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The patients experienced aural fullness, tinnitus, vertigo, odynophagia, and headache in addition to the cardinal symptoms of otalgia, muscle tenderness, temporomandibular joint (TMJ) click, and trismus. Some nonmasticatory muscles were found to be tender as frequently as the masticatory muscles. It is proposed that MPD syndrome as seen clinically involves more than just the masticatory musculature and is a composite of several head and neck myofascial pain syndromes including tensor tympani syndrome, muscle tension headache, cervical syndrome, and hyoid syndrome.<\/jats:p>","DOI":"10.1177\/019459988008800408","type":"journal-article","created":{"date-parts":[[2016,4,8]],"date-time":"2016-04-08T21:34:09Z","timestamp":1460151249000},"page":"361-367","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Myofascial Pain\u2010Dysfunction Syndrome: The Role of Nonmasticatory Muscles in 91\u00a0Patients"],"prefix":"10.1002","volume":"88","author":[{"given":"Arthur W.","family":"Curtis","sequence":"first","affiliation":[{"name":"Department of Otolaryngology and Maxillofacial Surgery Northwestern University Chicago Illinois"},{"name":"Reynolds Army Hospital Fort Sill Okla"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,22]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348943404300101"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1942.03760040102010"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(56)90123-0"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1969.0234"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196406000-00003"},{"key":"e_1_2_1_7_1","first-page":"1208","article-title":"Temporomandibular joint dysfunction masquerading as disease of the ear, nose, and throat","volume":"73","author":"Bernstein JM","year":"1969","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459987808600520"},{"key":"e_1_2_1_9_1","first-page":"181","volume-title":"Clinical Management of Head, Neck and TMJ Pain and Dysfunction: A Multidisciplinary Approach to Diagnosis and Treatment","author":"Arlen H","year":"1977"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1959.00730040695003"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(60)90257-2"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1969.0091"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.26.9.808"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196908000-00011"},{"key":"e_1_2_1_15_1","first-page":"85","volume-title":"Handbook of Clinical Impedance Audiometry","author":"Djupesland G","year":"1975"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-195411000-00013"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016486809126301"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988008800408","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988008800408","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:07:48Z","timestamp":1760965668000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988008800408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1980,7]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1980,7]]}},"alternative-id":["10.1177\/019459988008800408"],"URL":"https:\/\/doi.org\/10.1177\/019459988008800408","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1980,7]]},"assertion":[{"value":"2016-04-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}