This article assists the practicing otolaryngologist to better understand how malfunction within the masticatory system inclusive of the temporomandibular joints and associated musculoskeletal structures can lead to the onset of ear symptoms inclusive of pain, and sensations of fullness, pressure, buzzing, and ringing among others. This article aims to provide physicians evaluating ear symptoms with the listening and examination tools to help determine whether puzzling ear symptoms relate to malfunction within the masticatory system. If a temporomandibular problem is identified, the physician will be better able to ascertain the origins of the problem and provide common treatment options to patients.