Dehiscence of the anterior wall of the external auditory canal with involvement of the temporomandibular joint after exostosis surgery. Systematic review
Abstract Introduction and objective: Carry out a systematic review to evaluate the incidence in the literature of this rare complication in otological surgery, such as the involvement of the temporomandibular joint (TMJ). Method: Iatrogenic opening of the TMJ after otological surgery attended is very unfrequent, a review of the literature about this pathology was carried out following the PRISMA method for systematic reviews evaluating the electronic databases PubMED, Web of Science and Cochrane. Results: 3 articles with published cases of EAC-TMJ fistulization and one of our own were included. All presented compatible exploration by otoscopy with or without symptoms reported by the patient and requiring surgical or conservative treatment. A total of 5 cases were found (4 women and 1 man), aged between 40 and 70, with a diagnosis of EAC-TMJ communication secondary to canaloplasty. Three of them presented cervical emphysema among the accompanying symptoms and signs. Treatment was conservative in three cases, while the other two required surgical repair. Discussion/Conclusions: Canaloplasty is a common procedure in otological surgery that requires a meticulous dissection technique to avoid damage to important structures such as the facial nerve or the TMJ. It presents a low rate of complications, being fistulization towards the temporomandibular joint very exceptional. However, we must suspect it in the presence of persistent pain, otorrhea, jaw blockage or clicking and, of course, emphysema.
- Referencias
- Cómo citar
- Del mismo autor
- Métricas
Wenig BM. Atlas of head and neck pathology. 3a ed. Filadelfia, PA, Estados Unidos de América: Elsevier - Health Sciences Division; 2015.
Gurgel RK, Harnsberger HR. EAC Osteoma. En: Imaging in Otolaryngology. Filadelfia, PA, Estados Unidos de América: Elsevier – Health Sciences Division; 2018. p. 412.
3.Roberson JB Jr, Perkins R. Canalplasty for exostoses of the external auditory canal and miscellaneous auditory canal problems. En: Otologic Surgery. Elsevier; 2010. p. 21–31.
Selesnick SH, Carew JF, DiBartolomeo JR. Herniation of the temporomandibular joint into the external auditory canal: a complication of otologic surgery. Am J Otol. 1995 Nov;16(6):751-7
Sinn DP, Tharanon W, Culbertson MC Jr, Goldman KE. Surgical correction of an aural-temporomandibular joint fistula with a temporalis flap. J Oral Maxillofac Surg. [Internet]1994 Feb;52(2):197-200. Disponible en: http://dx.doi.org/10.1016/0278-2391(94)90411-1
Portmann D, Guindi S, Sribniak I, Arcaute Aizpuru F. Herniation of the temporomandibular joint into the external auditory canal: Our review of 13 cases. Rev Laryngol Otol Rhinol (Bord). 2014;135(4-5):187-190.
Jo YS, Cheong TY, Han BH, Lee JM, Kim SH, Moon IS. Temporomandibular Joint Herniation: Review of the Literature. Otol Neurotol [Internet]. 2020; 41(1): e1–e6. Disponible en: http://dx.doi.org/10.1097/MAO.0000000000002459
Rodríguez-Martín M, Corriols-Noval P, López-Simón E, Salvatierra-Vicario B, Cobo-Díaz R, García-Ibáñez Y et al. Dehiscencia de pared anterior de conducto auditivo externo con afectación de articulación temporomandibular tras cirugía de exóstosis. Descripción de un caso. Rev ORL. 2022. (en prensa)
von Blumenthal H, Fisher EW, Adlam DM, Moffat DA. Surgical emphysema: a novel complication of aural exostosis surgery. J Laryngol Otol [Internet]. 1994;108(6):490-1. Disponible en: http://dx.doi.org/10.1017/s0022215100127185
Crombie AK, Batstone MD, Voltz M, Monsour FN, Lynham AJ. Management of temporomandibular-external auditory canal fistulas: a report of 3 cases. Am J Otol [Internet]. 2010;31(1), 59–60 Disponible en: http://dx.doi.org/10.1016/j.amjoto.2008.09.001
Baxter MC, Keller M, Shah A, Wise S. Surgical emphysema following canalplasty for aural exostoses. Otol Neurotol [Internet]. 2017;38(8):1174-7. Disponible en: http://dx.doi.org/10.1097/mao.0000000000001512
Stougaard M, Tos M. Less radical drilling in surgery for exostoses of the external auditory canal. Auris Nasus Larynx. 1999 Jan;26(1):13-6. https://doi.org/10.1016/s0385-8146(98)00059-5.PMID: 10077251.
Grinblat G, Prasad SC, Piras G, He J, Taibah A, Russo A et al. Outcomes of drill canalplasty in exostoses and osteoma: Analysis of 256 cases and literature review. Otol Neurotol [Internet]. 2016;37(10):1565-72. Disponible en: http://dx.doi.org/10.1097/mao.0000000000001239
Altuna Mariezkurrena X., Vea Orte J.C., Camacho Arrioaga J.J., Algaba Guimerá J. Surgical treatment of exostosis in the external auditory canal. Acta Otorrinolaringol Esp, 2006; 57: 257-61.
Gurgel RK, Harnsberger HR. EAC Osteoma. En: Imaging in Otolaryngology. Filadelfia, PA, Estados Unidos de América: Elsevier – Health Sciences Division; 2018. p. 412.
3.Roberson JB Jr, Perkins R. Canalplasty for exostoses of the external auditory canal and miscellaneous auditory canal problems. En: Otologic Surgery. Elsevier; 2010. p. 21–31.
Selesnick SH, Carew JF, DiBartolomeo JR. Herniation of the temporomandibular joint into the external auditory canal: a complication of otologic surgery. Am J Otol. 1995 Nov;16(6):751-7
Sinn DP, Tharanon W, Culbertson MC Jr, Goldman KE. Surgical correction of an aural-temporomandibular joint fistula with a temporalis flap. J Oral Maxillofac Surg. [Internet]1994 Feb;52(2):197-200. Disponible en: http://dx.doi.org/10.1016/0278-2391(94)90411-1
Portmann D, Guindi S, Sribniak I, Arcaute Aizpuru F. Herniation of the temporomandibular joint into the external auditory canal: Our review of 13 cases. Rev Laryngol Otol Rhinol (Bord). 2014;135(4-5):187-190.
Jo YS, Cheong TY, Han BH, Lee JM, Kim SH, Moon IS. Temporomandibular Joint Herniation: Review of the Literature. Otol Neurotol [Internet]. 2020; 41(1): e1–e6. Disponible en: http://dx.doi.org/10.1097/MAO.0000000000002459
Rodríguez-Martín M, Corriols-Noval P, López-Simón E, Salvatierra-Vicario B, Cobo-Díaz R, García-Ibáñez Y et al. Dehiscencia de pared anterior de conducto auditivo externo con afectación de articulación temporomandibular tras cirugía de exóstosis. Descripción de un caso. Rev ORL. 2022. (en prensa)
von Blumenthal H, Fisher EW, Adlam DM, Moffat DA. Surgical emphysema: a novel complication of aural exostosis surgery. J Laryngol Otol [Internet]. 1994;108(6):490-1. Disponible en: http://dx.doi.org/10.1017/s0022215100127185
Crombie AK, Batstone MD, Voltz M, Monsour FN, Lynham AJ. Management of temporomandibular-external auditory canal fistulas: a report of 3 cases. Am J Otol [Internet]. 2010;31(1), 59–60 Disponible en: http://dx.doi.org/10.1016/j.amjoto.2008.09.001
Baxter MC, Keller M, Shah A, Wise S. Surgical emphysema following canalplasty for aural exostoses. Otol Neurotol [Internet]. 2017;38(8):1174-7. Disponible en: http://dx.doi.org/10.1097/mao.0000000000001512
Stougaard M, Tos M. Less radical drilling in surgery for exostoses of the external auditory canal. Auris Nasus Larynx. 1999 Jan;26(1):13-6. https://doi.org/10.1016/s0385-8146(98)00059-5.PMID: 10077251.
Grinblat G, Prasad SC, Piras G, He J, Taibah A, Russo A et al. Outcomes of drill canalplasty in exostoses and osteoma: Analysis of 256 cases and literature review. Otol Neurotol [Internet]. 2016;37(10):1565-72. Disponible en: http://dx.doi.org/10.1097/mao.0000000000001239
Altuna Mariezkurrena X., Vea Orte J.C., Camacho Arrioaga J.J., Algaba Guimerá J. Surgical treatment of exostosis in the external auditory canal. Acta Otorrinolaringol Esp, 2006; 57: 257-61.
Rodríguez-Martín, M., Corriols-Noval, P., López-Simón, E., Salvatierra-Vicario, B., Cobo-Díaz, R., García-Ibáñez, Y., & Longarela-Herrero, Y. (2022). Dehiscence of the anterior wall of the external auditory canal with involvement of the temporomandibular joint after exostosis surgery. Systematic review . Revista ORL, 14(1), e28559. https://doi.org/10.14201/orl.28559
Most read articles by the same author(s)
- Patricia Corriols-Noval, Beatriz Palmero-Sánchez, Gianni Faelens, Carmelo Morales-Angulo, Eugenia López-Simón, Head and neck manifestations of cocaine abuse. Review , Revista ORL: Vol. 13 No. 1 (2022)
- Patricia Corriols-Noval, Francisco José Herrero-Fernández, Guillermo Hernán Piero-Belmonte, Reconstruction of auricular conchal defects with postauricular island flap. A case report , Revista ORL: Vol. 10 No. 4 (2019)
- Eugenia Lopez-Simon, Patricia Corriols-Noval, Nathalia Castillo-Ledesma, Carmelo Morales-Angulo, Osteonecrosis of the external auditory canal secondary to bisphosphonates. Systematic review , Revista ORL: Vol. 10 No. 4 (2019)
- Minerva Rodríguez-Martín, Eugenia López-Simón, Ramón Cobo-Díaz, Belén Salvatierra-Vicario, Yaiza García-Ibáñez, Carmelo Morales-Angulo, Sudden Sensorineural Hearing Loss as an Initial Symptom of Vestibular Schwannoma , Revista ORL: Vol. 13 No. S2 (2022): XXVIII Congreso de la Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja Valladolid 2, 3 y 4 de junio de 2022
- Minerva Rodríguez-Martín, Eugenia López-Simón, Ramón Cobo-Díaz, Belén Salvatierra-Vicario, Yaiza García-Ibáñez, Laura Baldizán-Velasco, Carmelo Morales-Angulo, Evaluation of Patients Diagnosed with Sudden Profound Unilateral Hearing Loss: 12-year Retrospective Study , Revista ORL: Vol. 13 No. S2 (2022): XXVIII Congreso de la Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja Valladolid 2, 3 y 4 de junio de 2022
- Leticia Acle-Cervera, Patricia Corriols-Noval, María Teresa Gil-Aguilar, Ana Foltalva-Romero, Carmelo Morales-Angulo, Osteogenesis imperfecta: Hearing and genetic study of a family with a mutation in the COL1A1 gene , Revista ORL: Vol. 10 No. 2 (2019)
- Minerva Rodríguez-Martín, Laura Baldizán-Velasco, Eugenia López-Simón, Ramón Cobo-Díaz, Belén Salvatierra-Vicario, Yaiza García-Ibáñez, Carmelo Morales-Angulo, Otologic Symptoms as the First manifestation of IgG4-Related Disease , Revista ORL: Vol. 13 No. S2 (2022): XXVIII Congreso de la Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja Valladolid 2, 3 y 4 de junio de 2022
- Eugenia López-Simón, Patricia Corriols-Noval, NATHALIA Castillo-Ledesma, Carmelo Morales-Angulo, Deep neck abscess with risk of airway obstruction in an infant. A case report , Revista ORL: Vol. 10 No. 4 (2019)
- Minerva Rodríguez Martín, Patricia Corriols-Noval, Eugenia López-Simón, Belén Salvatierra-Vicario, Ramón Cobo-Díaz, Yaiza García-Ibáñez, Yolanda Longarela-Herrero, Dehiscence of the anterior wall of the external auditory canal with involvement of the temporomandibular joint after exostosis surgery. Description of a clinical case , Revista ORL: Vol. 14 No. 1 (2023)
- Gloria Río-González, Patricia Corriols-Noval, Aiara Viana-Cora, Nathalia Castillo-Ledesma, Eugenia López-Simón, Carmelo Morales-Angulo, Incidence and clinical and epidemiological characteristic of nasopharynx carcinoma in Cantabria in 2014 , Revista ORL: Vol. 10 No. 3 (2019)
Downloads
Download data is not yet available.
+
−