Aural symptoms5/25/2023 These studies on the relationship between aural symptoms and TMD have been mainly patient-based studies. Other evidence has suggested an anatomical link between the TMJ and the middle ear through the mandibular-malleolar or diskomalleolar ligament, and neuromuscular interrelationships between the TMJ and the middle ear. The association between aural symptoms and TMD symptoms has been variously related to the position of the mandible and TMJ, retrusion of the condyles and spasm of the tensor tympani and stapedius muscles. Kitsoulis found that 10.8% of TMD subjects reported ear pain, and that 75% of those TMD subjects had severe TMD. The frequency of otalgia in patients with TMD reported 5% to 42%. Otalgia is also a very common symptom of functional disturbances of the masticatory system. It is well documented that TMD patients with tinnitus and vertigo have higher pain and dysfunction scores than do TMD patients without otologic symptoms. The prevalence of vertigo in TMD patients is reported to range from 40% to 70%. Vertigo or dizziness is a false sensation of movement or spinning or whirling motion and it occurs when the body’s equilibrium is upset. The prevalence of tinnitus among patients attending TMD clinics has been reported to vary from 33% to 76%. ![]() The prevalence of tinnitus in the TMD population appears to be greater than that found in the general population. The most commonly reported aural symptoms in TMD patients are otalgia, tinnitus, vertigo and subjective hearing loss. ![]() ![]() Īural symptoms have been implicated in the predisposition, initiation, and perpetuation of TMD but with little scientific evidence. the temporal, occipital, and frontal areas of the head, and auricular area. Apart from these sites of pain and dysfunction other areas of the face and neck can be involved, e.g. Temporomandibular disorders (TMDs) are characterized by various signs and symptoms including pain and dysfunction in the temporomandibular joint (TMJ) and/or the masticatory musculature.
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