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May 1960

The Differential Diagnosis of Temporomandibular Joint Pain

AMA Arch Otolaryngol. 1960;71(5):789-792. doi:10.1001/archotol.1960.03770050049007

Certainly temporomandibular joint pain has a long history, for Ruffer1 found evidences of temporomandibular joint pathology in the skulls of early modern man. In 3,000 B.C., the surgeon of the Old Kingdom in Egypt had a sound working knowledge of the anatomy of this joint. The earliest known surgical text, the Edwin Smith Papyrus,2 reports a case of "dislocation of the mandible" with a diagnosis and method of reduction that is still used today.

Bellinger3 quotes Cooper, in 1842, as calling attention to snapping in the temporomandibular joint, and Annandale, in 1887, for opening into the joint, repositioning the articular disk, and suturing it with gut to the outer side of the joint. He names Lang as the surgeon who, in 1909, introduced disk extirpation. Costen,4 in 1934, first described his syndrome and stirred the interest of modern medicine in the temporomandibular joint.

For the purposes

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