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 there is no such 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 came to ask for your advice.
Thank you very much!

Xiao Mi, 10~19 year old female. Ask Date: 2021/09/27

Dr. Zheng Jueyi reply Otolaryngology


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

Reply Date: 2021/09/27

More Info


Understanding ear sounds, especially when they are associated with jaw movement, can indeed point towards a condition known as Temporomandibular Joint Disorder (TMJ). TMJ disorders can manifest in various ways, including pain, discomfort, and unusual sounds in the ear, particularly when chewing or moving the jaw.
The temporomandibular joint connects the jawbone to the skull and is located just in front of the ear. When this joint is not functioning properly, it can lead to a range of symptoms. The sensation of echoing or sounds in the ear while chewing, particularly on one side, is not uncommon. This could be due to the close anatomical relationship between the jaw and the ear. When you chew, the movement of the jaw can affect the surrounding structures, including the muscles and ligaments that are connected to the ear.
In your case, the fact that you are experiencing these symptoms specifically on the left side while chewing with the left teeth suggests that there may be some dysfunction or irritation in the left temporomandibular joint. This could be due to several factors, including muscle tension, joint misalignment, or even bruxism (teeth grinding), which is often associated with TMJ disorders.

It's important to note that TMJ disorders can also lead to other symptoms such as jaw pain, headaches, and even neck pain. Some individuals may experience clicking or popping sounds when they open or close their mouths, which can also be related to the joint's mechanics.
To address your concerns, it would be advisable to consult with a healthcare professional who specializes in TMJ disorders, such as an oral and maxillofacial surgeon or a dentist with experience in this area. They can perform a thorough examination, which may include assessing your jaw movement, checking for tenderness in the joint, and possibly imaging studies like X-rays or MRIs to evaluate the joint's condition.

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


2. Heat or Ice Therapy: Applying a warm compress to the jaw area can help relax the muscles, while ice can reduce inflammation if there is any swelling.

3. Avoiding Hard Foods: Sticking to softer foods can minimize strain on the jaw.

4. Stress Management: Since stress can exacerbate TMJ symptoms, techniques such as mindfulness, meditation, or yoga 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, it is crucial to seek professional evaluation and treatment. TMJ disorders can often be managed effectively with the right approach, and early intervention can prevent further complications.
In summary, the sounds you are experiencing in your left ear while chewing may indeed be related to TMJ dysfunction. A comprehensive evaluation by a specialist will provide clarity and guide you towards the most appropriate treatment options.

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