Eustachian Tube Dysfunction Linked to TMJD | Dr. Alexandra George (2024)

A recent study has linked the condition of eustachian tube dysfunction (ETD) with another painful condition: temporomandibular joint disorder (TMJD). The study found that among 21 respondents who filled out the ETDQ-7 (eustachian tube dysfunction questionnaire), TMJD was “highly prevalent” in patients with eustachian tube dysfunction.

This article discusses what ETD is, the link between ETD and TMJD, and how a neuromuscular dentist specializing in TMJD treatment can help.

What is eustachian tube dysfunction?

The eustachian tube is a small tube that connects the ear to the throat. The eustachian tubes open and close to relieve pressure on your inner ear when you chew, yawn, or sneeze, preventing the ears from filling with fluid or air. Unfortunately, sometimes things go wrong in your eustachian tubes, and they don’t do their job correctly or even at all. This is known as eustachian tube dysfunction or ETD.

Eustachian tube dysfunction frequently occurs during illness, when the tubes become swollen and filled with fluid or mucus. Patients experiencing ETD may feel as though their ears are blocked, and sound may seem distant or muffled. Eustachian tube dysfunction is said to be more prevalent in smokers, persons who are obese, and young children. In the newest study, the disorder has been linked to TMJD.

Explaining the link between ETD and TMJD

Dr. Alexandra George practices neuromuscular orthodontics in her Wexford, Pennsylvania, dental clinic. She says the link between ETD and TMJD is not surprising at all. “Because the temporomandibular joint is so close to the ears, it isn’t surprising that it could irritate the eustachian tubes,” she says.

According to George, ETD isn’t the only condition of the ears that TMJD frequently suffers from, either. “Many patients with TMJD also suffer from a condition called tinnitus, which also occurs in the inner ear,” George says.

Tinnitus is characterized by a constant ringing in the ears that can last for months on end. It is believed to be caused by TMJD because of the temporomandibular joint’s proximity to the ear canal. “Tinnitus occurs when the pressure from the temporomandibular joint puts pressure on the ear nerves and causes them to fall out of alignment. Then you get the ringing, buzzing or hissing noises in your ears,” George says.

How TMJD treatment can help with ETD

George says while it is not yet known how to correct the connection between the eustachian tubes and temporomandibular joint disorder, it could be a useful diagnostic tool for either condition. “If a patient is suffering from blocked ears, it could start a conversation about their jaw and possibly lead to a treatment that takes care of both problems,” she says. “The same can be said for patients complaining of temporomandibular joint pain. Both can be useful for screening purposes.”

If you find your ears are constantly blocked without the presence of illness, obesity or smoking, speak to your doctor or dentist to rule out ETD or TMJD, George says. If you’d like more information on how TMJD treatments can help ETD, contact us to book an initial consultation.

Eustachian Tube Dysfunction Linked to TMJD | Dr. Alexandra George (2024)

FAQs

Can eustachian tube dysfunction be caused by TMJ? ›

The Eustachian, a little tube that joins the middle ear to the back of the throat, can be impacted by TMJ dysfunction. A sense of fullness or pressure in the ears, like what one experiences on a flight, can occur when the Eustachian tube fails to open and close properly.

How I cured my eustachian tube dysfunction in TMJ? ›

Equalisation techniques for Eustachian Tube Dysfunction

It involves pinching the nose, closing the mouth, gently breathing outwards and swallowing at the same time. Jaw wriggling technique: Open your mouth and wriggle your jaw from side to side until your ears pop.

What is the root cause of eustachian tube dysfunction? ›

Causes of Obstructive Eustachian Tube Dysfunction

Environmental allergies. Sinusitis. Acid reflux. Neoplasms (abnormal growth of tissue)

What can be mistaken for eustachian tube dysfunction? ›

Temporomandibular joint dysfunction - Patients can experience pain in the temporomandibular joint secondary to bruxism or clenching, resulting in otalgia (which can be mistaken for eustachian tube dysfunction)

How to unclog your ears from TMJ? ›

If you are experiencing a lot of pressure in your ears from TMJ pain, something that may help you is sucking on different foods. This can help you relieve pressure and can ease your ear pain. Using a straw with your drinks can help. Otherwise, you can suck on hard candy, cough drops, or anything else you have on hand!

Can TMJ mess with your ears? ›

Inflammation and swelling due to TMD can spread to the ear causing ear pain. Additionally, straining the muscles connected to the TMJ can result in ear pain as well as tension headaches and pain behind the eyes. By addressing the TMJ disorder, you may be able to address pain in your ears and elsewhere.

What are the red flags for Eustachian tube dysfunction? ›

Eustachian tube dysfunction may occur when the mucosal lining of the tube is swollen, or does not open or close properly. If the tube is dysfunctional, symptoms such as muffled hearing, pain, tinnitus, reduced hearing, a feeling of fullness in the ear or problems with balance may occur.

What happens if Eustachian tube dysfunction doesn't go away? ›

But if symptoms linger for several weeks and are left untreated, it could lead to serious health problems, such as hearing loss, tinnitus or damage to your eardrum and middle ear. If you notice that symptoms don't go away on their own in a week or two, it's important to schedule a visit with your healthcare provider.

What vitamins help with Eustachian tube dysfunction? ›

Vitamin A, C and E, along with some minerals like zinc have been touted for their potential benefits in maintaining ear health,” Dr. Jones said.

How does an ENT fix eustachian tube dysfunction? ›

A catheter is used to insert a small balloon through the nose to open a blocked Eustachian tube. Inserting a small, balloon-like device in a blocked eustachian tube can bring relief to children and adults who suffer from chronic eustachian tube dysfunction.

Can an ENT see if your eustachian tube is blocked? ›

An ENT consultant will test your hearing including a Tympanometry which measures the pressure your ear is at. They may ask you to swallow, and they will also check your Eustachian tubes with a fibre optic camera that's passed painlessly up your nose.

How do doctors check for eustachian tube dysfunction? ›

How is ETD diagnosed? ETD can be diagnosed through a thorough head and neck examination. The physician will look in the ears to see the eardrum and into the nasal cavity. On many occasion, a good history can diagnose the condition as well.

Can TMJ cause ear fullness and popping? ›

Yes, TMJ disorder can cause a crackling sound to occur in the ears; this is known as crepitus. In addition to a crackling or popping sound, crepitus also refers to a grating sensation produced by the friction of bone rubbing against cartilage.

What are the unusual symptoms of TMJ? ›

Dizziness, lightheadedness, and vertigo are common unusual complaints among Bellevue TMJ disorder patients at Dr. Doneskey's Sleep Apnea and Facial Pain Center clinic. These balance-related symptoms stem from close connections between the temporomandibular joints and inner ear balance organs.

Can TMJ cause blocked sinuses? ›

TMJ disorder can cause sinus congestion or worsen existing sinus-related symptoms. This happens when the inflammation and swelling of the muscles around the jaw and in the face put pressure on the sinuses, causing them to become inflamed and congested.

Can an ENT treat TMJ? ›

An otorhinolaryngologist (ear, nose, and throat specialist) commonly diagnoses the TMJ syndrome, but treats only the most minor cases. Frequently it is necessary to refer you to a dentist or an oral surgeon. The most common cause of TMJ syndrome is teeth clenching or grinding which often occurs while sleeping.

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