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Temporomandibular disorder treatment algorithm for otolaryngologists.
Esther Lee1, Hannah R Crowder1, Neelima Tummala1
1Division of Otolaryngology-Head & Neck Surgery, George Washington University School of Medicine & Health Sciences, Washington, DC, USA.
American Journal of Otolaryngology
|July 2, 2021
Summary
Temporomandibular disorder (TMD) is common in otolaryngology clinics. This review proposes an evidence-based algorithm to guide otolaryngologists in managing TMD, improving patient outcomes and resource utilization.
Area of Science:
- Otolaryngology
- Evidence-based medicine
- Medical algorithms
Background:
- Temporomandibular disorder (TMD) is a frequent diagnosis encountered in otolaryngology outpatient settings.
- The etiology of TMD is multifactorial, encompassing myofascial, intraarticular, neurologic, traumatic, and psychiatric components.
Purpose of the Study:
- To conduct a literature review on current temporomandibular disorder (TMD) management strategies.
- To develop an evidence-based treatment algorithm for otolaryngologists managing TMD patients.
Main Methods:
- A comprehensive literature search was performed using PubMed and Scopus databases.
- Studies detailing TMD etiology, diagnostics, and management were reviewed and synthesized.
- Two independent reviewers evaluated study eligibility based on predefined inclusion criteria.
Main Results:
- TMD management requires a multidisciplinary approach, involving specialists such as physical therapists, dentists, and psychiatrists.
- Conservative treatments are the initial approach, with further interventions guided by patient response.
- An algorithm was developed to standardize the decision-making process for otolaryngologists.
Conclusions:
- An evidence-based algorithm can enhance the efficiency of TMD management in otolaryngology.
- Appropriate and timely referrals are crucial to prevent prolonged patient suffering and resource wastage.
- Implementing this algorithm aims to improve treatment efficacy and patient outcomes for temporomandibular disorders.
