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Selected ENT symptoms in functional disorders of the upper cervical spine and temporomandibular joints

Ausgewählte HNO-Symptome bei funktionellen Störungen der oberen Halswirbelsäule und der Kiefergelenke

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Abstract

This paper discusses otorhinolaryngological symptoms associated with functional disorders of the upper cervical spine. Hints aimed to avoid misdiagnoses of cross-organ otorhinolaryngological symptoms as phobic or psychogenic disorders are presented. Clinically relevant neuroanatomical convergence of the upper cervical spine (occiput to C3) is fundamental for the interpretation of functional otorhinolaryngological symptoms. Based thereon, evidence for the most common cervical differential diagnoses of dizziness, tinnitus, dysphagia, and craniomandibular dysfunction is presented separately. The corresponding therapeutic options and their contraindications are discussed in the concluding chapter. The importance of interdisciplinary cooperation in related fields is emphasized.

Zusammenfassung

Der vorliegende Artikel beschäftigt sich mit denjenigen Symptombildern aus dem HNO-ärztlichen Behandlungsgebiet, die auf funktionelle Störungen der oberen Halswirbelsäule zurückgeführt werden können. Es werden Hinweise gegeben, wann Vorsicht geboten ist, organübergreifende HNO-Symptome vorschnell als phobisch oder psychogen einzustufen. Als Grundlage für funktionelle Symptome im HNO-Bereich werden einleitend die klinisch relevanten neuroanatomischen Konvergenzen der oberen Halswirbelsäule (Okziput bis C3) aufgezeigt. Darauf aufbauend werden separat empirische und evidenzbasierte Charakteristika der wichtigsten zervikalen Differenzialdiagnosen von Schwindel, Tinnitus, Schluckstörungen und kraniomandibulärer Dysfunktion dargestellt. Die zugehörigen Therapieoptionen und deren Kontraindikationen werden im abschließenden Kapitel abgehandelt. Hervorgehoben wird die Bedeutung der interdisziplinären Zusammenarbeit der angrenzenden Fachgebiete.

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Authors and Affiliations

  1. HNO Universitätsklinikum Magdeburg, Magdeburg, Germany

    M. Hölzl & C. Arens

  2. HNO Praxis Ditzingen, Ditzingen, Germany

    R. Behrmann

  3. HNO Zentrum Traunstein, Maxplatz 5, 83278, Traunstein, Germany

    M. Hölzl, E. Biesinger & U. R. Goessler

  4. Orthopädische Praxis Bremen, Bremen, Germany

    W. von Heymann

  5. Universitäts-HNO-Klinik Mannheim, Mannheim, Germany

    R. Hülse

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  1. M. Hölzl
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Correspondence to M. Hölzl.

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M. Hölzl, R. Behrmann, E. Biesinger, W. von Heymann, R. Hülse, U.R. Goessler, and C. Arens declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors.

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Hölzl, M., Behrmann, R., Biesinger, E. et al. Selected ENT symptoms in functional disorders of the upper cervical spine and temporomandibular joints. HNO 67 (Suppl 1), 1–9 (2019). https://doi.org/10.1007/s00106-019-0610-1

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