Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University.
Jiangxi Biomedical Engineering Research Center for Auditory Research, Nanchang, China.
Otol Neurotol. 2019 Jul;40(6):772-776. doi: 10.1097/MAO.0000000000002278.
To report of the presentation, diagnosis, and management of a spontaneous temporomandibular joint (TMJ) herniation.
A 69-year-old man with a spontaneous TMJ herniation.
Diagnostic evaluation and surgical approaches.
Imaging, and medical and surgical treatment outcomes.
At 14 months follow-up, the patient reported improved tinnitus and on examination there was no evidence of a hypertrophic scar or canal stenosis, no recurrence of TMJ herniation, no signs of otorrhea, otalgia; and with normal TMJ function.
The advantages of repairing spontaneous TMJ herniation through a transcanal approach using oto-endoscopy include a high definition video of surgical field, minimal invasiveness, and good postoperative cosmetic outcome.
报告一例自发性颞下颌关节（TMJ）疝的表现、诊断和治疗。
一名 69 岁男性，患有自发性 TMJ 疝。
诊断评估和手术方法。
影像学和医疗及手术治疗结果。
随访 14 个月，患者报告耳鸣改善，检查时未见肥厚性瘢痕或管腔狭窄，TMJ 疝无复发，无耳漏、耳痛迹象，TMJ 功能正常。
使用耳内镜经耳道入路修复自发性 TMJ 疝的优点包括手术视野高清视频、微创和良好的术后美容效果。
