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Temporomandibular joint dysfunction in infancy.

D J Franklin, R J Smith, F I Catlin

    International Journal of Pediatric Otorhinolaryngology
    |November 1, 1986
    PubMed
    Summary
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    Temporomandibular joint (TMJ) dysfunction, a pain-dysfunction syndrome, is rarely seen in infants. This case report details its presentation and treatment in an 11-month-old boy, highlighting the need for awareness in pediatric care.

    Area of Science:

    • Pediatric Otolaryngology
    • Craniofacial Development
    • Pain Management

    Background:

    • Temporomandibular joint (TMJ) dysfunction is a common pain-dysfunction syndrome typically affecting adults.
    • Etiologic factors include occlusal disharmony, articular disorders, and muscle imbalance.
    • Symptoms can include otalgia, referred pain, joint sounds, and vestibular disturbances.

    Observation:

    • This report describes the first known case of TMJ dysfunction in an infant, an 11-month-old boy.
    • The infant presented with symptoms initially presumed to be otitis media.
    • The case highlights the potential for TMJ dysfunction to manifest atypically in very young children.

    Findings:

    • The embryology of the temporomandibular joint is reviewed in the context of infant presentation.

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  • Treatment involved anti-inflammatory analgesics, warm compresses, orthodontics, and external brace appliances.
  • Successful management was achieved through a multidisciplinary approach.

    • Implications:

    • Pediatric otolaryngologists must consider TMJ dysfunction in infants presenting with ear-related symptoms.
    • Early diagnosis and intervention are crucial for managing TMJ dysfunction in children.
    • This case expands the understanding of TMJ dysfunction's presentation across different age groups.