Reconstruction of the External Auditory Canal for Spontaneous Temporomandibular Joint Herniation.

IF 2.2 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Laryngoscope Pub Date : 2024-10-15 DOI:10.1002/lary.31843

Shreya Sriram, Kaitlyn Frazier, Desi Schoo, Kofi Boahene, Bryan K Ward, Deepa Galaiya

引用次数: 0

Abstract

Spontaneous herniation of the temporomandibular joint into the external auditory canal is rare and generally results from inflammation or trauma but is rarely documented as a result of osteoradionecrosis. We report the novel surgical management of TMJ herniation by reconstructing the anterior EAC using conchal cartilage and a vascularized pedicled muscle flap in two patients. At follow-up, both had healing of the ear canal and TM without any evidence of joint herniation, with improved QOL and hearing. TMJ herniation due to an anterior EAC defect from osteoradionecrosis or trauma can be reconstructed with a cartilage graft and vascularized fascia flap. Laryngoscope, 2024.

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重建外耳道治疗自发性颞下颌关节疝。

颞下颌关节自发性疝入外耳道的情况非常罕见，通常是由于炎症或外伤引起的，但很少有记录显示是由于骨软化引起的。我们报告了一种治疗颞下颌关节疝的新型手术方法，即在两名患者中使用海螺软骨和血管蒂肌皮瓣重建前外耳道。随访结果显示，两名患者的耳道和颞下颌关节均已愈合，没有任何关节疝出的迹象，生活质量和听力均有所改善。软骨移植和血管化筋膜瓣可重建因骨软化症或外伤导致的前EAC缺损引起的颞下颌关节疝。喉镜》，2024 年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Laryngoscope 医学-耳鼻喉科学

CiteScore

6.50

自引率

7.70%

发文量

500

审稿时长

2-4 weeks

期刊介绍： The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects