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Anales de Otorrinolaringología Mexicana

2009, Number 3

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Otorrinolaringología 2009; 54 (3)

Manifestaciones otológicas ante disfunción de la articulación temporomandibular

Delgado SB, Sánchez GA

Language: Spanish
References: 31
Page: 112-118
PDF size: 791.94 Kb.


ABSTRACT

Background: We can define the Temporomandibular Joint Dysfunction, as the disorder that occurs when the temporomandibular joint doesn’t line up during its habitual functioning in suitable form. In Mexico, there is no statistical information that support this pathology. It is necessary to observe the phenotype and attitude of the patient on having realized the anamnesis and the physical examination, since we frequently observe it in patients who handle up high levels of stress. Frequently the discomfort of the patient is attributed to a pure otologyc disorder. This is why the physicians, once realized the clinical interview, must explore the joint and later apply studies, audiometric ones first, latter of image, static and dynamic.
Objective: To determine the presence of otologyc symptomatology secondary to Temporomandibular Joint Dysfunction.
Patients and methods: It is a study observacional, transversely, market, descriptively and Analytical. The Universe of work they were all the patients who came to External Consultation of Otolaryngology Service from March 1st 2005 until February 28th 2008, with diagnosis of Temporomandibular Joint Dysfunction.
Results: 41 patients were included, 32 (78 %) was women and 9 (22 %) men. With ages between the 19 and 60 years. The average of the age was 40.5 years. The principal otologyc symptom was earache in 33 patients. To all the patients (100 %) they the joint was explored physically temporomandibular and they Schuller’s X-ray photography was realized.
Conclusions: Temporomandibular Joint Dysfunction is a frequent entity; the majority of the persons who suffer it ignore it, coming to medical consultation with symptoms as earache, attributing it to otologyc problems. It’s important to explore it in all the patients who present otolaryngologic discomfort. It must be treated in multidisciplinary form.


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