Otologic symptomatology associated with the temporomandibular joint disorder

Abstract

Functional connection between the stomatognathic system and the acoustic-vestibular apparatus is mentioned from ancient times, being at the same time approached with interest in topical studies, in an attempt to elucidate in depth the cause-effect relationship between pathology and symptom.The theoretical and practical knowledge of anatomy accumulated over the years represent an indisputable proof of the connection that exists between the two entities, but there is a continuing debate nowadays about the extent to which the pathology of the temporomandibular joint can generate otological symptoms and especially the limits within which the treatment for this disorder can influence the diminution of the manifestations of the acoustic-vestibular system.Although symptoms such as otalgia, tinnitus, vertigo are commonly found in the ear pathology, ENT specialists are constantly confronted with situations where these phenomena are the clinical expression of certain disorders that go beyond the acoustic-vestibular analyzer. As the components of the dento-maxillary apparatus are, in many situations, cited as a source of the same symptomatology, the interdisciplinary collaboration between the ENT specialist and the dentist is essential in shaping a correct diagnosis and, implicitly, in focusing on an ideal treatment plan. ABSTRACT BACKGROUND.Functional connection between the stomatognathic system and the acoustic-vestibular apparatus is ap-

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

“…Severity with extensions of pain are diverse, may radiate to the preauricular, nasal, orbital, occipital, mastoid, supraclavicular level. Gabriela Musat 2017 an ENT surgeon focuses on importance of TMJ pain differential diagnosis [12]. This is in the line with the result of this study as pain forming the highest symptom for both specialties.…”

“…Furthermore, Goodfriend 1933, noted the link between the incidence of tinnitus and the stomatognathic system dysfunction, argument also approached by Costen in 1934. Other author considers there is an increase in tinnitus intensity with up to 75% during voluntary movements of the temporo mandibular joint [12].…”

“…Temporomandibular joint disorder is common disorder display multiple symptoms and varied terminology are screened in the literature such as -painful myofascial syndrome‖ or -occlusal-articular algodysfunctional syndrome‖. In some instances, it can affect patients' capability even causing psychological disturbances as it can manifest symptom with teeth, muscle or joint which can extend affecting and influence the diminution of the manifestations of the acoustic-vestibular system [12].…”