Badel Tomislav, Savić-Pavicin Ivana, Zadravec Dijana, Marotti Miljenko, Krolo Ivan, Grbesa Durdica
Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia.
Acta Clin Croat. 2011 Mar;50(1):51-60.
Temporomandibular disorders (TMDs) are a form of musculoskeletal pain of the temporomandibular joint (TMJ) and/or masticatory muscles of nonspecific etiology. In this study, the relationship between embryonic and anatomic-topographic similarities of the TMJ and the ear was analyzed, i.e. secondary otologic symptoms that can be closely connected to TMJ disorder. Nonspecific otologic symptoms are not primary diagnostic symptoms of TMD, but may cause diagnostic confusion due to patients' inability to correctly locate the origin of pain. The most common otologic symptoms that can be related to TMDs are otalgia, tinnitus and vertigo. Otorhinolaryngologists have to differentiate between primary otologic symptoms and those caused by TMJ disorders. In TMD diagnosis, manual techniques are used to determine the arthrogenic or myogenic form, whereas in the diagnosis of arthrogenic disorders magnetic resonance imaging is indicated as the highly specific imaging method ofjoint disk and osteoarthritic changes. Symptomatic treatments for TMD as well as the etiologic diagnosis of the pain require multidisciplinary cooperation between dentists and medical specialists.
颞下颌关节紊乱病（TMDs）是一种病因不明的颞下颌关节（TMJ）和/或咀嚼肌的肌肉骨骼疼痛形式。在本研究中，分析了颞下颌关节与耳朵在胚胎学和解剖学 - 地形学上的相似性之间的关系，即与颞下颌关节紊乱密切相关的继发性耳科症状。非特异性耳科症状不是颞下颌关节紊乱病的主要诊断症状，但由于患者无法正确定位疼痛来源，可能会导致诊断混淆。与颞下颌关节紊乱病相关的最常见耳科症状是耳痛、耳鸣和眩晕。耳鼻喉科医生必须区分原发性耳科症状和由颞下颌关节紊乱引起的症状。在颞下颌关节紊乱病的诊断中，手动技术用于确定关节源性或肌源性形式，而在关节源性疾病的诊断中，磁共振成像被认为是关节盘和骨关节炎变化的高度特异性成像方法。颞下颌关节紊乱病的对症治疗以及疼痛的病因诊断需要牙医和医学专家之间的多学科合作。
