During the observation of ninety patients with neuralgia and aural symptoms associated with destruction and disturbed function of the temporomandibular joint, ten were found to have burning pain about the tongue and pharynx. One varied the description to a "prickling sensation along the margin of the tongue." Complete relief was obtained in most of these patients after repositioning the lower jaw to increase its vertical dimension and bring the condyle out of range of the auriculotemporal and chorda tympani nerves. The relationship and reflex path for the pain seem clear.
Prinz and Greenbaum1 have stated very recently that nothing definite is known of the cause of glossodynia, ascribing it to endocrine disorders, disturbances of the reticulo-endothelial system and to abnormal acid conditions of the stomach. The relationship of gumma in cases of syphilis involving the central nervous system is obvious from the relief experienced after antisyphilitic
COSTEN JB. GLOSSODYNIA: REFLEX IRRITATION FROM THE MANDIBULAR JOINT AS THE PRINCIPAL ETIOLOGIC FACTOR: STUDY OF TEN CASES. Arch Otolaryngol. 1935;22(5):554–564. doi:10.1001/archotol.1935.00640030571003
Monkeypox Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.