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MISDIAGNOSED MEDICAL CONDITIONS: 

IT'S A TMJ DISORDER PROBLEM

VERTIGO

HEARING LOSS

TINNITUS

SENSATION OF FULLNESS IN THE EAR

Tinnitus sensation and other otologic symptoms have been linked to the presence of TMD(s):

  • Ear Pain (Otalgia) (Peroz, Keersmaekers et al, Seedorf and Jüde, Tuz et al, Badel, Pereira et al); 

    • Badel found otalgia in 51.2% of patients with TMJ articular disk displacement using magnetic resonance imaging (MRI)

  • Decreased Hearing (Hypoacusis) (Ramirez et al., 2008)

  • Tinnitus (a roaring, buzzing, or ringing sound in the ear) (Pereira et al, Parker and Chole, Tuz)

    • Ren and Isberg determined a significant connection between anterior disk displacement and tinnitus in patients with TMJ disorder.

  • Ear fullness (Pereira et al)

  • Vertigo (Parker and Chole)

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WHY EAR SYMPTOMS CAN BE CAUSED BY THE TMJ 

The explanation of the cause of the otologic (ear) symptoms and signs in TMJ Disorders (TMJ) (Ramirez, 2008):

  • Embryological

  • Muscular

  • Bone communication

  • Neural network.

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EAR SYMPTOMS CAUSED BY TMJ STUDY OF 2131 PATIENTS

According to a study (Kuttila, 2003) study of 2131 adults with ear symptoms in relation to TMJ Disorders (TMD), the author concluded that patients with ear pain (otalgia), tinnitus or fullness of ears, it is important to first rule out otologic and nasopharyngeal diseases that may cause the symptoms. If no explanation for otologic (ear) symptoms is found, temporomandibular and cervical spine disorders should be ruled out.

REFERENCES:

  • American Academy of Otolaryngology – Head and Neck Surgery website (http://www.entnet.org/content/menieres-disease)

  • Bjorne A, Agerberg G. Craniomandibular disorders in patients with Menière’s disease: a controlled study. J Orofac Pain. 1996 Winter;10(1):28-37.

  • Bjorne A, Agerberg G. Symptom relief after treatment of temporomandibular and cervical spine disorders in patients with Meniere’s disease: a three-year follow-up. Cranio. 2003 Jan;21(1):50-60.

  • Parker WS, Chole RA. Tinnitus, vertigo and temporomandibular disorders.  Am J Orthod Dentofac Orthop. 1995 fev;107(2):153-158.

  • Pereira KNF, Andrade LLS, Costa MLG, Portal TF. Sinais e sintomas de pacientes com disfunção temporomandibular. Rev CEFAC. 2005;7(2):221-8.

  • Peroz I. Otalgie und Tinnitus bei Patienten mit kraniomandibulären Dysfunktionen. HNO 2001;49:713-8.

  • Keersmaekers K, De Boever JA, Van Den Berghe L. Otalgia in patients with temporomandibular joint disorders. J Prosthet Dent 1996;75:72-6.

  • Seedorf H, Jüde HD. Otalgien als Folge bestimmter kraniomandibulärer Dysfunktionen. Laryngorhinootologie 2006;85:327-32.

  • Badel T. Temporomandibularni poremećaji i stomatološka protetika. Zagreb: Medicinska naklada, 2007.

  • Tuz HH, Onder EM , Kisnisci RS. Prevalence of otologic complaints in patients with temporomandibular disorder. Am J Orthod Dentofacial Orthop 2003;123:620-3.

  • Ramirez et al. Topical review:  temporomandibular disorders in an integral otic symptom model.  Int J Audiology. 2008;47(4):215-27.)

  • Ren YF , Isberg A. Tinnitus in patients with temporomandibular joint internal derangement. Cranio 1995;13:75-80.

  • Seppo Kuttila. Secondary aural symptoms in relation to cranio-cervical and general disorders. ANNALES UNIVERSITATIS TURKUENSIS. SARJA- SER. D MEDICA-ODONTOLOGICA, OSA-TOM. 2003)

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