Symptom Relief After Treatment of Temporomandibular and Cervical Spine Disorders in Patients with Meniere's Disease: A Three-Year Follow-up

Bjorne, Assar; Agerberg, G

doi:10.1080/08869634.2003.11746232

Cited by 37 publications

(31 citation statements)

References 12 publications

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“…40,50 Even conditions considered as purely otologic, such as "Menière's disease," may be improved by successful TMJ therapy. 51 Surgical interventions to the TMJ have been used since 1826 52 to treat dysfunction that might be due to internal derangement, neoplasia, congenital malformation, trauma, osteoarthritis, osteochondritis disseccans, avascular necrosis and rheumatoid arthritis. 53 The application of prostheses made from autogenous grafts or alloplastic materials 52 is established as the gold standard in severe cases leading to unbearable pain or ankylosis.…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular Joint and Correlated Fissures: Anatomical and Clinical Consideration

2008

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An anatomical study of the fissures related to the temporomandibular joint (TMJ) was performed in 40 dry human skulls. The length of the squamotympanic fissure (X), as well as those of the petrotympanic fissure (Y) and the (descending part of) the petrosquamous fissure (Z), into which the first of them (as a rule) branches, was measured. The distances between the point of this bifurcation and the deepest point of the glenoid fossa (A), the articular tubercle (B), and the styloid process (C) of the TMJ were also measured. The distances measured presented a significant variability among different specimens. In particular, the lengths (X, Y, and Z) of some fissures measured twice as great compared to other ones. All distance measurements were expressed in mm. Dysfunction of the TMJ may lead to a variety of ear symptoms, i.e., otalgia, tinnitus, hearing loss, possibly vertigo and, less often, to tongue symptoms (collectively characterized as temporomandibular syndrome). These symptoms often relate to the important anatomic structures (anterior malleolar ligament, anterior tympanic artery and chorda tympani nerve) coursing (mainly) through the petrotympanic fissure, whose length and position may exert considerable impact. The measured distances (hardly assessable through a plain radiogram) may also be considered as parameters that need to be taken into account in view of an eventual replacement of a poorly functioning TMJ by a suitable prosthesis.

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Section: Discussionmentioning

confidence: 99%

Temporomandibular Joint and Correlated Fissures: Anatomical and Clinical Consideration

2008

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“…According to the authors, most of the patients (75 %) reported a strong association between head-neck movements in the atlanto-occipital and atlanto-axial joints and triggered attacks of vertigo. Furthermore, the same AA [ 28 ] reported that a coordinated treatment of temporomandibular disorders (TMD) and cervical spine disorders in patients diagnosed with Ménière's disease, after a 3 years follow-up, showed simultaneous decreases in the intensities of vertigo, nonwhirling dizziness, tinnitus, feeling of fullness in the ear, pain in the face and jaws, pain in the neck and shoulders and headache.…”

Section: Decrease the Frequency Of Acute Attacksmentioning

confidence: 95%

Ménière’s Disease

Alpini¹,

Cesarani²,

Brugnoni³

2014

Vertigo Rehabilitation Protocols

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Prehab has been proposed for subjects undergoing gentamicin treatment, as in chemical labyrinthectomy. Subjects would perform vestibular exercises for 2 weeks before the fi rst gentamicin installation or surgical operation.Exercises in the gymnasium to be performed with the therapist three times a week 1. Relaxation exercises such as control of breathing with improving consciousness of abdominal or thoracic breathing. A simple exercise consists in deep inhalation followed, after few seconds, by a forced exhalation pronouncing the word "one". This exercise is repeated 8-10 times. 2. From the supine position, the patient shifts to sitting position, fi xating a point straight in front of her/him ( Fig. 10.1 ). 3. In the sitting position, the patient grasps a stick with both hands and takes the stick behind her/his shoulder, positioning the stick at the level of the cervicodorsal junction. In this position, she/he pushes the stick against her/his back, exhaling and inhaling rhythmically and slowly. She/he then repeats the exercise, moving the stick forward on the sternum at the level of the sterno-clavear joint. The patient grasps the stick with both hands frontally positioned. 4. Standing on a foam mattress.(a) The patient fi xates her-/himself in a mirror. The therapist helps her/him to align her/his position correctly. She/he must maintain equilibrium for 1 min with eyes open and then close her/his eyes visualizing her/his correct position while remaining in this position for at least 1 min.

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“…In contrast to the traditional medical approach, Bjorne et al [24][25][26] have studied the association between patients with MD, and concomitant TMJ and cervical spine disorders. In successive studies, 24,25 they found a much higher prevalence of signs and symptoms of craniomandibular and cervical spine disorders, respectively, in patients diagnosed with MD compared with controls.…”

Section: Discussionmentioning

confidence: 99%

“…26 The treatment consisted of a range of therapies including education; stress, relaxation, and postural training; stretching exercises; periodontal grinding; custom bite splints; lidocaine injections; and physiotherapy. The study results showed significant, simultaneous improvements (throughout the 3-year follow-up) for all MD symptoms, as well as neck/shoulder, jaw, and headache pain.…”

Section: Discussionmentioning

confidence: 99%

Chiropractic management of a 40-year-old female patient with Ménière disease

Emary¹

2010

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the chiropractic management of a patient with Ménière disease. Clinical Features: A 40-year-old woman presented with a diagnosis of Ménière disease including a 2-month history of vertigo and a 16-month history of left-sided tinnitus, lowfrequency hearing loss, and aural fullness. The patient's other symptoms included left-sided neck pain, temporomandibular joint pain, and headaches. Examination revealed left-sided upper cervical joint dysfunction along with myofascial trigger points in the middle and upper trapezius muscle. Intervention and Outcome: Treatment included primarily high-velocity, low-amplitude spinal manipulation to the upper cervical and thoracic spine, along with soft-tissue trigger-point therapy, and stretching exercises. Within 2 weeks of treatment, the patient's tinnitus had resolved; and all other symptoms (including vertigo) were improved. The patient's headaches, neck pain, and vertigo were subsequently resolved within 3 months of treatment. The patient experienced only 2 minor episodes of self-resolving "light-headedness" over that time. After 2½ years of follow-up, any occasional episodes of mild aural fullness and/or light-headedness are either self-resolving or relieved with cervical spinal manipulation and soft-tissue treatment. Conclusion: This case report suggests that chiropractic care, including upper cervical spinal manipulation and soft-tissue therapy, may be beneficial in treating some patients with Ménière disease.

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Symptom Relief After Treatment of Temporomandibular and Cervical Spine Disorders in Patients with Meniere's Disease: A Three-Year Follow-up

Cited by 37 publications

References 12 publications

Temporomandibular Joint and Correlated Fissures: Anatomical and Clinical Consideration

Temporomandibular Joint and Correlated Fissures: Anatomical and Clinical Consideration

Ménière’s Disease

Chiropractic management of a 40-year-old female patient with Ménière disease

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