Ear Sounds: Is It Temporomandibular Joint Disorder? - Otolaryngology

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Tinnitus?


Hello, doctor! One night while eating fruit, I noticed that when I chew with my left teeth, my left ear feels like it has an echo.
When I move my mouth, especially on the left side, I can hear a sound in my left ear, but I don't have this issue on the right side.
Could this be what is referred to as temporomandibular joint disorder (TMJ)? I searched online but I'm not very sure, so I'm here to ask for your advice.
Thank you very much!

Xiao Mi, 10~19 year old female. Ask Date: 2021/09/26

Dr. Zheng Jueyi reply Otolaryngology


Hello, the issues you are experiencing may commonly be related to temporomandibular joint (TMJ) or external auditory canal problems.
If the discomfort persists, it is advisable to consult an otolaryngologist for an examination.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/09/26

More Info


The symptoms you are experiencing, particularly the echo-like sounds in your left ear when chewing or moving your jaw, could indeed be related to Temporomandibular Joint Disorder (TMJ). TMJ disorders can manifest in various ways, including pain or discomfort in the jaw joint, difficulty in jaw movement, and sounds in the ear, such as clicking or popping. This is because the temporomandibular joint is located very close to the ear canal, and any dysfunction in this area can lead to sensations that are perceived in the ear.

When you chew, the movement of your jaw can cause the joint to shift slightly, which may create pressure changes or vibrations that are transmitted to the ear. This can result in the echoing or sound sensations you described. Additionally, TMJ disorders can lead to muscle tension and inflammation, which may further contribute to these auditory sensations.

It's important to note that while TMJ is a common cause of ear-related symptoms, other conditions could also be at play. For instance, Eustachian tube dysfunction, which affects the pressure regulation in the middle ear, can also cause similar sensations. In your case, since the symptoms are isolated to the left side and are triggered by jaw movement, TMJ is a strong possibility.

To further evaluate your condition, it would be advisable to consult with a healthcare professional who specializes in TMJ disorders or an ear, nose, and throat (ENT) specialist. They may perform a thorough examination, including assessing your jaw movement, checking for any signs of inflammation or dysfunction in the TMJ, and possibly conducting imaging studies like X-rays or MRI if necessary.

In the meantime, there are several self-care strategies you can try to alleviate your symptoms. These include:
1. Jaw Exercises: Gentle stretching and relaxation exercises for the jaw can help reduce tension and improve mobility.

2. Heat or Cold Therapy: Applying a warm compress to the jaw area can help relax the muscles, while cold packs can reduce inflammation.

3. Avoiding Hard Foods: Stick to softer foods that require less chewing to minimize strain on the jaw.

4. Stress Management: Since stress can exacerbate TMJ symptoms, practices such as mindfulness, yoga, or other relaxation techniques may be beneficial.

5. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation.

If your symptoms persist or worsen, or if you experience additional symptoms such as significant pain, headaches, or changes in hearing, it is crucial to seek medical attention. Early intervention can prevent further complications and improve your quality of life.

In summary, while your symptoms may suggest TMJ disorder, a thorough evaluation by a healthcare professional is essential for an accurate diagnosis and appropriate treatment plan. Don't hesitate to reach out for help, as managing TMJ can significantly improve your overall well-being.

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