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  • Title: Endoscopic-Assisted Repair of Spontaneous Temporomandibular Joint Herniation Through a Transcanal Approach.
    Author: Xie B, Zhang S, Liu Y.
    Journal: Otol Neurotol; 2019 Jul; 40(6):772-776. PubMed ID: 31157730.
    Abstract:
    OBJECTIVE: To report of the presentation, diagnosis, and management of a spontaneous temporomandibular joint (TMJ) herniation. PATIENTS: A 69-year-old man with a spontaneous TMJ herniation. INTERVENTIONS: Diagnostic evaluation and surgical approaches. MAIN OUTCOME MEASURES: Imaging, and medical and surgical treatment outcomes. RESULTS: 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. CONCLUSIONS: 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.
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