Abstract

We aimed to investigate the headache complaint and features in patients referred to ear nose throat clinics with pain in the temporomandibular joint ( TMJ) region. Forty-seven patients with complaints of a clicking sound in the TMJ region and pain were included in our study. Patients completed a questionnaire on the headache and the nature of the pain. The patients were asked to mark the level of pain on a visual analogue scale. Of a total of 47 patients, 28 were women (59.6%) and 19 were men (40.4%); their age ranged from 19 to 56 years (mean=30.5±9.8 years). There were 33/47 patients with cephalalgia in the head region, except TMJ disorders (70.2%); 12 of these were bilateral and 21 were unilateral. In all, 14/47 patients described pain only in the TMJ region (29.8%). Four patients described at least one experience of jaw locking in their life time (4/47). Visual analogue scale scores of the patients were 3.9±1.7. The nature of the pain was also analyzed. TMJ 2014 consortium network showed that headache attributed to TMD may be in associated with cephalalgia. The rate of headache is higher in patients with TMJ disorders. TMJ disorders should also be kept in mind in the differential diagnosis of cephalalgia considering the quality of life of patients.

Highlights

  • We aimed to investigate the headache complaint and features in patients referred to ear nose throat clinics with pain in the temporomandibular joint (TMJ) region

  • Temporomandibular joint (TMJ) is a joint located in the front of the external ear that allows movement of the lower jaw joint.TMJ consists of dense fibrous tissue and an articular disk between condyles of the mandible and the mandibular fossa of temporal bone [1]

  • We aimed to investigate the headache complaint and specialties in patients referred to ear nose throat clinics with a clicking sound and pain in the TMJ region

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Summary

Introduction

We aimed to investigate the headache complaint and features in patients referred to ear nose throat clinics with pain in the temporomandibular joint (TMJ) region. Materials and methods Forty-seven patients with complaints of a clicking sound in the TMJ region and pain were included in our study. Patients completed a questionnaire on the headache and the nature of the pain. The joint is surrounded by ligaments and muscles. Disorders of TMJ can arise from joint to chewing muscles. TMJ disorders are observed at a frequency of 5–16% in the community. Disorders of TMJ may be related to intra-articular diseases or extra-articular diseases. A clicking sound can be heard over the joint during palpation because of disorders of the joint. There is a certain degree of disk displacement with patients with a clicking sound in the joint

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