Assessment of the Effect of Temporomandibular Joint Bony Ankylosis on Eustachian Tube Functions
International Journal of Clinical Oral and Maxillofacial Surgery
Volume 3, Issue 1, February 2017, Pages: 1-6
Received: Mar. 19, 2017; Accepted: Mar. 23, 2017; Published: Apr. 18, 2017
Views 2044      Downloads 109
Authors
Dehis Mohammad, Department of Oral and Maxillofacial Surgery, Faculty of Oral & Dental medicine, Cairo University, Cairo, Egypt
Nadia Kamal, Department of Audiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Samer Abbassi, Department of Oral and Maxillofacial Surgery, Faculty of Oral & Dental medicine, Cairo University, Cairo, Egypt
Abeer Kamal, Department of Oral and Maxillofacial Surgery, College of Oral & Dental Surgery, Misr University for Science & Technology, Giza, Egypt
Sayed Rashed, Department of Oral and Maxillofacial Surgery, Faculty of Oral & Dental Medicine, Al Ahram Canadian University, Giza, Egypt
Article Tools
Follow on us
Abstract
Objective: This study was designed to evaluate the effect of temporomandibular joint (TMJ) bony ankylosis on Eustachian tube (ET) functions. Subjects and Methods: Twelve patients suffering from TMJ bony ankylosis were selected from those attending the out-patient Clinic of Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Medicine, Cairo University. Twelve subjects (control group) underwent Eustachian tube function test were selected also. Tympanometry was utilized to assess Eustachian tube function. Three pressure reading (P1, P2, and P3) of the middle ear and external ear canal volume were recorded by the use of tympanometry. Comparisons were performed between patient and control group to evaluate the change of pressure. Results: Throughout the results, four ears showed type (C) tympanogram representing Eustachian tube dysfunction, two ears showed type (B) tympanogram which represent otitis media with effusion. While other ears showed type (A) tympanogram. On comparing the pressure values between the patients and the control, significant decrease was recorded in (P2) value in the patients group and no significant difference existed in the external canal volume. Conclusions: The Eustachian tube function is affected in patients of temporomandibular joint bony ankylosis, it cannot adapt to changes in pressure effectively. Patients of TMJ ankylosis are more liable to develop otitis media. Inflation-deflation test is a reliable method for evaluating Eustachian tube function in patients of (TMJ) ankylosis. The external ear canal volume was not affected in this group of patients.
Keywords
TMJ, Bony Ankylosis, Tympanometry, Eustachian Tube
To cite this article
Dehis Mohammad, Nadia Kamal, Samer Abbassi, Abeer Kamal, Sayed Rashed, Assessment of the Effect of Temporomandibular Joint Bony Ankylosis on Eustachian Tube Functions, International Journal of Clinical Oral and Maxillofacial Surgery. Vol. 3, No. 1, 2017, pp. 1-6. doi: 10.11648/j.ijcoms.20170301.11
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
El-Sheikh MM, Medra AM & Warda MH: Bird face deformity secondary to bilateral temporomandibular joint ankylosis. J Craniomaxillofac Surg. 1996: 24; 96-103.
[2]
Mcfadden R. & Rishiraj B.: Treatment of temporomandibular joint ankylosis. J Can Dent Assoc. 2001: 67; 659-63.
[3]
Seibert W. & Danner J.: Eustachian tube function and the middle ear. Otolaryngol Clin North Am: 2006: 39; 1221-35.
[4]
Williams B, Taylor BA, Clifton N. & Bance M: Balloon dilation of the Eustachian tube: a tympanometric outcomes analysis. J Otolaryngol Head Neck Surg. 2016: 45; 13.
[5]
Kumazawa T, Iwano T, Ushiro K, Kinoshita T, Hamada E. & Kaneko A: Eustachian tube function tests and their diagnostic potential in normal and diseased ears. Acta Otolaryngol Suppl. 1993: 500; 10-3.
[6]
Liang M., Zheng Y., Zhang Z., Xu Y., Qu Y., Chen S., Yang H., Haung Q., Qiu Z. & Chen L.: Eustachian tube balloon dilation in Eustachian tube dysfunction related diseases. Chinese PMID. 2014: 28: 1759-61.
[7]
Hidir Y., Ulus S., Karahatay S. & Satar B.: A. comparative study on efficiency of middle ear pressure equalization techniques in healthy volunteers. Auris Nasus Larynx. 2011: 38; 450-5.
[8]
Jerger J.: Clinical experience with impedance audiometry. Arch Otolaryngol, 1970: 92; 311-24.
[9]
Bredfeldt RC: An Introduction to Tympanometry. Am Fam Physician. 1991: 44; 2113-8.
[10]
Moody SA, Alper CM & Doyle WJ: Daily tympanometry in children during the cold season: association of otitis media with upper respiratory tract infections. Int J Pediatr Otorhinolaryngol. 1998: 45; 143-50.
[11]
Charles D.: Eustachian tube: structure, function, role in otitis media. Charles D. Bluestone, Maria B. Bluestone PMPH-USA page 62, 2005.
[12]
Swarts JD, Alper CM, & Mandel EM. Villardo R. & Doyle WJ: Eustachian tube function in adults without middle ear disease. Ann Otol Rhinol Laryngol. 2011: 120; 220-5.
[13]
Sobhy OA, Koutb AR, Abdel-Baki FA, Ali TM., El Raffa IZ & Khater AH: Evaluation of aural manifestations in temporo-mandibular joint dysfunction. Clin Otolaryngol Allied Sci. 2004: 29; 382-5.
[14]
Penkner K, Keinz J, Schied W, Schied G. & Lorenzoni M: The function of tensor veli palatine muscles in patients with aural symptoms and temporomandibular disorder. J Oral Rehabil. 200: 27; 344-8.
[15]
De Felacio CM, Melchior Mde O, Ferreira CL & Da Silva MA: Otologic symptoms of temporomandibular disorder and effect of orofacial myofunctional therapy. Cranio. 2008: 26; 118-25.
[16]
Keersmaekers K, De Boever JA. & Van Den Berghe L: Otalgia in patients with temporomandibular joint disorders. J Prosthet Dent. 1996: 75; 72-6.
[17]
Rodriguez Vazquez JF, Merida Velasco JR & Jimenez Collado J: Relationships between the temporomandibular joint and the middle ear in human fetuses. J Dent Res. 1993: 72; 62-6.
[18]
Whyte JR, González L, Cisneros AI, Yus C, Torres A & Sarta R: Fetal Development of the Human Tympanic Ossicular Chain Articulations. Cells Tissues Organs. 2002: 171; 241-9.
[19]
Kazanjian VH: Temporomandibular ankylosis. Am J Surg, 1955: 90: 905-10.
[20]
El-Mofty S: Ankylosis of temporomandibular joint. Oral Surg. 1972: 33; 650-60.
[21]
Tuz HH, Onder EM & Kisnisci RS: Prevalence of otologic complaints in patients with temporomandibular disorder. Am J Orthod Dentofacial Orthop. 2003: 123; 620-3.
[22]
Dehis M, Tantawy W, Kamal A, Rashed S & Sayed M: Effect of temporomandibular joint bony ankylosis and surgical sequelae of gap arthroplasty on middle ear volume. Egyptian journal of oral & maxillofacial surgery. 2013: 4; 72-8.
[23]
Greene S. & Laskin M.: Temporomandibular disorders: Moving from a dentally based to a medically based model. J Dental Res. 2000: 79; 1736-9.
[24]
Zipfel TE, Kaza SR & Greene JS: Middle-ear myoclonus. J Laryngol Otol. 200: 114; 207-9.
[25]
Ishijima K, Sando I, Balaban CD, Miura M & Takasaki K: Functional anatomy of levator veli palatini muscle and tensor veli palatini muscle in association with Eustachian tube cartilage. Ann Otol Rhinol Laryngol. 2002: 111; 530-6.
[26]
Alaa A: Effect of gap arthroplasty on the upper airway in patients of temporomandibular joint ankylosis. Master thesis, Cairo University. 2000.
[27]
McDonnell JP, & Needleman HL, Charchut S, Allred, EN, Roberson DW, Kenna MA & Jones D: The Relationship between dental overbite and Eustachian Tube dysfunction. Laryngoscope. 2001: 111; 310-6.
[28]
Leuwer R, Schubert R, Kucinski T, Liebig T & Maier H: The muscular compliance of the auditory tube: a model-based survey. Laryngoscope. 2002: 112; 1791-5.
[29]
Kumar VV, Malik NA, Visscher CM, Ebenezer S, Sagheb K & Lobbezoo F: Comparative evaluation of thickness of jaw-closing muscles in patients with long-standing bilateral temporomandibular joint ankylosis. Clin Oral Investig. 2015: 19; 421-7.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186