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Original Articles
June 1961

The Nonsurgical Temporomandibular Joint Syndrome

Arch Otolaryngol. 1961;73(6):681-685. doi:10.1001/archotol.1961.00740020695012

Introduction  The object of this paper is to present the etiology, diagnosis, and treatment of the common temporomandibular joint syndrome. Costen1 was one of the first to bring to the attention of the profession the relationship between symptoms about the temporomandibular joint and the occlusion of the teeth. Unfortunately Costen had the misconception that the mandible is a Class III lever and that the symptoms were due to pressure of the condylar head on various structures. Since 1934 it has been found that neither "opening the bite" nor surgery is the entire solution to this symptom complex.

Definition  The nonsurgical temporomandibular joint syndrome is one manifested by pain in and about the ear with radiation into the temple and/or jaw. It is manifested by noise within the joint and typically by episodes of limited jaw function or opening. Many bizarre symptoms in and about both the anterior and posterior