title: [Painful disorder and vertigo related to the ear. Frequent referral to the ENT specialist].
abstract: We revise the temporomandibular dysfunction or myofacial painful syndrome, a clinical entity that shows a high prevalence at the ear, nose and throat (ENT) specialist's surgery. They are polysymptomatic patients seen at the ENT , which are sent by the Internal Medicine and family doctors. As symptoms the patients present vertiginous feeling, tinnitus and/or deafness. We discuss the concept, the ethiopathogenia, diagnosis and the treatment of this syndrome. For the ENT specialist it is a challenge to choose the most appropriate type of treatment in order to obtain a satisfying result. In spite of the great amount of issues referring to this subject, there are still controversies regarding the orientation of the patients and the type of treatment to use.
authors.affiliation: Servicio de Otorrinolaringología, Hospital General de Fuerteventura, Fuerteventura. aliadal@terra.es
authors.forename: A M
authors.initials: AM
authors.lastname: García de Hombre
mesh_terms: D006801:Humans; D010146:Pain / Q000209:etiology*; D012017:Referral and Consultation; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications* / Q000628:therapy; D014717:Vertigo / Q000209:etiology*