Surgical emphysema: a novel complication of aural exostosis surgery

1994 ◽  
Vol 108 (6) ◽  
pp. 490-491 ◽  
Author(s):  
Hubertus von Bluementhal ◽  
Edward W. Fisher ◽  
David M. Adlam ◽  
David A. Moffat
Keyword(s):  
Temporomandibular Joint ◽  
Temporal Bone ◽  
External Auditory Canal ◽  
Caucasian Patient ◽  
Surgical Emphysema

AbstractWe present the case of a 40-year-old male Caucasian patient who developed surgical emphysema of the neck five weeks after surgery for exostoses of the external auditory canal. Imaging of the temporal bone demonstrated that the surgery had resulted in entry into the temporomandibular joint. A mechanism is proposed for this novel complication.

scholarly journals A large invasive chondroblastoma on the temporomandibular joint and external auditory canal: a case report and literature review

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Heeyeon Bae ◽  
Dong-mok Ryu ◽  
Hyung Kyung Kim ◽  
Sung-ok Hong ◽  
Hyen Woo Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Temporomandibular Joint ◽  
Temporal Bone ◽  
External Auditory Canal ◽  
Preoperative Evaluation ◽  
Mandibular Condyle ◽  
Fat Graft ◽  
Free Fat Graft ◽  
Sensory Neural

Abstract Background Chondroblastomas, which account for approximately 1% of all bone tumors, typically occur in long bones, such as the femur, humerus, and tibia. However, in extremely rare cases, they may also occur in the craniofacial region where the tumor is often found in the squamous portion of the temporomandibular joint (TMJ) and in the temporal bone. Case presentation This case report describes a large chondroblastoma (diameter, approximately 37 mm) that occurred in the TMJ. The tumor was sufficiently aggressive to destroy the TMJ, mandibular condyle neck, external auditory canal (EAC), mandibular fossa of the temporal bone, and facial nerve. The tumor was completely excised using a pre-auricular approach. The EAC and surgical defect were successfully reconstructed using a temporoparietal fascia flap (TPFF) and an inguinal free fat graft. There was no local tumor recurrence at the 18-month follow-up visits. However, the patient developed sensory neural hearing loss, and his eyebrow paralysis worsened, eventually requiring plastic surgery. Conclusion Large, invasive chondroblastomas of the TMJ can be completely removed through a pre-auricular approach, and the resulting surgical defect can be reconstructed using TPFF and free fat grafts. However, preoperative evaluation of the facial nerve and auditory function is necessary. Therefore, a multidisciplinary approach is essential.

The result of instrumental analysis of the amount of motion in patients with different occlusive and skeletal classes according to the condylography

2021 ◽  
Vol 1 (38) ◽  
pp. 8-13
Author(s):  
M. G. Soykher ◽  
A. V. Lepilin ◽  
M. I. Soykher ◽  
I. K. Pisarenko ◽  
G. T. Saleeva ◽  
...  
Keyword(s):  
Complex Formation ◽  
Temporomandibular Joint ◽  
Temporal Bone ◽  
Qualitative And Quantitative ◽  
Lower Jaw ◽  
Individual Function ◽  
Mandibular Fossa ◽  
Quantitative Characteristics ◽  
Mandibular Movements ◽  
Qualitative And Quantitative Characteristics

The temporomandibular joint is paired, a complex formation of an ellipsoid shape, which is formed by the articular head of the lower jaw, the mandibular fossa and the articular tubercle of the temporal bone, covered with fibrous cartilage. There are two types of movements in the temporomandibular joint: translation and rotation, which implement protrusion-retrusion, right and left mediotrusion, and opening-closing. Computerized axiography is used for assessment of the mandibular movements and the patient’s skeletal parameters. This type of examination allows you to adjust the articulator for an individual function and to study the qualitative and quantitative characteristics of the temporomandibular joint.

scholarly journals Successful Function-Preserving Therapy for Chondroblastoma of the Temporal Bone Involving the Temporomandibular Joint

2011 ◽  
Vol 4 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Junkichi Yokoyama ◽  
Hitoshi Yoshimoto ◽  
Shin Ito ◽  
Shinichi Ohba ◽  
Mitsuhisa Fujimaki ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Temporal Bone

Basal cell carcinoma of the temporal bone and external auditory canal

2017 ◽  
Vol 128 (6) ◽  
pp. 1425-1430 ◽  
Author(s):  
Joseph T. Breen ◽  
Dianna B. Roberts ◽  
Paul W. Gidley
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Temporal Bone ◽  
Basal Cell ◽  
External Auditory Canal

scholarly journals A Case of Bilateral Spontaneous Temporomandibular Joint Herniation into the External Auditory Canal

2014 ◽  
Vol 25 (2) ◽  
pp. 169-171
Author(s):  
Jae-Hoon Jung ◽  
Jin-Young Goh ◽  
Soon-Gu Kim ◽  
Il-Woo Lee
Keyword(s):  
Temporomandibular Joint ◽  
External Auditory Canal

Temporomandibular joint herniation and the foramen of Huschke: an unusual external auditory canal mass

2011 ◽  
Vol 125 (12) ◽  
pp. 1279-1281 ◽  
Author(s):  
S J Prowse ◽  
G Kelly ◽  
F Agada
Keyword(s):  
Temporomandibular Joint ◽  
External Auditory Canal ◽  
Soft Tissues ◽  
Anterior Wall ◽  
Ear Canal ◽  
Surgical Closure ◽  
Computed Tomographic ◽  
History Of ◽  
Temporal Bones ◽  
Foramen Of Huschke

AbstractObjectives:We describe a rare case of spontaneous temporomandibular joint herniation into the external auditory canal, and we also review the presentation, aetiology and management of such cases.Case report:An 87-year-old woman presented with a four-month history of left-sided otorrhoea and otalgia. Examination revealed a soft, polypoid mass in the left ear canal. When the patient opened her mouth the lesion disappeared. Subsequent computed tomographic imaging of the patient's temporal bones confirmed an 8.6 mm defect in the antero-inferior portion of the left ear canal, with herniation of retrodiscal soft tissues.Conclusion:The external auditory canal is intimately related to the temporomandibular joint, separated only by its bony anterior wall. Neoplasm, trauma or inflammation in this area can result in displacement of the temporomandibular joint into the ear canal; however, spontaneous herniation is rare. Persistence of the primitive foramen of Huschke can result in dehiscence of the anterior canal wall, allowing articular tissue to prolapse into the ear canal. Surgical closure of these defects is known to be effective in ameliorating symptomatic cases.

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