Often in the practice of medicine the exact order in which a patient relates his symptoms promptly suggests to his physician a specific line of clinical investigation. Approximately three years ago a patient was examined whose complaints were only those of pain in the jaw joint and hearing loss on the same side.
As observed by a younger otolaryngologist, interest in symptoms related to dysfunction of the temporomandibular joint has waxed and waned. Initial enthusiasm was tempered by older confreres and teachers who were pressed to take a stand pro or con. Attempts to explain pinched nerves as producing pain when an intact meniscus was demonstrable by x-ray examination led to further doubts. The more recent concept of disturbed neuromuscular physiology with dental malocclusion caused by missing teeth and prolonged dental microtrauma as etiological factors producing muscle spasm and pain is now widely accepted. An excellent historical review of this
BREWER DW. Audio - Prosthetic Management of Eustachian Tube Blockage. AMA Arch Otolaryngol. 1958;68(4):451–453. doi:10.1001/archotol.1958.00730020469007
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