{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:52:45Z","timestamp":1760921565967,"version":"3.37.3"},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T00:00:00Z","timestamp":1513209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Seoul National University Boramae Medical Center"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>The aim of this study was to investigate whether findings detected by temporomandibular joint magnetic resonance imaging (TMJ\u2010MRI) can provide pathognomonic evidence of temporomandibular disorders (TMD) in patients with nonspecific ear fullness (EF). The association of nonspecific EF with clinical characteristics of TMD based on TMJ\u2010MRI findings was examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010four subjects (42 ears) who had no detectable otologic problems as a cause of EF were enrolled in this study. Each subject underwent TMJ\u2010MRI to identify pathology of the TMJ as a possible cause of nonspecific EF. All subjects participated in the re\u2010evaluation process following TMD treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Anatomical abnormalities in TMJ\u2010MRI, irrespective of TMD signs, were observed in 34 of the 42 ears (80.9%), such as degenerative change of the TMJ (16 ears), articular disc displacement (11 ears), and joint effusion (seven ears). Specific abnormalities of the TMJ were associated with nonspecific EF, and this symptom showed improvement following individualized TMD treatment in those with internal derangement and\/or effusion of the TMJ. However, abnormal TMJ\u2010MRI findings were also observed in seven of nine ears with no TMD signs, and there was no significant association between the presence of TMD signs and abnormal TMJ\u2010MRI findings (\u03c7<jats:sup>2<\/jats:sup> = 0.075, <jats:italic>P<\/jats:italic> = .784).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients presenting with nonspecific EF may have TMD, which can be effectively diagnosed using TMJ\u2010MRI. The present study revealed the causal relationship between nonspecific EF and abnormal TMJ findings based on MRI. Individualized TMD treatments based on TMJ\u2010MRI led to improved treatment outcomes with special regard to nonspecific EF<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 128:1692\u20131698, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27043","type":"journal-article","created":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T05:32:56Z","timestamp":1513229576000},"page":"1692-1698","source":"Crossref","is-referenced-by-count":7,"title":["Clinical implications of magnetic resonance imaging in temporomandibular disorders patients presenting ear fullness"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3566-8708","authenticated-orcid":false,"given":"Sang Yeon","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Seoul National University College of Medicine, Seoul Metropolitan Government, Seoul National University Boramae Medical Center Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Woon","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Oral Diagnosis School of Dentistry and Dental Research Institute, Seoul National University Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seo Eun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Oral Diagnosis School of Dentistry and Dental Research Institute, Seoul National University Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong Woo","family":"Nam","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Seoul National University College of Medicine, Seoul Metropolitan Government, Seoul National University Boramae Medical Center Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Jung","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Seoul National University College of Medicine, Seoul Metropolitan Government, Seoul National University Boramae Medical Center Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5642-107X","authenticated-orcid":false,"given":"Young Ho","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Seoul National University College of Medicine, Seoul Metropolitan Government, Seoul National University Boramae Medical Center Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2012.53.5.985"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/S0030-6665(20)31088-4","article-title":"The concept of silent otitis media. 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