CASE REPORTS
Temporomandibular Joint Herniation as a Cause of Objective Tinnitus
Objektif Tinnitusun Nedeni Olarak Temporomandibular Eklem Herniasyonu
Received Date : 10 Nov 2019
Accepted Date : 12 Dec 2019
Available Online : 14 Jan 2020
Kerem KÖKOĞLUa
aErciyes University Faculty of Medicine, Department of Otolaryngology, Kayseri, TURKEY
Doi: 10.24179/kbbbbc.2019-72316 - Makale Dili: EN
KBB ve BBC Dergisi. 2020;28(1):70-2
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Tinnitus is a common problem in daily otology practise. It
is usually subjective. Objective tinnitus which is audible for both the patient
and clinician consist of 5% of all tinnitus cases. It is important to distinguish
objective tinnitus cases, becasue they are able to be curable when
underlying cause is eliminated. Objective tinnitus is caused usually by
environmental structures such as muscles, eustachian tube and temporomandibuler
joint (TMJ). TMJ disorders can affect the ear due to proximity.
This area should not be ignored in differential diagnosis. Dehiscence
of TMJ was presented as an objective tinnitus cause in this paper.
Keywords: Mastication; tinnitus
ÖZET
Tinnitus günlük otoloji pratiğinde sık rastlanan bir problemdir.
Genellikle subjektif tinnitus ile karşılaşılır. Hem hasta hem de hekim
için duyulabilir olan objektif tinnitus, tinnitus vakalarının %5'ini oluşturur.
Objektif tinnitusun ayrımı önemlidir, çünkü altta yatan sebebin tedavisi
ile düzeltilebilir. Objektif tinnitus sıklıkla çevre yapılardan
gelişir, örneğin; kaslar, östaki tüpü ve temporomandibular eklem
(TME). TME hastalıları yakınlığından dolayı kulağı etkileyebilir. Bu
alan ayırıcı tanıda ihmal edilmemelidir. Yazıda objektif tinnitusun bir
sebebi olarak TME dehisansı sunulmuştur.
Anahtar Kelimeler: Çiğneme; tinnitus
KAYNAKLAR
- Salehi PP, Kasle D, Torabi SJ, Michaelides E, Hildrew DM. The etiology, pathogeneses, and treatment of objective tinnitus: unique case series and literature review. Am J Otolaryngol. 2019;40(4):594-7. [Crossref] [PubMed]
- Ducène C, Coolen T, Horoi M, Thill MP. Two cases of pulsatile tinnitus: key points for the clinician. Eur Ann Otorhinolaryngol Head Neck Dis. 2019;136(3):S53-5. [Crossref] [PubMed]
- Omidvar S, Jafari Z. Association between tinnitus and temporomandibular disorders: a systematic review and meta-analysis. Ann Otol Rhinol Laryngol. 2019;128(7):662-75. [Crossref] [PubMed]
- Ertugrul S, Keskin N. Relationship of age to foramen of Huschke and investigation of the development of spontaneous temporomandibular joint herniation. Int J Oral Maxillofac Surg. 2019;48(4):534-9. [Crossref] [PubMed]
- Park YH, Kim HJ, Park MH. Temporomandibular joint herniation into the external auditory canal. Laryngoscope. 2010;120(11): 2284-8. [Crossref] [PubMed]
- Ali TS, Rubinstein JT. Rheumatoid arthritis of the temporomandibular joint with herniation into the external auditory canal. Ann Otol Rhinol Laryngol. 2000;109(2):177-9. [Crossref] [PubMed]
- Xie B, Zhang S, Liu Y. Endoscopic-assisted repair of spontaneous temporomandibular joint herniation through a transcanal approach. Otol Neurotol. 2019;40(6):772-6. [Crossref] [PubMed]