Patel Sachin Tushar, Dusu Keli, Moharrum Tamir, Salem Mohammed
Department of Otorhinolaryngology, Leicester Royal Infirmary, Leicester, UK.
Department of Otorhinolaryngology, Surrey and Sussex Healthcare NHS Trust, East Surrey Hospital, Redhill, UK.
J Laryngol Otol. 2024 Jan 15:1-3. doi: 10.1017/S0022215124000136.
The herniation of temporomandibular tissue through the foramen of Huschke into the external auditory canal is a rare clinical anomaly. This paper describes one such case and provides an overview of the relevant literature. This paper elaborates upon the aetiology, clinical assessment, management and associated complications.
A 54-year-old woman presented with a 3-month history of right ear pain and a polypoid lesion in her right ear canal. This lesion expanded during a Valsalva manoeuvre, and imaging demonstrated a defect in the antero-superior aspect of the canal with herniation of soft tissue. The patient was managed conservatively as the symptoms resided.
Ear canal lesions that protrude or change in size with a Valsalva manoeuvre could be due to a persistent foramen of Huschke. In symptomatic cases needing surgical intervention, a variety of materials may be used to close the defect. Titanium mesh, with or without cartilage overlay, appears to be the most popular choice.
颞下颌组织通过胡施克孔疝入外耳道是一种罕见的临床异常情况。本文描述了这样一例病例，并对相关文献进行综述。本文详细阐述了病因、临床评估、治疗及相关并发症。
一名54岁女性，有3个月的右耳疼痛病史，右耳道内有一息肉样病变。该病变在瓦尔萨尔瓦动作时增大，影像学检查显示耳道前上方有缺损，伴有软组织疝出。由于症状缓解，对该患者进行了保守治疗。
瓦尔萨尔瓦动作时突出或大小改变的耳道病变可能是由于胡施克孔持续存在。在需要手术干预的有症状病例中，可使用多种材料来封闭缺损。带或不带软骨覆盖的钛网似乎是最常用的选择。
