Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-25T09:58:08.857Z Has data issue: false hasContentIssue false
  • English
  • Français

Temporomandibular disorder in otolaryngology: systematic review

Published online by Cambridge University Press:  27 October 2016

L Stepan ,
C-K L Shaw  and
S Oue
L Stepan*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Modbury Hospital, Adelaide, Australia
C-K L Shaw
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Modbury Hospital, Adelaide, Australia Department of Health Sciences, University of Adelaide, Australia
S Oue
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Modbury Hospital, Adelaide, Australia
*
Address for correspondence: Dr Lia Stepan, Shaw House, 37 Dequetteville Terrace, Kent Town, SA 5067, Australia E-mail: lia.stepan@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Temporomandibular disorder poses a diagnostic challenge to otolaryngologists as orofacial pain, headache and otology symptoms are very common in temporomandibular disorder, and mimic a number of otolaryngological conditions. Missed diagnosis of temporomandibular disorder can lead to unnecessary investigation and treatment, resulting in further patient suffering.

Objectives:

To review the current literature and propose management pathways for otolaryngologists to correctly differentiate temporomandibular disorder from other otolaryngological conditions, and to initiate effective treatment for temporomandibular disorder in collaboration with other health professionals.

Method:

A systematic review using PubMed and Medline databases was conducted, and data on temporomandibular disorder in conjunction with otolaryngological symptoms were collected for analysis.

Results:

Of 4155 potential studies, 33 were retrieved for detailed evaluation and 12 met the study criteria. There are questionnaires, examination techniques and radiological investigations presented in the literature to assist with distinguishing between otolaryngological causes of symptoms and temporomandibular disorder. Simple treatment can be initiated by the otolaryngologist.

Conclusion:

Initial temporomandibular disorder treatment steps can be undertaken by the otolaryngologist, with consideration of referral to dentists, oral and maxillofacial surgeons, or physiotherapists if simple pharmacological treatment or temporomandibular disorder exercise fails.

Keywords

Temporomandibular Joint DisordersTemporomandibular JointTemporomandibular Joint Dysfunction Syndrome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Supplement S1 , January 2017 , pp. S50 - S56
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Australian Society of Otolaryngology, Head and Neck Surgery Annual Scientific Meeting, 29 March – 1 April 2014, Brisbane, Australia.

References

1 Ferendiuk, E, Zajdel, K, Pihuyt, M. Incidence of otolaryngological symptoms in patients with temporomandibular joint dysfunctions. Biomed Res Int 2014;2014:824684 CrossRefGoogle ScholarPubMed
2 Shaffer, SM, Brismee, JM, Sizer, PS, Courtney, CA. Temporomandibular disorders. Part 1: anatomy and examination/diagnosis. J Man Manip Ther 2014;22:2–12 CrossRefGoogle ScholarPubMed
3 Israel, HA, Davila, LJ. The essential role of the otolaryngologist in the diagnosis and management of temporomandibular joint and chronic oral, head and facial pain disorders. Otolaryngol Clin North Am 2014;47:301–31Google Scholar
4 Sharma, S, Gupta, DS, Pal, US, Jurel, SK. Etiological factors of temporomandibular joint disorders. Natl J Maxillofac Surg 2011;2:116–19Google Scholar
5 Schiffman, E, Ohrbach, R, Truelove, E, Look, J, Anderson, G, Goulet, J-P et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 2013;28:6–27 Google Scholar
6 Look, JO, Schiffman, EL, Truelove, EL, Ahmad, M. Reliability and validity of Axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) with proposed revisions. J Oral Rehabil 2010;37:744–59Google Scholar
7 Scrivani, SJ, Keith, DA, Kaban, LB. Medical progress: temporomandibular disorders. N Engl J Med 2008;359:2693–705Google Scholar
8 Elberg, E, Vallon, D, Nilner, M. Treatment outcome of headache after occlusal appliance therapy in a randomised controlled trial among patients with temporomandibular disorders of mainly arthrogenous origin. Swed Dent J 2002;26:115–24Google Scholar
9 Dym, H, Israel, H. Diagnosis and treatment of temporomandibular disorders. Dent Clin North Am 2012;56:149–61Google Scholar
10 Zhao, NN, Evans, RW, Byth, K, Murray, GM, Peck, CC. Development and validation of a screening checklist for temporomandibular disorders. J Orofac Pain 2011;25:210–22Google Scholar
11 Fricton, J. Myogenous temporomandibular disorders: diagnostic and management considerations. Dent Clin North Am 2007;51:61–83 Google Scholar
12 Richardson, K, Gonzalez, Y, Crow, H, Sussman, J. The effect of oral motor exercises on patients with myofascial pain of masticatory system. Case series report. N Y State Dent J 2012;78:32–7Google Scholar
13 Kraus, S. Temporomandibular disorders, head and orofacial pain: cervical spine considerations. Dent Clin North Am 2007;51:161–93Google Scholar
14 Ramirez, LM, Ballesteros, LE, Sandoval, GP. Topical review: temporomandibular disorders in an integral otic symptom model. Int J Audiol 2008;47:215–27Google Scholar
15 Pasha, R, Golub, JS. Otolaryngology Head and Neck Surgery: Clinical Reference Guide, 4th edn. San Diego: Pleural Publishing, 2014 Google Scholar
16 Schaffer, SM, Brismee, J-M, Sizer, PS, Courtney, CA. Temporomandibular disorders. Part 2: conservative management. J Man Manip Ther 2014;22:13–23 Google Scholar
17 Rocabado, M, Iglarsh, ZA. Musculoskeletal Approach to Maxillofacial Pain. Philadelphia: JB Lippincott, 1991;187–92Google Scholar