[Etiology and pathogenesis of neurological symptoms in low bite].
50 patients were subjected to complex examination. In bite lowering the head of the condyle is displaced backwards and upwards into the depth of the glenoid fossa. The pressure of the displaced mandibular joints upon the arterial cord and the tympanic vein as well as upon the venous network around the mandibular joint capsule may produce disturbed blood supply to the mucosa of the middle ear and of the auditory tube, and finally, obstruction of the auditory tube. Disturbances in the blood supply of the middle ear irritate the tympanic cord and tympanic plexus, which causes burning of the tongue, taste and salivation troubles, and also ear complaints. Since the sympathetic fibres of the tympanic plexus and of the eye are closely interrelated, this leads also to an irritation of the dilator muscle of the pupil. The reflectory irradiations from the tympanic plexus and mandibular joint explain many other neurologic symptoms. In bite lowering these symptoms are not always associated with joint disturbances.
D000328:Adult; D000368:Aged; D002814:Chorda Tympani Nerve / Q000293:injuries; D003769:Dental Occlusion, Traumatic / Q000150:complications* / Q000628:therapy; D004432:Ear, Middle / Q000098:blood supply; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009461:Neurologic Manifestations; D009971:Orthodontics, Corrective; D011680:Pupil / Q000503:physiopathology; D013704:Temporomandibular Joint / Q000473:pathology; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications / Q000209:etiology
Beitrag zur Frage der Atiologie und Pathogenese neurologischer Symptome bei Bisssenkung.