Anales de Medicina Interna
versión impresa ISSN 0212-7199
GARCIA DE HOMBRE, A. M.. Painful disorder and vertigo referres to the ear: Frecuent derivation to the ENT specialist. An. Med. Interna (Madrid) [online]. 2005, vol.22, n.2, pp.44-46. ISSN 0212-7199.
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.
Palabras clave : Temporomandibular dysfunction; Temporomandibular joint; Miofacial pain.