Indian Journal of Otology

HOW I DO IT
Year
: 2022  |  Volume : 28  |  Issue : 3  |  Page : 235--238

The anterior wall sign: A new tool in the diagnosis of temporomandibular disorders


Esteban Merino-Galvez, Gabriela Merino-Coy, Javier Gomez-Hervas 
 Division of Otolaryngology, Hospital General Universitario Rafael Mendez, Lorca, Murcia, Spain

Correspondence Address:
Dr. Esteban Merino-Galvez
Hospital General Universitario Rafael Méndez, Ctra.N-340, 30813 Lorca, Murcia
Spain

Diagnosis of temporomandibular disorder (TMD) in patients with otalgia is based on the medical history and physical examination, which is based on deep palpation of the joint area, however, palpation will often cause discomfort in healthy patients. Ninety-nine patients with otological symptoms in relationship with TMD were studied. We palpated with a blunt curette, the skin lining the anterior wall of the bony auditory canal located above the temporomandibular joint. We only consider a positive sign if palpation unequivocally evokes pain or discomfort identical to what the patient feels or has felt before. The positivity of the anterior wall sign was 99% in the TMD group. We found a significant difference between the control and TMD groups regarding the sign of the anterior wall (P < 0.005). The anterior wall sign could be an effective tool to detect temporomandibular dysfunction.


How to cite this article:
Merino-Galvez E, Merino-Coy G, Gomez-Hervas J. The anterior wall sign: A new tool in the diagnosis of temporomandibular disorders.Indian J Otol 2022;28:235-238


How to cite this URL:
Merino-Galvez E, Merino-Coy G, Gomez-Hervas J. The anterior wall sign: A new tool in the diagnosis of temporomandibular disorders. Indian J Otol [serial online] 2022 [cited 2023 Feb 3 ];28:235-238
Available from: https://www.indianjotol.org/article.asp?issn=0971-7749;year=2022;volume=28;issue=3;spage=235;epage=238;aulast=Merino-Galvez;type=0