title: Otalgia and aversive symptoms in temporomandibular disorders.
abstract: The term Costen's syndrome has been used in the dentomedical literature to describe a constellation of craniofacial symptoms. Since some of the same complaints have been reported in patients with "generalized" psychological distress, symptoms associated with the syndrome may not be useful in differential diagnosis of temporomandibular disorders. The present study investigated whether some somatic complaints, particularly tinnitus and dizziness, were pathognomonic in patients with chronic temporomandibular pain. Illness behavior and personality factors were studied for possible interrelationships with these symptoms. Factor analysis revealed that tinnitus and dizziness loaded on separate factors. Tinnitus loaded with nasal stuffiness, tearing, and itching of the eyelids and nose, while dizziness loaded with complaints of altered taste and smell and blurred vision. Neither was consistently related to measures of pain or to indices of illness behavior or somatic focus.
authors.affiliation: Department of General Practice, Medical College of Virginia, Richmond 23298-0566, USA.
authors.forename: F M
authors.initials: FM
authors.lastname: Bush
authors.forename: S W
authors.initials: SW
authors.lastname: Harkins
authors.forename: W G
authors.initials: WG
authors.lastname: Harrington
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003937:Diagnosis, Differential; D004244:Dizziness / Q000175:diagnosis; D004433:Earache / Q000175:diagnosis / Q000209:etiology*; D004644:Emotions; D005260:Female; D006801:Humans; D006998:Hypochondriasis / Q000175:diagnosis; D008950:MMPI; D008297:Male; D010507:Periodicity; D012720:Severity of Illness Index; D012803:Sick Role; D013001:Somatoform Disorders / Q000523:psychology*; D013705:Temporomandibular Joint Disorders / Q000150:complications*; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000175:diagnosis; D014012:Tinnitus / Q000175:diagnosis