Selected ENT symptoms in functional disorders of the upper cervical spine and temporomandibular joints

HNO. 2019 Mar;67(Suppl 1):1-9. doi: 10.1007/s00106-019-0610-1.

Abstract

This paper discusses otorhinolaryngological symptoms associated with functional disorders of the upper cervical spine. Hints aimed to avoid misdiagnoses of cross-organ otorhinolaryngological symptoms as phobic or psychogenic disorders are presented. Clinically relevant neuroanatomical convergence of the upper cervical spine (occiput to C3) is fundamental for the interpretation of functional otorhinolaryngological symptoms. Based thereon, evidence for the most common cervical differential diagnoses of dizziness, tinnitus, dysphagia, and craniomandibular dysfunction is presented separately. The corresponding therapeutic options and their contraindications are discussed in the concluding chapter. The importance of interdisciplinary cooperation in related fields is emphasized.

Keywords: Craniomandibular disorders; Deglution disorders; Musculoskeletal manipulations; Tinnitus; Vertigo.

Publication types

  • Review

MeSH terms

  • Cervical Vertebrae
  • Dizziness / etiology
  • Humans
  • Spinal Diseases / complications*
  • Temporomandibular Joint Disorders / complications*
  • Tinnitus / etiology