Temporomandibular Joint and Otitis Media: A Narrative Review of Implications in Etiopathogenesis and Treatment

Bernkopf, Edoardo; Cristalli, Giovanni; Vincentiis, Giovanni Carlo De; Bernkopf, Giulia; Capriotti, Vincenzo

doi:10.3390/medicina58121806

Cited by 4 publications

(6 citation statements)

References 65 publications

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“…The condition of the ET has been linked to OME pathogenesis [ 23 ]. A new hypothetical mechanism of the transient sequential ET ventilation contributes evidence proving masticatory muscles’ fundamental role in ET functioning, especially the pterygoid muscle [ 24 , 25 ]. ET rehabilitation includes, among others, muscle-strengthening exercises and insufflation and may be considered a useful therapy in the management of OME [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Resolution of Otitis Media with Effusion in Adults after a Three-Day Course of Treatment with a Manosonic Nebulizer—A Pilot Study

Zasadzińska-Stempniak

Karwat

Jarmołowicz-Aniołkowska

et al. 2023

Medicina

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Background and Objectives: Aerosol drug administration is the primary treatment modality of otitis media with effusion (OME). An automatic manosonic aerosol generator (AMSA) delivers, with an acoustic overpressure, a therapeutic dosage of a drug by inhalation of the aerosol. However, available studies confirming their efficacy, especially in adults, are limited. Therefore, this pilot single-arm trial aimed to analyze changes in adults with OME following AMSA treatment. Materials and Methods: A group of 36 patients (mean age 51.4 years) with OME underwent a three-day treatment with inhaled mucolytic and steroids administered by AMSA. Tympanometry (tympanogram type, volume, compliance, pressure, and gradient) was performed to measure middle ear effusion before and after the intervention. Results: Following the intervention, partial and complete OME remission was observed in, respectively, 29 (81%) and 14 (39%) patients. The tympanogram type of the affected ears differed between baseline and after intervention measurements (p < 0.001). Tympanometry-based normalization, improvement deterioration and no change were observed in, respectively, 34 (68%), 1 (2%) 2 (4%), and 13 (26%) affected ears. Following the intervention, we observed an increase in continuously assessed middle ear volume (∆median 0.19 mL, p = 0.002) and pressure (∆median 142 daPa, p < 0.001), as well as a higher proportion of patients achieving categorical normalization of compliance (16% vs. 54%, p < 0.001) and pressure (28 vs. 64%, p < 0.001). Conclusions: Treatment efficacy was not affected by age, sex, or season of recruitment (all p > 0.05). The results of this pilot study are encouraging, however, the use of AMSA management of OME in adults needs to be verified in future studies.

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Section: Discussionmentioning

confidence: 99%

Resolution of Otitis Media with Effusion in Adults after a Three-Day Course of Treatment with a Manosonic Nebulizer—A Pilot Study

Zasadzińska-Stempniak

Karwat

Jarmołowicz-Aniołkowska

et al. 2023

Medicina

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“…Afterward, several studies on the pediatric population supported the relationship between the mandibular position and the risk of OM (Bernkopf et al 2016 ; De Stefano et al 2009 ; Giuca et al 2011 ). A recent narrative review (Bernkopf et al 2022 ) collected the current evidence about the impact of temporomandibular joint (TMJ) dysfunction on the onset of OM. The anatomical and physiological relations between middle ear structures—particularly ET, TMJ, and the mandible—seem to endorse the role of the stomatognathic system in the pathogenesis of OM.…”

Section: Introductionmentioning

confidence: 99%

Is there any correlation between otitis media and dental malocclusion in children? A systematic review

Bardellini

Amadori

Garo

et al. 2023

Eur Arch Paediatr Dent

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Purpose This study aims to evaluate whether there is a correlation between otitis and dental malocclusions. Methods Electronic databases were searched for observational studies published until July 2021 without language or time restrictions. PROSPERO: CRD42021270760. Observational studies on children with and without OM and/or malocclusion were included. After removing duplicates and excluding not-eligible articles, two reviewers screened relevant articles independently. Two reviewers independently extracted data and assessed data quality and validity through the Newcastle–Ottawa Scale (NOS) quality assessment tool for non-randomized studies. Results Five studies met the selection inclusion criteria and were included in the studies for a total of 499 patients. Three studies investigated the relationship between malocclusion and otitis media, while the remaining two studies analyzed the inverse relationship and one of them considered eustachian tube dysfunction as a proxy of OM. An association between malocclusion and otitis media and vice versa emerged, although with relevant limitations. Conclusion There is some evidence that there is an association between otitis and malocclusion; however, it is not yet possible to establish a definitive correlation.

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“…To strengthen our point, a dysfunctional temporomandibular joint has recently been reconsidered as a potential worsening factor of recurrent acute otitis media, otitis media with effusion, and Menière's disease, which in turn have been associated with OSA. 4,5 Noticeably, both Menière's disease and otitis media in its recurrent acute and effusive forms could benefit from treatment with oral appliances, as OSA and TMDs do after a thorough patient selection and a correct design of the devices.…”

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confidence: 99%

Look at the elephant! Commentary on ‘Prevalence of temporomandibular disorders in adult obstructive sleep apnoea patients: A cross‐sectional controlled study’

Capriotti

Nardone

Bernkopf³

2023

J of Oral Rehabilitation

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sial issue such as temporomandibular disorders (TMDs) in this special population. We also congratulate the colleagues on the attempt to provide a matched control group.However, we fear that speaking of TMDs and obstructive sleep apnoea (OSA), the elephant in the room could have been overlooked: dental malocclusion and mandibular malposition as risk factors for both conditions. We are also concerned about some methodological issues that could have undermined the results and misled the conclusions.Malocclusion and mandibular misalignment are claimed to be potential risk factors for both TMDs and OSA.

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Temporomandibular Joint and Otitis Media: A Narrative Review of Implications in Etiopathogenesis and Treatment

Cited by 4 publications

References 65 publications

Resolution of Otitis Media with Effusion in Adults after a Three-Day Course of Treatment with a Manosonic Nebulizer—A Pilot Study

Resolution of Otitis Media with Effusion in Adults after a Three-Day Course of Treatment with a Manosonic Nebulizer—A Pilot Study

Is there any correlation between otitis media and dental malocclusion in children? A systematic review

Look at the elephant! Commentary on ‘Prevalence of temporomandibular disorders in adult obstructive sleep apnoea patients: A cross‐sectional controlled study’

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