Blake P, Thorburn D N, Stewart I A
Clin Otolaryngol Allied Sci. 1982 Aug;7(4):237-44. doi: 10.1111/j.1365-2273.1982.tb01390.x.
Thirty-one children between the ages of 6 and 16 years with otalgia but normal eardrums were investigated for temporomandibular joint dysfunction. Ear disease was excluded by microscopic examination, pure tone audiometry and impedance tympanometry. Dental disease was excluded by clinical and radiographic examination. Temporomandibular joint dysfunction was diagnosed by finding tenderness of the joint or masticatory muscles in at least two separate sites at one examination. Twenty-one patients were assessed as having joint dysfunction and in 18 of these the diagnosis was made when the child was seen in pain. Tympanometry on painful ears did not reveal any abnormality or trend in the values for compliance or middle ear pressure. Simple methods of treatment were effective in all cases. Temporomandibular joint dysfunction should be suspected in any child who complains of recurrent otalgia in the absence of dental and otological disease.
对31名年龄在6至16岁之间、有耳痛但鼓膜正常的儿童进行了颞下颌关节功能障碍的调查。通过显微镜检查、纯音听力测定和阻抗鼓室图排除耳部疾病。通过临床和影像学检查排除牙科疾病。颞下颌关节功能障碍通过在一次检查中至少在两个不同部位发现关节或咀嚼肌压痛来诊断。21名患者被评估为患有关节功能障碍，其中18名患者是在疼痛时就诊时做出诊断的。对疼痛耳朵进行的鼓室图检查未发现顺应性或中耳压力值有任何异常或趋势。所有病例采用简单的治疗方法均有效。对于任何在没有牙科和耳科疾病的情况下抱怨反复耳痛的儿童，都应怀疑颞下颌关节功能障碍。
