Comparative audiometric evaluation of temporomandibular disorder patients with otological symptoms

Pekkan, Gürel; Aksoy, Songül; Hekimoğlu, Canan; Oğhan, Fatih

doi:10.1016/j.jcms.2009.07.001

Cited by 29 publications

(30 citation statements)

References 16 publications

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“…Since the early '90s a number of research streams shed new light on the neurophysiopathological aspects of craniofacial pain, the true novelty being the concept of "chronic pain from deafferentation", triggered by peripheral nerve damage, albeit limited in time, and maintained by phenomena related to neuroplasticity. Despite all this, it remains to be clarified with certainty the relationship between the pathogenesis of tinnitus and TMJ [5][6] . The aim of the present study is to give a contribution on the relationship between tinnitus and TMD, emphasizing the importance of this symptom in disorders of the TMJ, and a suggestion for a multidisciplinary approach including ENT, gnathologist, and maxillofacial surgery evaluations.…”

Section: Introductionmentioning

confidence: 99%

Tinnitus in Temporomandibular Joint Disorders: Is it a Specific Somatosensory Tinnitus Subtype?

Algieri¹,

Leonardi

Arangio

et al. 2016

The International Tinnitus Journal

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The most significant otologic symptoms, consisting of ear pain, tinnitus, dizziness, hearing loss and auricolar "fullness", generally arise within the auditory system, often are associated with extra auricolar disorders, particularly disorder of the temporo-mandibular joint. In our study we examined a sample of 200 consecutive patients who had experienced severe disabling symptom. The patiens came to maxillofacial specialist assessment for temporomandibular disorder. Each patient was assessed by a detailed anamnestic and clinical temporomandibular joint examination and they are divided into five main groups according classification criteria established by Wilkes; tinnitus and subjective indicators of pain are evaluated. The results of this study provide a close correlation between the joint pathology and otologic symptoms, particularly regarding tinnitus and balance disorders, and that this relationship is greater the more advanced is the stage of joint pathology. Moreover, this study shows that TMD-related tinnitus principally affects a younger population (average fifth decade of life) and mainly women (more than 2/3 of the cases). Such evidence suggests the existence of a specific tinnitus subtype that may be defined as "TMD-related somatosensory tinnitus".

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Section: Introductionmentioning

confidence: 99%

Tinnitus in Temporomandibular Joint Disorders: Is it a Specific Somatosensory Tinnitus Subtype?

Algieri¹,

Leonardi

Arangio

et al. 2016

The International Tinnitus Journal

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“…Acoustic symptoms within the joints, manifested as popping and cracking sounds, are an evidence of the lack of coordination between the articular head temporomandibular joint articular discs during mandible movements [2]. Otolaryngological symptoms are a less common group of dysfunction symptoms, including sudden hearing impairment or loss, ear plugging sensation and earache, sore and burning throat, difficulties in swallowing, tinnitus, and vertigo [3–5]. Due to the latter symptom, patients may experience fear when moving around.…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of these symptoms is in the range of about 5 to 30% for earache and about 30% for tinnitus [19–22]. The reported causes for otolaryngological symptoms include common embryonic origin of the ear and the masseter muscles and the compression of vessels, nerves, and ligaments by posteriorly translocated articular heads of the mandible in the middle and inner ear regions [3, 4]. This is due to missing teeth not being replaced, particularly in the support zones, as well as to pathological teeth attrition, promoting the reduction in occlusal height and posterior translocation of articular heads in central occlusion [23, 24].…”

Section: Introductionmentioning

confidence: 99%

Incidence of Otolaryngological Symptoms in Patients with Temporomandibular Joint Dysfunctions

Ferendiuk

Zajdel

Pihut

2014

BioMed Research International

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The functional disorders of the masticatory organ are the third stomatological disease to be considered a populational disease due to its chronicity and widespread prevalence. Otolaryngological symptoms are a less common group of dysfunction symptoms, including sudden hearing impairment or loss, ear plugging sensation and earache, sore and burning throat, difficulties in swallowing, tinnitus, and vertigo. The diagnostic and therapeutic problems encountered in patients with the functional disorders of the masticatory organ triggered our interest in conducting retrospective studies with the objective of assessing the incidence of otolaryngological symptoms in patients subjected to prosthetic treatment of the functional disorders of masticatory organ on the basis of the analysis of medical documentation containing data collected in medical interviews. Material and Methods. Retrospective study was conducted by analyzing the results of medical interviews of 1208 patients, who had reported for prosthetic treatment at the Functional Disorders Clinic of the Department of Dental Prosthetics of Jagiellonian University Medical College in Cracow between 2008 and March 14, 2014. Results. Otolaryngological symptoms were observed in 141 patients. The most common symptoms in the study group were earache and sudden hearing impairment; no cases of sudden hearing loss were experienced.

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“…61,82 Conversely, hyperactivity of the masticatory and tensor tympani muscles can cause ear pain, tinnitus, and feelings of fullness in the ear. 66 An otoscope allows the physical therapist to view the tympanic membrane for signs of redness and edema, and visual examination of the tragus, the mastoid, and the auricle may reveal redness, edema, or scaliness. Pressure on the tragus may reproduce pain if the ear is the source of the symptoms.…”

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confidence: 99%

A Proposed Diagnostic Classification of Patients With Temporomandibular Disorders: Implications for Physical Therapists

Harrison¹,

Thorp²,

Ritzline³

2014

J Orthop Sports Phys Ther

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Researchers and expert clinicians in orofacial pain have long acknowledged the Differential DiagnosisIn addition to the musculoskeletal structures (TMJ and the masticatory muscles) and the psychological factors discussed, orofacial pain may result from or be exacerbated by (1) primary HAs (migraine, cluster, tension type, other primary); (2) secondary HAs related to systemic problems such as cardiovascular and rheumatoid disorders and disorders related to the cervical spine, ears, sinuses, eyes, medications, and dental structures; and (3) cranial and peripheral neuralgias and central nervous system disorders.The following provides an overview of the physical therapy examination for people presenting with HAs and/or orofacial pain. The examination will consist of the history, screens for contributing psychological factors, a systems screen, cervical spine screen, and specific examination of the TMJ and masticatory muscles. PHYSICAL THERAPY EXAMINATION HistoryA thorough history will help identify the possible source(s) of the orofacial pain and provide a screen for other causative or contributing factors. 17,22,61,74,75 Red flags related to cardiac history (eg, angina or history of myocardial infarction) and brain function (eg, sudden-onset severe HAs, weakness, or slurred speech) must be investigated early in the history taking. Information about the nature of the pain will be critical in determining the possibility of primary HAs (migraine, cluster) (TABLE 3) and secondary HAs related to the eyes, ears, sinus, dental structures, medication complications, and/or neurologic types of pain. Unrelenting pain unrelated to musculoskeletal function is an indication for referral. Information about cervical dysfunction is essential to determine whether the cervical spine is causing or exacerbating the HA/facial pain. Medication history is important to determine potential negative interactions, rebound HAs from overuse (as occurs with nonsteroidal anti-inflammatory drugs), or withdrawal.Key questions have been examined and determined to have strong sensitivity and specificity in incriminating TMDs as the source of pain. 22,29 The initiating question is, "Have you had pain or stiffness in the face, jaw, temple, in front of the ear, or in the ear in the past month?" A positive response should be followed with a question about whether the symptoms are altered by any of the following jaw activities: chewing, talking, singing, yawning, kissing, moving the jaw. 22,29,74,75 The other key inquiry is directed toward identifying the presence of a disc displacement 22,74 : "Have you ever had your jaw lock or catch so that it would not open all the way? If so, was this limitation in jaw opening severe enough to interfere with your ability to eat? Have you ever noticed clicking, popping, or other sounds in your joint?" 74 importance of the psychological domain in causing and/or maintaining pain, and in upregulating peripheral and central neural structures involved in nociception. 22,32,74,75 Central nervous system differences in the t...

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Comparative audiometric evaluation of temporomandibular disorder patients with otological symptoms

Cited by 29 publications

References 16 publications

Tinnitus in Temporomandibular Joint Disorders: Is it a Specific Somatosensory Tinnitus Subtype?

Tinnitus in Temporomandibular Joint Disorders: Is it a Specific Somatosensory Tinnitus Subtype?

Incidence of Otolaryngological Symptoms in Patients with Temporomandibular Joint Dysfunctions

A Proposed Diagnostic Classification of Patients With Temporomandibular Disorders: Implications for Physical Therapists

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