Overlaid temporomandibular joint disorders and otology symptoms – A diagnostic approach and management considerations for otolaryngologists and dentists

Santosh, Vasavi; Hinduja, Shweta; Manoj, Reema; Waghmare, Mandavi

doi:10.32677/ejms.2020.v05.i02.001

Cited by 3 publications

(6 citation statements)

References 26 publications

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“…The study design is depicted in Figure 1. The masseter and temporalis muscle stiffness was measured with the Aixplorer Ultimate device (SuperSonic Imagine, Aix-en-Provence, France) with a high-frequency linear The masseter and temporalis muscle stiffness was measured with the Aixplorer Ultimate device (SuperSonic Imagine, Aix-en-Provence, France) with a high-frequency linear probe SL 18-5 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). During the shear wave elastography examination, the patients were lying in a supine position.…”

Section: Methodsmentioning

confidence: 99%

“…The incidence of TMD varies depending on the type of population and affects 10% to 90% of people [ 6 , 7 ]. The symptoms of TMD are often associated with complaints regarding surrounding structures such as headaches, neck and shoulder girdle pain, and otolaryngological pathologies, including tinnitus [ 8 , 9 ]. A review of the literature carried out by Cuccia and Caradonna suggests that altered tension within the stomatognathic system can have consequences for the whole body [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Monitoring of Changes in Masticatory Muscle Stiffness after Gum Chewing Using Shear Wave Elastography

Olchowy

Grzech‐Leśniak

Hadzik

et al. 2021

JCM

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This study aimed to investigate if intensive exercise affects the stiffness of the masticatory muscles measured with shear-wave elastography. The study included a cohort of healthy adults (n = 40) aged 40 ± 11 years. In each individual, the stiffness of both the masseter and temporalis muscle was examined three times: at baseline, after 10 min of intensive exercise (chewing gum), and after 10 min of relaxation. Stiffness values (median (IQR)) of both the masseter and temporalis muscle were the lowest at the baseline (11.35 (9.7–12.65) and 10.1 (9.1–10.95)), increased significantly after the exercise (12.5 (11.1–13.25) and 10.3 (10.2–10.52)) and then dropped significantly after 10 min of relaxing (11.75 (9.95–12.6) and 10.2 (9.65–11.9)). The stiffness of the temporalis muscle was significantly lower than that of the masseter muscle. The values of the stiffness of the masseters correlated significantly with the values of the stiffness of the temporalis muscles. Shear wave elastography proved to be a sensitive method for showing changes in the stiffness of the muscles involved in the mastication occurring as a response to the effort, which increased the muscle stiffness. Further research is needed to broaden knowledge on the impact of eating habits and the occurrence of parafunctions on the development of temporomandibular disorders and the condition of masticatory muscles.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Monitoring of Changes in Masticatory Muscle Stiffness after Gum Chewing Using Shear Wave Elastography

Olchowy

Grzech‐Leśniak

Hadzik

et al. 2021

JCM

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“…Stephan et al, 2017 [32]; publish in his systematic review article a special proposed management pathway for suspected temporomandibular disorder with otological symptoms (Figure 4) as well as V. Santosh 2020; focus on special management considerations cited for both otolaryngologists and dentists concluding that "since the symptoms of TMD are overlaid with otological symptoms, such patients may commonly visit otolaryngologists. A comprehensive evaluation as suggested in this article from the literature would be a good tool for the otolaryngologists as well as dentists to follow for better management of TMD patients" [33].…”

Section: Discussionmentioning

confidence: 99%

Connotation of Otological Symptom in Tempro Mandibular Joint Disorder and Vise-Versa (Clinical Comparative Original Study)

Alsabea¹,

Al-Rawee²

2020

SJODR

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“…Included patients were diagnosed with at least one of the disorders classified in group II of masticatory muscle disorders according to the DC/TMD [ 4 , 22 ], namely muscle pain, contracture, hypertrophy, neoplasm, movement disorders and masticatory muscle pain attributed to systemic/central pain disorders. Exclusion criteria were the following: pharmacological treatment that can alter muscle tonus and/or reduce muscle pain (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, the patients may also experience symptoms that appear unrelated to the stomatognathic system, such as headache, neck and/or shoulder pain, or otolaryngological problems (e.g. tinnitus) [ 1 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the masseter stiffness in patients during conservative therapy for masticatory muscle disorders with shear wave elastography

Olchowy

Seweryn

Olchowy

et al. 2022

BMC Musculoskelet Disord

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Background The complex structure of the stomatognathic system plays a vital role in chewing, digestion, speaking, breathing, facial expression and swallowing. Its complexity is the primary reason for creating multidisciplinary teams to manage temporomandibular disorders (TMD). We aimed to assess the masseter stiffness in patients undergoing conservative therapy for masticatory muscle disorders and evaluate the efficacy of manual therapy and stabilization occlusal splint in the treatment of masticatory muscle disorders. Methods This uncontrolled prospective cohort study included 35 patients with masticatory muscle disorders. The study lasted for eight weeks. The patients were treated with manual therapy and stabilization occlusal splint and evaluated using shear wave elastography of the masseter muscles and patient-reported outcome measures (PROMs) to assess pain, anxiety, quality of sleep, satisfaction with life and perceived stress. Results After the treatment, the stiffness of both masseter muscles decreased significantly (by 4.21 kPa). The patients reported a significant reduction in pain. At baseline, the median scores ranged from 5 to 8; after treatment, they ranged from 0 to 1 (p < 0.0001). The patients also reported significant improvement in terms of all patient-reported outcome measures. The reduction in stiffness corresponded to the improvement in pain and PROMs, as shown by correlations which were insignificant for all measures. Conclusions Conservative therapy of masticatory muscle disorders involving manual therapy and stabilization occlusal splint is effective. It reduces the masseter stiffness as objectively shown in shear wave elastography and improves subjective PROMs scores, including numerical pain assessment and selected questionnaires. Shear wave elastography has the potential for broad application in clinical practice to monitor masticatory muscle disorders treatment effects due to its objectivity and non-invasive character. Further research is recommended on larger patient populations and longer follow-up. Trial registration The study was registered at clinicaltrials.gov (NCT03844854). First posted date: 19/02/2019.

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Overlaid temporomandibular joint disorders and otology symptoms – A diagnostic approach and management considerations for otolaryngologists and dentists

Abstract: The mechanism behind TMD causing otalgia and otolaryngological symptoms remains diffuse and unclear. Some of the theories proposed by researchers are as follows:

Cited by 3 publications

References 26 publications

Monitoring of Changes in Masticatory Muscle Stiffness after Gum Chewing Using Shear Wave Elastography

Monitoring of Changes in Masticatory Muscle Stiffness after Gum Chewing Using Shear Wave Elastography

Connotation of Otological Symptom in Tempro Mandibular Joint Disorder and Vise-Versa (Clinical Comparative Original Study)

Assessment of the masseter stiffness in patients during conservative therapy for masticatory muscle disorders with shear wave elastography

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