Spontaneous Temporomandibular Joint Herniation into the External Auditory Canal: A Case Report and Review of the Literature

Moriyama, Masaya; Kodama, Satoru; Suzuki, Masashi

doi:10.1097/01.mlg.0000181513.94754.f3

Cited by 51 publications

(55 citation statements)

References 9 publications

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“…It is claimed that chewing movements lead to recurrent trauma, the growth of patent foramen of Huschke, visible defect, and occurrence of possible symptoms over time (1)(2)(3)5). Both patients presented in this study were at an advanced age and they stated that they had never been told about such a situation in previous examinations.…”

Section: Discussionmentioning

confidence: 85%

“…A titanium patch with pre-auricular approach or the use of autologous cartilage (tragal, conchal) was reported in literature for the repair of defect (1)(2)(3). In literature, data about the possible complications of surgical alternatives or their longterm results are not enough (2).…”

Section: Discussionmentioning

confidence: 99%

“…In symptomatic cases, surgery should not be planned without confirming the location and size of the bone defect via imaging techniques (2,3). A titanium patch with pre-auricular approach or the use of autologous cartilage (tragal, conchal) was reported in literature for the repair of defect (1)(2)(3).…”

Section: Discussionmentioning

confidence: 99%

“…This type of dehiscence can develop secondary to trauma, neoplasia, infectious, or inflammatory periods. Also, persistence of patency of a congenital foramen of Huschke is another important factor (1,3). It has been reported that the foramen of Huschke remains patent in temporal bone dissections in 7% of the adult population (1,4).…”

Section: Introductionmentioning

confidence: 99%

“…The treatment of TMJ herniation to EAC is controversial. It is defended that the patient must be symptomatic and treated according to the degree of the symptoms (3,5). In this study, 2 patients with spontaneous TMJ herniation to EAC were presented with clinical and radiological findings in the light of up-to-date literature.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Herniation of Temporomandibular Joint through the External Auditory Canal

Kayahan¹,

Cabbarzade²,

Bajin³

et al. 2014

Turk Arch Otolaryngol

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Case ReportSpontaneous herniation of the temporomandibular joint (TMJ) through the external auditory canal (EAC) is a relatively rare condition. It was first described by Hawke in 1987. In this article, 2 cases with spontaneous herniation of TMJ were reported together with clinical and radiological features, as well as the updated literature.The first case was a 56-year-old female patient, and she applied to our clinic because of itching at the EAC. On physical examination, herniation of the TMJ to the left EAC was detected. On computerized tomography, there was a bony defect at the anterior portion of the left EAC. The second case was a 52-year-old female, and she attended our clinic with sore throat. On routine physical examination, herniation of the TMJ through the left EAC was detected. Both patients were asymptomatic; none of them underwent surgery and follow-up visits were recommended.In the presence of herniation of the TMJ, a bony defect between the posterior wall of the glenoid cavity and anterior part of the EAC should be taken into consideration. Treatment of TMJ herniation through the EAC is controversial, and presence and the degree of the symptoms are the factors which were taken into consideration for management.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Spontaneous Herniation of Temporomandibular Joint through the External Auditory Canal

Kayahan¹,

Cabbarzade²,

Bajin³

et al. 2014

Turk Arch Otolaryngol

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show abstract

Temporomandibular joint herniation into the external auditory canal

2010

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Persistent foramen of Huschke: Presentation, evaluation, and management

Macielak

Nassiri

Fillmore

et al. 2022

Laryngoscope Investig Oto

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Objective: Describe the presentation and management strategy for patients with symptomatic foramen of Huschke (FH).Patients: Adults with persistent FH confirmed on imaging.Interventions: Diagnosis and management of symptomatic persistent FH.Main outcome measure: Resolution of otologic symptoms.Results: A total of four patients with symptomatic, radiographically-confirmed persistent FH were included. The majority of patients endorsed otalgia (n = 4) and otorrhea (n = 3), and only one patient was noted to have a conductive hearing loss. All patients were noted to have dynamic movement of an external auditory canal mass with mandible manipulation on examination, and all patients had an identifiable fistula on imaging. Patients underwent surgical intervention, including both preauricular (n = 2) and transcanal (n = 2) approaches, and all endorsed symptomatic resolution after convalescence.Conclusions: Persistent FH remains an uncommon and potentially underrecognized cause of otologic symptoms. Diagnosis requires a high index of suspicion, and one must rely on both key examination findings and imaging to confirm this diagnosis. In appropriately selected patients, surgical intervention can provide durable symptomatic resolution.

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Spontaneous Temporomandibular Joint Herniation into the External Auditory Canal: A Case Report and Review of the Literature

Abstract: Few cases of spontaneous TMJ herniation into the EAC have been reported; however, if surgical treatment is desired, we should comply with the patient's request.

Cited by 51 publications

References 9 publications

Spontaneous Herniation of Temporomandibular Joint through the External Auditory Canal

Spontaneous Herniation of Temporomandibular Joint through the External Auditory Canal

Temporomandibular joint herniation into the external auditory canal

Persistent foramen of Huschke: Presentation, evaluation, and management

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