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Costen's Syndrome: A Reinterpretation

Costen's Syndrome: A Reinterpretation Abstract Costen's syndrome is the term applied to a symptom-complex described by J. B. Costen in 1934.1 The symptoms can be summarized as follows: Otological symptoms: loss of hearing, stuffiness in the ears, and tinnitus aurium. Head and neck pain: pain in and about the ears, headaches in the vertex and occipital regions, and pain typical of "sinus disease." Miscellaneous symptoms: vertigo, tenderness of the temporomandibular joint to palpation, burning sensations in the tongue and throat, and a metallic taste. Costen claimed1-6 that the symptoms forming his syndrome were produced by overclosure of the mandible and that "opening the bite" would clear up these symptoms. Costen's syndrome has been debated as a single entity standing or falling by the correctness of every one of its symptoms, by the validity of the etiology given by Costen, and by the success of its treatment by "opening the bite." References 1. Costen, J. B.: Ann. Otol. Rhin. & Laryng. 43:1, 1934. 2. Costen, J. B.: Arch. Otolaryng. 22:554, 1935. 3. Costen, J. B.: Ann. Otol. Rhin. & Laryng. 48:499, 139. 4. Costen, J. B.: J. Am. Dent. A. 24:1507, 1937. 5. Costen, J. B.: J. Am. Dent. A. 26:405, 1939. 6. Costen, J. B.: Ann. Otol. Rhin. & Laryng. 53:655, 1944. 7. Goodfriend, D. J.: Dent. Cosmos 74:523, 1932. 8. Goodfriend, D. J.: Dent. Cosmos 75:844, 1933. 9. Goodfriend, D. J.: Dent. Cosmos 75:947, 1933. 10. Goodfriend, D. J.: Dent. Cosmos 75:1106, 1933. 11. Goodfriend, D. J.: Dent. Cosmos 78:1292, 1936. 12. Hill, F. T.: Ann. Otol. Rhin. & Laryng. 51:653, 1942 13. Batson, O. V.: J. Am. Dent. A. 25:1191, 1938. 14. Sarnat, B. G., Editor: The Temporomandibular Joint , Springfield, Ill., Charles C Thomas, Publisher, 1951. 15. Harris, H. L.: J. Am. Dent. A. 25:175, 1938. 16. Schier, M. B. A.: Dental Items 62:507, 1940. 17. Harvey, W.: Brit. Dent. J. 85:219, 1948. 18. Block, L. S.: J. Am. Dent. A. 34:253, 1947. 19. Brussell, I. J.: J. Am. Dent. A. 39:532, 1949. 20. Junemann, H. R.: J. Am. Dent. A. 28:1427, 1941. 21. Bellinger, D. H.: Henry Ford Hosp. Bull. 2:56, 1954. 22. Sicher, H.: Oral Anatomy , Ed. 2, St. Louis, The C. V. Mosby Company, 1952. 23. Sicher, H.: J. Am. Dent. A. 36:131, 1948. 24. Sicher, H.: J. Am. Dent. A. 48:620, 1954. 25. Sicher, H.: J. Oral Surg. 13:275, 1955. 26. Shapiro, H. H., and Truex, R. C.: J. Am. Dent. A. 30:1147, 1943. 27. Shapiro, H. H.: Oral Surg. 3:1521, 1950.Crossref 28. Freese, A. S.: New York J. Med. 57:2837, 1957. 29. Freese, A. S.: J. Pros. Dent. 7:663, 1957.Crossref 30. Bellinger, D. H.: J. Oral Surg. 6:11, 1948. 31. Prentiss, H. J.: Dent. Cosmos 60:505, 1918. 32. Summa, R.: Dent. Cosmos 60:512, 1918. 33. Monson, G. S.: J. Nebraska Dental A. 7:399, 1920. 34. Monson, G. S.: J. Nebraska Dent. A. 8:833, 1921. 35. Wright, W. H.: J. Nebraska Dent. A. 7:979, 1920. 36. Young, M. W.: Anat. Record 109:102, 1952. 37. Seldin, H. M.: New York State Dent . J. 21:313, 1955. 38. Schwartz, L. L., and Cobin, H. P.: Oral Surg. 10:339, 1957.Crossref 39. Costen, J. B.: J. A. M. A. 107:252, 1936.Crossref 40. Freese, A. S.: A. M. A. Arch. Otolaryng. 67:410, 1958.Crossref 41. Freese, A. S.: New York J. Med. 58:2533, 1958. 42. Freese, A. S.: J. Pros. Dent. 8:831, 1958.Crossref 43. Freese, A. S.: New York J. Med. 59:2554, 1959. 44. Freese, A. S.: The Temporomandibular Joint and Myofascial Trigger Areas in the Dental Diagnosis of Pain, J. Am. Dent. A., to be published. 45. Travell, J., and Rinzler, S. H.: Postgrad. Med. 11:425, 1952. 46. Friedmann, A. P., and Von Storch, T. J. C.: New York J. Med. 56:3883, 1956. 47. Friedman, A. P.: J. Am. Geriatrics Soc. 3:399, 1955. 48. Friedman, A. P., and Merritt, H. H.: J. A. M. A. 163:1111, 1957.Crossref 49. Wolff, H. G.: Headache and Other Pain , New York, Oxford University Press, 1948. 50. Bonica, J. J.: The Management of Pain , Philadelphia, Lea & Febiger, 1953. 51. Travell, J.: New York J. Med. 55:331, 1955. 52. Travell, J.: New York J. Med. 45:2095, 1945. 53. Travell, J.: New York J. Med. 48:2050, 1948. 54. Travell, J.: J. Am. M. Women's A. 4:89, 1949. 55. Travell, J. Mississippi Valley M. J. 71:13, 1949. 56. Travell, J.: Bull. New York Acad. Med. 26:284, 1950. 57. Travell, J.: Arch. Phys. Med. 33:291, 1952. 58. Michele, A. A.; Davies, J. J.; Krueger, F. J., and Lichtor, J. M.: New York J. Med. 50:1353, 1950. 59. Williams, H. L., and Elkins, E. C.: Arch. Otolaryn. 36:1, 1942.Crossref 60. Rinzler, S. H.: Am. J. Med. 5:736, 1948.Crossref 61. Rinzler, S. H., and Travell, J.: Am. Heart J. 35:248, 1948.Crossref 62. Travell, J.; Rinzler, S., and Herman, M.: J. A. M. A. 120:417, 1942.Crossref 63. Weeks, V. D., and Travell, J.: J. Pediat. 47:315, 1955.Crossref 64. Davis, D.: Ann. Int. Med. 38:778, 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

Costen's Syndrome: A Reinterpretation

A.M.A. Archives of Otolaryngology , Volume 70 (3) – Sep 1, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1959.00730040317004
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Abstract

Abstract Costen's syndrome is the term applied to a symptom-complex described by J. B. Costen in 1934.1 The symptoms can be summarized as follows: Otological symptoms: loss of hearing, stuffiness in the ears, and tinnitus aurium. Head and neck pain: pain in and about the ears, headaches in the vertex and occipital regions, and pain typical of "sinus disease." Miscellaneous symptoms: vertigo, tenderness of the temporomandibular joint to palpation, burning sensations in the tongue and throat, and a metallic taste. Costen claimed1-6 that the symptoms forming his syndrome were produced by overclosure of the mandible and that "opening the bite" would clear up these symptoms. Costen's syndrome has been debated as a single entity standing or falling by the correctness of every one of its symptoms, by the validity of the etiology given by Costen, and by the success of its treatment by "opening the bite." References 1. Costen, J. B.: Ann. Otol. Rhin. & Laryng. 43:1, 1934. 2. Costen, J. B.: Arch. Otolaryng. 22:554, 1935. 3. Costen, J. B.: Ann. Otol. Rhin. & Laryng. 48:499, 139. 4. Costen, J. B.: J. Am. Dent. A. 24:1507, 1937. 5. Costen, J. B.: J. Am. Dent. A. 26:405, 1939. 6. Costen, J. B.: Ann. Otol. Rhin. & Laryng. 53:655, 1944. 7. Goodfriend, D. J.: Dent. Cosmos 74:523, 1932. 8. Goodfriend, D. J.: Dent. Cosmos 75:844, 1933. 9. Goodfriend, D. J.: Dent. Cosmos 75:947, 1933. 10. Goodfriend, D. J.: Dent. Cosmos 75:1106, 1933. 11. Goodfriend, D. J.: Dent. Cosmos 78:1292, 1936. 12. Hill, F. T.: Ann. Otol. Rhin. & Laryng. 51:653, 1942 13. Batson, O. V.: J. Am. Dent. A. 25:1191, 1938. 14. Sarnat, B. G., Editor: The Temporomandibular Joint , Springfield, Ill., Charles C Thomas, Publisher, 1951. 15. Harris, H. L.: J. Am. Dent. A. 25:175, 1938. 16. Schier, M. B. A.: Dental Items 62:507, 1940. 17. Harvey, W.: Brit. Dent. J. 85:219, 1948. 18. Block, L. S.: J. Am. Dent. A. 34:253, 1947. 19. Brussell, I. J.: J. Am. Dent. A. 39:532, 1949. 20. Junemann, H. R.: J. Am. Dent. A. 28:1427, 1941. 21. Bellinger, D. H.: Henry Ford Hosp. Bull. 2:56, 1954. 22. Sicher, H.: Oral Anatomy , Ed. 2, St. Louis, The C. V. Mosby Company, 1952. 23. Sicher, H.: J. Am. Dent. A. 36:131, 1948. 24. Sicher, H.: J. Am. Dent. A. 48:620, 1954. 25. Sicher, H.: J. Oral Surg. 13:275, 1955. 26. Shapiro, H. H., and Truex, R. C.: J. Am. Dent. A. 30:1147, 1943. 27. Shapiro, H. H.: Oral Surg. 3:1521, 1950.Crossref 28. Freese, A. S.: New York J. Med. 57:2837, 1957. 29. Freese, A. S.: J. Pros. Dent. 7:663, 1957.Crossref 30. Bellinger, D. H.: J. Oral Surg. 6:11, 1948. 31. Prentiss, H. J.: Dent. Cosmos 60:505, 1918. 32. Summa, R.: Dent. Cosmos 60:512, 1918. 33. Monson, G. S.: J. Nebraska Dental A. 7:399, 1920. 34. Monson, G. S.: J. Nebraska Dent. A. 8:833, 1921. 35. Wright, W. H.: J. Nebraska Dent. A. 7:979, 1920. 36. Young, M. W.: Anat. Record 109:102, 1952. 37. Seldin, H. M.: New York State Dent . J. 21:313, 1955. 38. Schwartz, L. L., and Cobin, H. P.: Oral Surg. 10:339, 1957.Crossref 39. Costen, J. B.: J. A. M. A. 107:252, 1936.Crossref 40. Freese, A. S.: A. M. A. Arch. Otolaryng. 67:410, 1958.Crossref 41. Freese, A. S.: New York J. Med. 58:2533, 1958. 42. Freese, A. S.: J. Pros. Dent. 8:831, 1958.Crossref 43. Freese, A. S.: New York J. Med. 59:2554, 1959. 44. Freese, A. S.: The Temporomandibular Joint and Myofascial Trigger Areas in the Dental Diagnosis of Pain, J. Am. Dent. A., to be published. 45. Travell, J., and Rinzler, S. H.: Postgrad. Med. 11:425, 1952. 46. Friedmann, A. P., and Von Storch, T. J. C.: New York J. Med. 56:3883, 1956. 47. Friedman, A. P.: J. Am. Geriatrics Soc. 3:399, 1955. 48. Friedman, A. P., and Merritt, H. H.: J. A. M. A. 163:1111, 1957.Crossref 49. Wolff, H. G.: Headache and Other Pain , New York, Oxford University Press, 1948. 50. Bonica, J. J.: The Management of Pain , Philadelphia, Lea & Febiger, 1953. 51. Travell, J.: New York J. Med. 55:331, 1955. 52. Travell, J.: New York J. Med. 45:2095, 1945. 53. Travell, J.: New York J. Med. 48:2050, 1948. 54. Travell, J.: J. Am. M. Women's A. 4:89, 1949. 55. Travell, J. Mississippi Valley M. J. 71:13, 1949. 56. Travell, J.: Bull. New York Acad. Med. 26:284, 1950. 57. Travell, J.: Arch. Phys. Med. 33:291, 1952. 58. Michele, A. A.; Davies, J. J.; Krueger, F. J., and Lichtor, J. M.: New York J. Med. 50:1353, 1950. 59. Williams, H. L., and Elkins, E. C.: Arch. Otolaryn. 36:1, 1942.Crossref 60. Rinzler, S. H.: Am. J. Med. 5:736, 1948.Crossref 61. Rinzler, S. H., and Travell, J.: Am. Heart J. 35:248, 1948.Crossref 62. Travell, J.; Rinzler, S., and Herman, M.: J. A. M. A. 120:417, 1942.Crossref 63. Weeks, V. D., and Travell, J.: J. Pediat. 47:315, 1955.Crossref 64. Davis, D.: Ann. Int. Med. 38:778, 1953.Crossref

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Sep 1, 1959

References