Abstract
Spontaneous herniation of temporomandibular joint into the external auditory canal through the foramen of Huschke is a very rare condition. We describe a case of spontaneous temporomandibular joint herniation in a 35-year-old male, who presented with otorrhea and aural fullness. The herniation was repaired using collagen mesh. A literature review of all the previous reported cases of spontaneous temporomandibular joint was done to study the presenting clinical features and the method of surgical repair.
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Lacout A, Marsot-Dupuch K, Smoker WR, Lasjaunias P (2005) Foramen tympanicum, or foramen of Huschke: pathologic cases and anatomic CT study. AJNR Am J Neuroradiol 26:1317–1323
Hawke M, Kwok P, Mehta M et al (1987) Bilateral spontaneous temporomandibular joint herniation into the external auditory canal. J Otolaryngol 16:387–389
Vitale RF, Gonçalez F, Rausis MG (2003) Spontaneous herniation of the temporomandibular joint into the external auditory canal. A case report and literary review. Int Congr Ser 1240:139–143
Prowse SJ, Kelly G, Agada F (2011) Temporomandibular joint herniation and the foramen of Huschke: an unusual external auditory canal mass. J Laryngol Otol 125(12):1279–1281
Fusconi M, Benfari G, Franco M, Deriu D, Dambrosio F, Antonio G et al (2009) Foramen of Huschke: case report and experimental procedure for diagnosis of spontaneous salivary fistula. J Oral Maxillofac Surg 67:1747–1751
Wang RG, Bingham B, Hawke M, Kwok P, Li JR (1991) Persistence of the foramen of Huschke in the adult: an osteological study. J Otolaryngol 20:251–253
Hawke M, Kwok P, Shankar L, Wang RG (1988) Spontaneous temporomandibular joint fistula into the external auditory canal. J Otolaryngol 17:29–31
Heffez L, Anderson D, Mafee M (1989) Development defects of the tympanic plate. J Oral Maxillofac Surg 47:1336–1340
Weissman JL, Hirsch BE, Chan K et al (1991) Dehiscent temporomandibular joint. Head Neck Radiol 180:211–213
Cecire AA, Austin BW (1991) Polyp of the external ear canal arising from the temporomandibular joint: a case report. J Otolaryngol 20:168–170
Kryzer TC, Lambert PR (1992) Herniation of temporomandibular joint contents into the external ear canal. Otolaryngology Head Neck surg 107:607–608
Schunk M, Schultz-Coulon HJ, Ko¨ster R, Shadou S (1996) Arthrogener Gehorgangstumor. HNO 44:640–643
Ali TS, Rubinstein JT (2000) Rheumatoid arthritis of the temporomandibular joint with herniation into the external auditory canal. Ann Otol Rhinol Laryngol 109:177–179
Anand VT, Latif MA, Smith WP (2000) Defects of the external auditory canal: a new reconstruction technique. J Laryngol Otol 114:279–282
Kaftan H, Hosemann W (2004) Herniation von Weichteilgewebe des Kiefergelenks in den aueren Gehorgang. HNO 52:817–819
Moriyama M, Kodama S, Suzuki M (2005) Spontaneous temporomandibular joint herniation into the external auditory canal: a case report and review of the literature. Laryngoscope 115:2174–2177
Lee CK, Park KH (2011) Spontaneous temporomandibular joint herniation. Otolaryngol Head Neck Surg 144:292–293
Akcam T, Hidir Y, Ilica AT, Kilic E, Sencimen M (2011) Temporomandibular joint herniation into the external ear canal through foramen of Huschke. Auris Nasus Larynx 38(5):646–649
Kim TH, Lee SK, Kim SJ, Byun JY (2013) A case of spontaneous temporo-mandibular joint herniation into the external auditory canal with clicking sound. Korean J Audiol 17:90–93
Nakasato T, Nakayama T, Kikuchi K, Ehara S, Ohtsuka H, Fukuda K, Sato H (2013) Spontaneous temporomandibular joint herniation into the external auditory canal through a persistent foramen tympanicum (Huschke): radiographic features. J Comput Assist Tomogr 37(1):111–113
Kayahan B, Cabbarzade C, Bajin MD, Günaydın RÖ, Turan E (2014) Spontaneous herniation of temporomandibular joint through the external auditory canal. Turk Arch Otolaryngol 52:145–147
Li W, Dai C (2015) Spontaneous temporomandibular joint herniation into the external auditory canal. Brazil J Otorhinolaryngol 81(3):339–341
Hsu JH, Yang CC, Shu MT (2015) Temporomandibular joint herniation into external auditory canal. Ear, nose, & throat journal 94(8):E55–E56
Bernstein JM, Loree T, Tymchak G (2015) Spontaneous temporomandibular joint herniation into the external auditory canal through a persistent foramen tympanicum (Huschke): otologic features. J Otolaryngol ENT Res 2(4):00033
Selesnick SH, Carew JF, DiBartolomeo JR (1995) Herniation of the temporomandibular joint into the external auditory canal: a complication of otologic surgery. Am J Otol 16:751–757
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Singh, I., Jain, A., Prasad, P. et al. Spontaneous temporomandibular joint herniation: a rare case. Oral Maxillofac Surg 21, 87–90 (2017). https://doi.org/10.1007/s10006-016-0605-y
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DOI: https://doi.org/10.1007/s10006-016-0605-y