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JOHN R. WARD, MD; DAVID A. DOLOWITZ, MD; JOHN L. BAUKOL, MD; CARLISLE SMITH, MD; CLARENCE O. FINGERLE, MS

Arch Intern Med. 1963;112(5):693-698.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Pain in or about the ear, when associated with "clicking," "snapping," or "popping" sensations accompanying jaw movements, has been attributed to malfunctioning temporomandibular joints.¹ However, there is considerable controversy concerning the symptoms which can be attributed to disturbed joint function. In 1920, Wright suggested that dysfunction of the joint could produce hearing loss.² Subsequently, Costen popularized a syndrome which includes impaired hearing, a feeling of fullness in the ears, tinnitus, facial pain, earache, vertigo, nystagmus, occipital headache, burning sensations in the throat, tongue, and side of the nose, dry mouth, herpes of the external ear canal and buccal mucosa, and a snapping noise while chewing.^3,4 In a careful reevaluation of the syndrome, Schwartz and co-workers defined two phases: (1) an incoordination phase consisting of clicking and subluxation of the temporomandibular joint and (2) a limitation phase resulting from painful muscle spasm associated with "earache" or poorly localized facial pain.^1,5 Despite . . . [Full Text PDF of this Article]

Author Affiliations
SALT LAKE CITY

Associate Professor of Medicine (Dr. Ward); Associate Professor of Surgery (Dr. Dolowitz); formerly Clinical and Research Fellow in Arthritis (Dr. Baukol); Assistant Professor Radiology (Dr. Smith).

From the Departments of Medicine, Surgery, and Radiology, University of Utah College of Medicine.

Footnotes
Received for publication April 1, 1963; accepted May 2.

Supported in part by grant No. 2A-5016, from the National Institute of Arthritis and Metabolic Diseases, United States Public Health Service.

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