    • 1
  • André Luís Porporatti
    • 2
  • Luis André Mezzomo
    • 3
  • Marco A. Peres
    • 4
  • Carlos Flores-Mir
    • 5
  • Graziela De Luca Canto
    • 2
    • 5
  1. 1.Department of Speech-language Pathology and AudiologyFederal University of Santa CatarinaFlorianópolisBrazil
  2. 2.Brazilian Centre for Evidence-Based Research, Department of DentistryFederal University of Santa CatarinaFlorianopolisBrazil
  3. 3.Department of DentistryFederal University of Santa CatarinaFlorianopolisBrazil
  4. 4.Australian Research Centre for Population Oral Health, School of DentistryThe University of AdelaideAdelaideAustralia
  5. 5.School of Dentistry, Faculty of Medicine and DentistryUniversity of AlbertaEdmontonCanada

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