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Original Articles

Topical review: Temporomandibular disorders in an integral otic symptom model

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Pages 215-227 | Received 18 May 2007, Published online: 07 Jul 2009
 

Abstract

The literature has closely observed otic symptoms (and other craniofacial complaints) in temporomandibular disorders; however, there is little evidence for an association between the two. This review tries to provide an integrated biological basis for otic symptoms in temporomandibular disorders from both anatomical and physiological points of view; it also attempts to enlarge the view of one of the ranges of central and peripheral mechanisms involved. The pathophysiology of common symptoms is integrated within different health specialties through basic science. This review is not based on a structured selection of randomized controlled trials; rather, it deals with perspectives of otic symptoms triggered or exacerbated by stomatognathic dynamics.

Abbreviations
TMD=

Temporomandibular disorders

TMJ=

Temporomandibular joint

TT=

Tensor tympani

TVP=

Tensor veli palatini

DCN=

Dorsal cochlear nucleus

CNS=

Central nervous system

Abbreviations
TMD=

Temporomandibular disorders

TMJ=

Temporomandibular joint

TT=

Tensor tympani

TVP=

Tensor veli palatini

DCN=

Dorsal cochlear nucleus

CNS=

Central nervous system

Sumario

La literatura ha observado de cerca los síntomas óticos (y otros síntomas craneofaciales) en los desórdenes temporo-mandibulares; sin embargo, existe poca evidencia sobre la asociación entre ambos. Esta revisión trata de proporcionar una base biológica integral sobre los síntomas óticos y los desórdenes temporo-mandibulares tanto desde el punto de vista anatómico como fisiológico. También intenta enriquecer la visión de los mecanismos centrales y periféricos involucrados. La fisiopatología de los síntomas comunes se integra desde diferentes especialidades de la salud a través de la ciencia básica. Esta revisión no se basa en una selección estructurada o en ensayos clínicos aleatorios controlados; en cambio, sí trata en perspectiva los síntomas óticos desencadenados o exacerbados por la dinámica estomatognática.

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