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KMID : 0361020140570010046
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Korean Journal of Otolaryngology - Head and Neck Surgery
2014 Volume.57 No. 1 p.46 ~ p.49
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Objective Tinnitus due to Spontaneous Temporomandibular Joint Herniation Treated by Reconstruction with Titanium Mesh
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Song Jee-Nam
Shim Myung-Joo
Yeo Sang-Won
Park Shi-Nae
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Abstract
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Herniation of the temporomandibular joint (TMJ) into the external auditory canal (EAC) is known to be associated with a defect of the anterior wall of the EAC. Spontaneous herniation of TMJ into EAC is very rare and can induce clicking tinnitus, conductive hearing loss, otalgia, otorrhea and even no symptom. Here we report a very interesting case of spontaneous TMJ herniation, which resulted in severe and annoying clicky tinnitus and otalgia. There was no response to the initial conservative management, so surgical correction of TMJ herniation using titanium mesh was performed. After the surgery, the annoying clicky tinnitus completely disappeared. This study suggests that tinnitus caused by TMJ herniation be considered as another type of surgically curable objective tinnitus.
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KEYWORD
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Objective, Temporomandibular joint herniation, Tinnitus
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