Sestre Milosrdnice University hospital and Institute of Clinical Medical Research
Abstract
Temporomandibular disorders (TMD s) are a form of musculoskeletal pain of the temporomandibular joint (TMJ ) and/or masticatory muscles of nonspecific etiology. In this study, the relationship between embryonic and anatomic-topographic similarities of the TMJ and the ear was analyzed, i.e. secondary otologic symptoms that can be closely connected to TMJ disorder. Nonspecific otologic symptoms are not primary diagnostic symptoms of TMD , but may cause diagnostic confusion due to patients’ inability to correctly locate the origin of pain. The most common otologic symptoms that can be related to TMD s are otalgia, tinnitus and vertigo. Otorhinolaryngologists have to differentiate between primary otologic symptoms and those caused by TMJ disorders. In TMD diagnosis, manual techniques are used to determine the arthrogenic or myogenic form, whereas in the diagnosis of arthrogenic disorders magnetic resonance imaging is indicated as the highly specific imaging method of joint disk and osteoarthritic changes. Symptomatic treatments for TMD as well as the etiologic diagnosis of the pain require multidisciplinary cooperation between dentists and medical specialists.Temporomandibularni poremećaji (TMP ) su oblik mišićno-skeletne boli temporomandibularnog zgloba (TMZ) i/ili žvačnih mišića nespecifične etiologije. U ovoj studiji analizirao se odnos embrijskih i anatomsko-topografskih sličnosti TMZ i uha, odnosno sekundarnih otoloških simptoma koji se mogu usko povezati s TMP . Nespecifični otološki simptomi nisu primarni dijagnostički simptomi TMP , ali mogu izazvati dijagnostičke probleme zbog nemogućnosti bolesnika da točno lociraju izvor boli. Najčešći otološki simptomi koji se mogu povezati s TMP su bolovi u uhu, šum u uhu i vrtoglavica. Otorinolaringolozi moraju razlikovati primarne otološke simptome i one uzrokovane poremećajima u TMZ. U dijagnostici TMP primjenjuju se ručne tehnike kako bi se utvrdio artrogeni ili miogeni oblik, dok je u dijagnostici artrogenih poremećaja indicirana magnetska rezonancija kao visoko specifična metoda slikovnog prikazivanja zglobnog diska i osteoartritičnih promjena. Simptomatsko liječenje TMP , kao i etiološka dijagnostika boli zahtijeva multidisciplinarnu suradnju stomatoloških i medicinskih specijalista
