EVALUATE THE ASSOCIATION BETWEEN OTALGIA, TINNITUS AND TEMPOROMANDIBULAR JOINT DYSFUNACTION
Qays Jaafar Khalaf*
ABSTRACT
Background: The temporomandibular joint is closely related anatomically to the external acoustic meatus and clinical conditions of the joint may produce symptoms of pain that must be distinguished from those directly associated with the ear. Temporomandibular dysfunction (TMD) is defined as a group of conditions characterized by pain or dysfunction in the temporomandibular joint (TMJ) and masticatory muscles, restrictive, jaw movements and TMJ sound. The patients with temporomandibular disorders may also complain of aural symptoms such as otalgia, tinnitus, vertigo and impaired hearing. Objectives: The purpose of the study was to evaluate the Association between Otalgia, tinnitus and temporomandibular joint dysfunction. Patients and methods: This prospective clinical study was carried out on 50 temporomandibular dysfunction patients diagnosed in the department of otolaryngology Head and Neck surgery in Ain Shams teaching hospital., 7male and 43 female. This study conducted at 25\9 \2014 to 20\3 \2015. Results: the most otological symptom in temporomandibular joint dysfunction otalgia in (74%) and tinnitus (50%) .also shows significant difference among headache as regard otalgia, tinnitus, with p-value, 0.042 and 0.022, respectively and . statistically significant difference among myofacial pain as regard otalgia, tinnitus, with p-value, 0.032, 0.032; respectively using Chi-square test. Conclusions: The findings of this study indicate a high Prevalence of otologic symptoms in patients with TMDs. Most signs and symptom occur in females due to hormonal, psychological and physiological factors. The close embryological, anatomical and functional relationships between the temporomandibular joint and the middle ear may explain the link between aural symptoms and TMD severity.
Keywords: Temporomandibular joint dysfunction, otalgia, tinnitus, myofacial pain.
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