Ear pressure and tmj: TMJ Ear Pain | Ear Ringing | Ear Pressure | Carolina TMJ

21.08.202314.06.2023 by alexxlab

Содержание

Unilateral ear fullness and temporary hearing loss diagnosed and successfully managed as a temporomandibular disorder: a case report

Case Reports

. 2015 Mar;146(3):192-4.

doi: 10.1016/j.adaj.2014.12.012.

Diego Dalla-Bona, Thomas Shackleton, Glenn Clark, Saravanan Ram

PMID:
25726347
DOI:
10.1016/j.adaj.2014.12.012

Case Reports

Diego Dalla-Bona et al.

J Am Dent Assoc.

2015 Mar.

. 2015 Mar;146(3):192-4.

doi: 10.1016/j.adaj.2014.12.012.

Authors

Diego Dalla-Bona, Thomas Shackleton, Glenn Clark, Saravanan Ram

PMID:
25726347
DOI:
10. 1016/j.adaj.2014.12.012

Abstract

Background and overview:

A 73-year-old woman had a 4-month history of debilitating left-sided otic fullness, hearing loss, and a watery sensation in her ear without obvious cause. She had consulted with an otolaryngologist who cleared the ear of all middle ear pathology and then placed ventilation tubes in the tympanic membrane to relieve her symptoms of ear fullness. The ventilation tubes did not produce long-lasting relief so she was referred to the dental clinic.

Case description:

The patient did not have substantial symptoms of jaw dysfunction or jaw pain and was clearly bothered more by her ear symptoms; she exhibited the following signs and symptoms: limited mandibular range of motion (37 millimeters), crepitation in the left temporomandibular joint (TMJ), active trigger points in the left superficial masseter, and severe pain on palpation in the left TMJ (lateral and dorsal). A panoramic radiograph and maxillary computed tomography scan revealed moderate degenerative changes observed bilaterally in the TMJs. A diagnosis of localized osteoarthritis (OA) of the TMJ (TMJ-OA) and masticatory myofascial pain was given. The authors provided 3 months of treatment that included self-applied physical therapy (stretch and thermal packs), full-arch stabilization splint, trigger point injection, and a TMJ injection using triamcinolone acetonide (20 milligrams).

Results:

The patient reported a 90% improvement in her TMJ and ear-related symptoms as a result of the treatments. The authors speculated that TMJ-OA and myofascial muscle disorders are potentially contributory to a tensor tympani muscle dysfunction, which could explain her ear fullness and hypoacusis.

Conclusions and practical implications:

Diagnosis and management of TMJ dysfunction (pain on palpation, OA, and limitation of motion) should be considered when patients have symptoms of unexplained ear fullness and have been cleared for ear infection or other ear-related pathology.

Keywords:

Ear pressure; hearing loss; temporomandibular joint; temporomandibular joint disorder.

Cited by

Temporomandibular Joint Disorders as a Cause of Aural Fullness.
Peng Y.
Peng Y.
Clin Exp Otorhinolaryngol. 2017 Sep;10(3):236-240. doi: 10.21053/ceo.2016.01039. Epub 2017 Jan 21.
Clin Exp Otorhinolaryngol. 2017.
PMID: 28103655
Free PMC article.

Publication types

MeSH terms

Can TMJ problems my ears to feel full?

Yes. The TMJ or Temporo -Mandibular-Joint, or TMJ is positioned just in front of the ear and, in fact the back side of the TMJ socket is a thin membrane of bone sharing the front of the inner ear where the delicate bones and structures are located.

Stuffiness of the ear can come from several causes that are TMJ related. Tension in some of the jaw muscles can actually trigger tension in the inner ear muscle, the stapedious muscle. When it happens the eardrum tenses and can give a sense of diminished hearing, or stuffiness. Chronic clenching or grinding of the teeth can trigger these types of spasms.

Other jaw muscles can also spasm from chronic clenching, bruxing, disc clicking and cause the Eustachian tube to narrow or close. This affects inner ear pressure and can muffle hearing, much like when descending in an airplane.

A more common TMJ problem involves a “displaced disc” in the jaw joint. This is when your jaw “clicks”, “pops” or makes “grinding noise” as you move it. The cartilage disc in the TMJ helps cushion the joint and the ear socket from impact by the jaw bone, or condyle. Noise in the joint is diagnostic of the cartilage being “out of place”. This can cause the condyle to press directly into the ear bone when the teeth are biting down, such as with chewing, or when clenching or grinding at night. A dental nightguard doesn’t necessarily protect this impact either. Jamming of the jaw bone irritates the inner ear structures and can cause inflammation or tension in the delicate ear muscle and cause muffled hearing or inner ear pain and itching.

If you have been treated for a TMJ condition by occlusal adjustment or equilibration, the condyle has also lost support by the grinding down of the back teeth and, in some cases can shift backwards too far and impact the front of the ear as in a disc dislocation. Many times an equilibration, if done for a clicking joint, will cause the disc to dislocate (stop clicking) as it settles back towards the ear from the loss of tooth support from grinding the bite or equilibration. Both conditions can cause enough pressure to the front of the ear that hearing is affected.

If you have muffled hearing, ear pain, itching deep in the ear or hearing changes and your physician can’t find a cause; it is likely that a chronic TMJ condition exists. Treating the TMJ disorder using orthotic appliances to decompress the joint can restore ear function and improve hearing. Orthotics use an orthopedic medical approach to treating TMJ, much differently than a “bite adjustment” or bite equilibration” technique follows.

If you’re suffering from ear pain or muffled hearing and don’t have an inner ear infection, a screening exam can determine if you have a TMJ problem and what treatment approaches might be used to help you.

We’re based out of Boulder, Colorado, but because we specialize in TMJ treatment, we service all of Northern Colorado. In cities such as Fort Collins, Loveland, Windsor, Longmont and Denver. If you are experiencing TMJ symptoms, please give us a call at: (303) 955-4848 to schedule an appointment.

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Causes of high blood pressure and tinnitus. Pressure problems and humming in the head

3
Oct
2017

3 Oct 2017 Causes, Causes and symptoms

With age, the body fails – this applies to many parts of the body, including hearing. According to statistics, most diseases that are causes of high blood pressure and tinnitus begin after the age of forty – this occurs in one third of people belonging to this age.

The older the person, the greater the percentage. A common “provoker” of ringing manifestations is considered to be vascular imbalance – the tone of the walls of arteries and veins can be lowered or increased relative to the norm.

Contents of the article:

1 Can normal pressure cause noise in the head?
- 1. 1 High blood pressure: symptoms
- 1.2 Diagnosis
- 1.3 Treatment
  - 1.3.1 Effective help from the best specialists!

Normal blood pressure values often accompany noise sensations in the head. Physiologically, this may be the result of:

A long stay in a place where loud music plays, construction, repairs are underway, trains are running, planes are taking off.
A long journey by transport along a noisy highway.
Traveling from one time zone to another, not being used to the air mode of transport.
Sickness on the water.
Stress, overwork.
Hormonal changes – age-related, during pregnancy, etc.

All these phenomena are temporary and do not require special treatment. In some cases, antidepressants or sedatives can help – they normalize the state of the central nervous system, relieve stress and help return to normal working form.

If you do not suffer from hypertension, tinnitus can be due to the following reasons:

Sulfur plug.
Foreign body or insect ingestion.
Otitis , neuritis.
Hearing loss.

These problems are not related to the general condition of the body, but to disorders in the ENT organs, therefore they do not affect the pressure indicator.

Additional symptoms:

Cork formation is accompanied by a feeling of congestion and heaviness in the ear, a sharp decrease in hearing on the affected side.
A foreign body can cause an unpleasant feeling, an insect – buzzing, moving.
Otitis is associated with pain in the diseased ear cavity, headache.
Neuritis, hearing loss entail a strong decrease in hearing acuity or its complete loss.

High blood pressure:

symptoms

Hypertension manifests itself for various reasons:

Severe stress.
Emotionally difficult.
Vascular pathology.

In the first two cases, the disorders are temporary – they disappear immediately, as soon as the person calms down, gets the opportunity to have a good rest. The consequences of a shock state can manifest themselves for some time – their duration depends on the strength of the stress. It is useful to visit a doctor who will prescribe suitable sedatives. They will help to recover faster without consequences for the body.

A humming sensation occurs after a sudden increase in cardiac output – this creates an increase in blood volume in the vessels, as a result, noise occurs. The phenomenon may be accompanied by pulsating noise tides – as if something is beating in the ears. Also, the release of adrenaline that occurs during fright causes vascular spasm, as a result of which the pressure immediately rises.

Along with the noise effect, symptoms manifest themselves:

“Stars” before the eyes.
Pain in the heart and head of a tightening nature.
Redness of the skin on the neck and face.
Dizziness .

If these signs occur together, the health of blood vessels in the area of the brain and heart can be called into question. It is necessary to consult a doctor who will conduct an examination on the state of the bloodstream.

Diagnosis

Compulsory examination of the function of the heart. Also, one of the stages of the examination, if the patient complains of high blood pressure and hum, will be the delivery of tests – blood and urine. Do not ignore this stage, because. many serious disorders begin their existence almost asymptomatically – signals of trouble are sent only to the blood and other biological fluids. The sooner you recognize the disease, the easier it will be to cure it.

Clinical laboratory examination includes evaluation of a number of parameters:

Hemoglobin level.
RBC counts.
Their settling rates.
Leucocyte count.
Leukocyte formula.

Any inflammation will immediately show itself as an increased content of certain cells. It also affects the erythrocyte sedimentation rate.
For an accurate analysis, blood is taken in the morning on an empty stomach. To conduct a study, as a rule, you need no more than a day. If necessary, the data can be provided even on the day of the analysis.

Hardware examination will consist of:

Use of a stethoscope – with its help objective noise is heard.
Computed tomography – will give detailed information about whether the vessels of the brain are healthy.
X-ray – examination for the integrity of bone tissue.
Audiograms.

Treatment

Diseases associated with a systematic or constant increase in pressure are never treated without the participation of a doctor.

Only a professional specialist is able to accurately determine the cause and help eliminate it by prescribing a set of effective treatment procedures. Activities are selected individually, depending on the identified problem. Often they are medical in nature.

For certain purposes, the patient can be referred to courses of magnetotherapy or laser therapy:

Normalization of the vascular condition.