Trastorno doloroso y vértigo referido al oído. Dérivación frecuente al ORL

Abstract

We revise the temporomandibular dysfunction or miofacial painful syndrome, a clinical entity that shows a high prevalence at the ear, nose and throat (ENT) specialist's surgery. They are polisymtomatic patients seen at the ENT, which are sent by the Internal Medicine and family doctors. As symptoms the patients present vertiginous feeling, tinnitus and/or deafness. We discuss the concept, the ethiopathogenia, diagnosis and the treatment of this symdrome. For the ENT specialist it is a challenge to choose the most appropriate type of treatment in order to obtain a satisfying result. In spite of the great amount of issues referring to this subject, there are still controversies regarding the orientation of the patients and the type of treatment to use. Copyright © 2005 ARAN EDICIONE.