Síndrome de Costen relato de caso clínico

Abstract

Costen’s syndrome is defined as a set of dental and otoneurological symptoms, among which the most common are: sensation of atrial fullness, tinnitus, otalgia and vertigo caused by temporomandibular joint dysfunction (TMJ). Costen reported that loss of posterior tooth support and otological complaints due to occlusal problems, they could be caused by compression of the auditory tube, auriculotemporal nerve pressure and / or tympanic cord nerve pressure. The present study aims to present a case report of a patient with temporomandibular dysfunction with auditory and vestibular symptoms (Costen’s Syndrome). Patient F.U.S, 74 years old, female, was referred to the Dental Clinic of the Amazon State University (UEA), complaining of constant pain in the face region (masseter, preauricular, postauricular and triangle of the neck region), frequent headache, ear fullness, ringing in the ears and occasional vertigo. The patient reported having a parafunctional bruxist habit and it was verified the presence of inadequate postural habit, clinical examination revealed removable superior partial and inferior partial maladapted dentures. After the diagnosis, it was suggested to the patient to make use of an occlusal splint, cervical and masticatory physiotherapy among with prosthetic rehabilitation. The proposed treatments associating the use of an occlusal splint, masticatory and cervical therapy and prosthetic rehabilitation presented significant improvements for the described symptoms. The multidisciplinary and continuous monitoring of these patients is imperative to the establishment of an effective therapy guaranteeing the improvement of the quality of life.