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티타늄 메시로 재건하여 치료한 자발성 턱관절 탈출에 의한 이명

Objective Tinnitus due to Spontaneous Temporomandibular Joint Herniation Treated by Reconstruction with Titanium Mesh

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Herniation of the temporomandibular joint (TMJ) into the external auditory canal (EAC) is known to be associated with a defect of the anterior wall of the EAC. Spontaneous herniation of TMJ into EAC is very rare and can induce clicking tinnitus, conductive hearing loss, otalgia, otorrhea and even no symptom. Here we report a very interesting case of spontaneous TMJ herniation, which resulted in severe and annoying clicky tinnitus and otalgia. There was no response to the initial conservative management, so surgical correction of TMJ herniation using titanium mesh was performed. After the surgery, the annoying clicky tinnitus completely disappeared. This study suggests that tinnitus caused by TMJ herniation be considered as another type of surgically curable objective tinnitus. Korean J Otorhinolaryngol-Head Neck Surg 2014;57:46-9

Abstract

Herniation of the temporomandibular joint (TMJ) into the external auditory canal (EAC) is known to be associated with a defect of the anterior wall of the EAC. Spontaneous herniation of TMJ into EAC is very rare and can induce clicking tinnitus, conductive hearing loss, otalgia, otorrhea and even no symptom. Here we report a very interesting case of spontaneous TMJ herniation, which resulted in severe and annoying clicky tinnitus and otalgia. There was no response to the initial conservative management, so surgical correction of TMJ herniation using titanium mesh was performed. After the surgery, the annoying clicky tinnitus completely disappeared. This study suggests that tinnitus caused by TMJ herniation be considered as another type of surgically curable objective tinnitus. Korean J Otorhinolaryngol-Head Neck Surg 2014;57:46-9

참고문헌 (7)

  1. Park YH, "Temporomandibular joint herniation into the external auditory canal", Laryngoscope, 17(2), pp.90~93 (2013), 대한청각학회
  2. Ha SH, "A case of spontaneous temporomandibular joint herniation into the external auditory canal", Korean J Otorhinolaryngol-Head Neck Surg, 23(3), pp.175~178 (2010)
  3. Moriyama M, "Spontaneous temporomandibular joint herniation into the external auditory canal: a case report and review of the literature", Laryngoscope, 115(12), pp.2174~2147 (2005)
  4. Akcam T, "Temporomandibular joint herniation into the external ear canal through foramen of Huschke", Auris Nasus Larynx, 38(5), pp.646~649 (2011)
  5. Lee CK, "Spontaneous temporomandibular joint herniation", Otolaryngol Head Neck Surg, 144(2), pp.292~293 (2011)
  6. Wang RG, "Persistence of the foramen of Huschke in the adult: an osteological study", J Otolaryngol, 20(4), pp.251~253 (1991)
  7. Selesnick SH, "Herniation of the temporomandibular joint into the external auditory canal: a complication of otologic surgery", Am J Otol, 16(6), pp.751~757 (1995)

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