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颞下颌关节与中耳炎:发病机制与治疗关联的叙述性综述。

Temporomandibular Joint and Otitis Media: A Narrative Review of Implications in Etiopathogenesis and Treatment.

机构信息

Dental Clinic, Via Massaciuccoli 19, 00100 Rome, Italy.

Otolaryngology Unit, Bambino Gesù Children's Hospital, IRCCS, Via della Torre di Palidoro, 00050 Rome, Italy.

出版信息

Medicina (Kaunas). 2022 Dec 8;58(12):1806. doi: 10.3390/medicina58121806.

Abstract

Otitis media (OM) and its recurring (rAOM), effusive (OME), and chronic forms, represent a frequent clinical challenge. The middle ear, the mandible, and the temporomandibular joint (TMJ) share several embryological and anatomical connections. Despite that, the role of mandibular malposition and TMJ dysfunction is frequently overlooked in the management of otitis media. In this narrative review, we present current evidence supporting the etiopathogenetic role of a dysfunctional stomatognathic system in the onset of OM and the effectiveness of orthognathic treatment in preventing rAOM and OME. In particular, a focus on the influence of TMJ on Eustachian tube function is provided.

摘要

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