THE TMJ-EAR CONNECTION

The article documents the existence of three structures that traverse through the petrotympanic fissure. These structures are the mandibular malleolar ligament, the chorda tympanic nerve and the anterior tympanic artery. The mandibular malleolar ligament or the disk-malleolar ligament originates on the anterior process of the mallous. It traverses through the petro-tympanic fissure and attaches to the posterior portion of the capsule and disk of the temporomandibular joint. The chorda tympanic nerve supplies sensory feeling to the posterior two thirds of the tongue. The anterior tympanic artery supplies blood to the area of the tympanic membrane. Clinical experience with implants that impinge or cover these structures can cause ear problems and other symptoms. Removal of these implants and placements with devices that do not cover these structures often relieve these symptoms.

Abstract from:
The TMJ-Ear Connection
Douglas H. Morgan, D.D.S., Richard L. Goode, M.D.
Robert L. Christiansen, D.D.S., Lonnie W. Tiner, D.D.S.
Journal of Craniomandibular Practice
Vol. 13, No. 1, 1995
Copyright © 1995 by CHROMA, Inc.

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