'Costen's syndrome'--correlation or coincidence: a review of 45 patients with temporomandibular joint dysfunction, otalgia and other aural symptoms.
'Costen's syndrome'--correlation or coincidence: a review of 45 patients with temporomandibular joint dysfunction, otalgia and other aural symptoms.
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“科斯滕综合征”——相关性或巧合：对 45 名颞下颌关节功能障碍、耳痛和其他听觉症状患者的回顾。
DOI：
10.1111/j.1365-2273.1980.tb02110.x
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发表时间：
1980
期刊：
影响因子：
--
通讯作者：
M. Coleman
中科院分区：
文献类型：
--
作者：
G. Brookes;A. Maw;M. Coleman
对45例颞下颌关节功能障碍、耳痛伴其他听觉症状（耳聋、耳鸣、压力/阻塞和眩晕）的患者进行了临床和听力测定评估。听觉症状可能产生的颞下颌关节功能障碍的结果的理论机制进行了概述和讨论，在审查中的患者。除了文献中报道的耳痛外，其他耳部症状的发生率存在很大差异，同时普遍缺乏全面客观的听力评估。在37例患者的耳部症状直接归因于其他巧合的耳鼻喉科病理。提供了其余8例病例的详细信息。其中4例患者的其他耳部症状也可能由其他巧合的耳鼻喉科病理引起。其他2例患者同时患有精神疾病可能具有重要意义。因此，在这个系列中，至少有9%的患者被认为有其他耳部症状符合颞下颌关节功能障碍。这与一般人群中颞下颌关节功能障碍和耳部症状相对常见的情况相一致。这项研究使我们相信，除了耳痛之外，没有直接的病因学依据将颞下颌关节功能障碍与其他耳部症状联系起来。
Forty-five patients with temporomandibular joint dysfunction, and otalgia together with other aural symptoms (deafness, tinnitus, pressure/blockage and vertigo) were evaluated clinically and audiometrically. The theoretical mechanisms by which aural symptoms may be produced as a result of temporomandibular joint dysfunction are outlined and discussed in the light of the patients under review. The wide diversity in the incidence of additional aural symptoms apart from otalgia reported in the literature is noted, together with the general lack of full objective audiometric assessment. In 37 patients the aural symptoms were directly attributable to other coincidental otolaryngological pathology. Details of the remaining 8 cases are presented. The other aural symptoms of 4 of these patients were also probably accounted for by other coincidental otalaryngological pathology. It may be significant that 2 of the other patients were suffering from concurrent psychiatric disorders. Thus in this series at least 9% of the patients were considered to have other aural symptoms coincidental to temporomandibular joint dysfunction. This is compatible with the relatively common occurrence of both temporomandibular joint dysfunction and aural symptoms in the general population. This study leads us to believe that there is no direct aetiological basis to link temporomandibular joint dysfunction and other aural symptoms apart from otalgia.