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Temporomandibular disorder in otolaryngology: systematic review

Published online by Cambridge University Press:  27 October 2016

L Stepan ,
C-K L Shaw  and
S Oue
L Stepan*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Modbury Hospital, Adelaide, Australia
C-K L Shaw
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Modbury Hospital, Adelaide, Australia Department of Health Sciences, University of Adelaide, Australia
S Oue
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Modbury Hospital, Adelaide, Australia
*
Address for correspondence: Dr Lia Stepan, Shaw House, 37 Dequetteville Terrace, Kent Town, SA 5067, Australia E-mail: lia.stepan@gmail.com
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Abstract

Background:

Temporomandibular disorder poses a diagnostic challenge to otolaryngologists as orofacial pain, headache and otology symptoms are very common in temporomandibular disorder, and mimic a number of otolaryngological conditions. Missed diagnosis of temporomandibular disorder can lead to unnecessary investigation and treatment, resulting in further patient suffering.

Objectives:

To review the current literature and propose management pathways for otolaryngologists to correctly differentiate temporomandibular disorder from other otolaryngological conditions, and to initiate effective treatment for temporomandibular disorder in collaboration with other health professionals.

Method:

A systematic review using PubMed and Medline databases was conducted, and data on temporomandibular disorder in conjunction with otolaryngological symptoms were collected for analysis.

Results:

Of 4155 potential studies, 33 were retrieved for detailed evaluation and 12 met the study criteria. There are questionnaires, examination techniques and radiological investigations presented in the literature to assist with distinguishing between otolaryngological causes of symptoms and temporomandibular disorder. Simple treatment can be initiated by the otolaryngologist.

Conclusion:

Initial temporomandibular disorder treatment steps can be undertaken by the otolaryngologist, with consideration of referral to dentists, oral and maxillofacial surgeons, or physiotherapists if simple pharmacological treatment or temporomandibular disorder exercise fails.

Keywords

Temporomandibular Joint DisordersTemporomandibular JointTemporomandibular Joint Dysfunction Syndrome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Supplement S1 , January 2017 , pp. S50 - S56
Copyright
Copyright © JLO (1984) Limited 2016 

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Footnotes

Presented at the Australian Society of Otolaryngology, Head and Neck Surgery Annual Scientific Meeting, 29 March – 1 April 2014, Brisbane, Australia.

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