J Am Dent Assoc. 2022 Nov;153(11):1096-1103. doi: 10.1016/j.adaj.2021.07.029. Epub 2021 Nov 17.
The aim of this article is to discuss the scientific evidence available on the pathophysiology and management of otologic complaints in patients with temporomandibular disorders (TMDs).
The authors conducted an electronic search in MEDLINE, Web of Science and ScienceDirect and retrieved all the relevant peer-reviewed journal articles available in English on the topic. No time restriction was applied.
No consensus exists on the management of otologic symptoms in patients with concomitant TMD. The scientific evidence suggests that conservative or reversible TMD therapy might provide relief. However, this evidence is scarce and low, thus further studies with larger sample sizes and better designed methodological frameworks are needed. Until such evidence is available, dentists and orofacial pain specialists should treat TMD patients using current guidelines and refer those with otologic symptoms to an otolaryngologist.
Given the wide range of potential pathophysiologies and treatments for each otologic symptom described in the TMD patient, close collaboration with otolaryngologists is essential to achieve the best patient care.
本文旨在讨论颞下颌关节紊乱病（TMD）患者耳科症状的病理生理学和治疗的现有科学证据。
作者在 MEDLINE、Web of Science 和 ScienceDirect 上进行了电子检索，检索了所有关于该主题的英语同行评议期刊文章。未设置时间限制。
对于同时患有 TMD 的患者的耳部症状的管理，尚无共识。科学证据表明，保守或可逆的 TMD 治疗可能会缓解症状。然而，这方面的证据很少且质量较低，因此需要进行更多具有更大样本量和更好设计的方法学框架的研究。在有这种证据之前，牙医和颌面疼痛专家应该根据现有指南治疗 TMD 患者，并将有耳部症状的患者转介给耳鼻喉科医生。
鉴于 TMD 患者描述的每种耳部症状都有广泛的潜在病理生理学和治疗方法，与耳鼻喉科医生密切合作对于实现最佳患者护理至关重要。
