| Autor: |
Ally, Munira, Moinie, Ahmad, Lomas, Joan, Borsetto, Daniele, Mochloulis, George, Bance, Manohar, Boscolo-Rizzo, Paolo, Vijendren, Ananth |
| Předmět: |
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| Zdroj: |
European Archives of Oto-Rhino-Laryngology; Jan2023, Vol. 280 Issue 1, p47-59, 13p |
| Abstrakt: |
Objectives of review: To review the literature for the evidence base for the aetiology and management of referred otalgia, looking particularly at non-malignant, neuralgic, structural and functional issues. Type of review: Systematic review. Search strategy: A systematic literature search was undertaken from the databases of EMBASE, CINAHL, MEDLINE®, BNI, and Cochrane Library according to predefined inclusion and exclusion criteria. Evaluation method: All relevant titles, abstracts and full text articles were reviewed by three authors who resolved any differences by discussion and consultation with senior author. Results: 44 articles were included in our review. The overall quality of evidence was low, with the vast majority of the studies being case-series with three cohort and four randomised-controlled trials included. The prime causes and management strategies were focussed on temporomandibular joint dysfunction (TMJD), Eagle syndrome and neuralgia. Our meta-analyses found no difference on the management strategies for the interventions found. Conclusions: Referred otalgia is common and treatment should be aimed at the underlying pathology. Potential aetiologies are vast given the extensive sensory innervation of the ear. An understanding of this and a structured approach to patient assessment is important for optimal patient management. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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