Skip to main content

Perforation of the External Auditory Canal or Middle Cranial Fossa

  • Chapter
  • First Online:
  • 890 Accesses

Abstract

Open and arthroscopic surgeries of the temporomandibular joint (TMJ) are common and effective treatments for selected patients with TMJ disorders. However, complications inevitably occur, even in the hands of experienced TMJ surgeons. An understanding of the surrounding anatomy, as well as a knowledge of the potential complications, is essential and not only helps in avoiding these complications but also in their recognition and appropriate management, when they do occur. The TMJ is located in a complex anatomical region within the head and neck. It is bounded posteriorly by the external auditory canal and superiorly by the middle cranial fossa. Consequently these structures are at risk during open surgery and arthroscopy with the potential for serious complications.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   159.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    ®Bayer, Pittsburgh, PA.

  2. 2.

    ®Pfizer, New York, NY.

References

  1. Lacout A, Marsot-Dupuch K, WRK S, Lasjaunias P. Foramen tympanicum, or foramen of Huschke: pathologic cases and anatomic CT study. Am J Neuroradiol. 2005;26(6):1317–23.

    PubMed  Google Scholar 

  2. Tozoǧlu U, Caglayan F, Harorli A. Foramen tympanicum or foramen of Huschke: anatomical cone beam CT study. Dentomaxillofac Radiol. 2012;41(4):294–7.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Herzog S, Fiese R. Persistent foramen of Huschke: possible risk factor for otologic complications after arthroscopy of the temporomandibular joint. Oral Surg Oral Med Oral Pathol. 1989;68(3):267–70.

    Article  CAS  PubMed  Google Scholar 

  4. Gonzalez-Garcia R, Rodriguez-Campo FJ, Escorial-Hernandez V, et al. Complications of temporomandibular joint arthroscopy: a Retrospective Analytic Study of 670 Arthroscopic Procedures. J Oral Maxillofac Surg. 2006;64(11):1587–91.

    Article  PubMed  Google Scholar 

  5. Van Sickels JE, Nishioka GJ, Hegewald MD, Neal GD. Middle ear injury resulting from temporomandibular joint arthroscopy. J Oral Maxillofac Surg. 1987;45(11):962–5.

    Article  CAS  PubMed  Google Scholar 

  6. McCain JP, de la Rua H, LeBlanc WG. Puncture technique and portals of entry for diagnostic and operative arthroscopy of the temporomandibular joint. Arthrosc J Arthrosc Relat Surg. 1991;7(2):221–32.

    Article  CAS  Google Scholar 

  7. Sugisaki M, Ikai A, Tanabe H. Dangerous angles and depths for middle ear and middle cranial fossa injury during arthroscopy of the temporomandibular joint. J Oral Maxillofac Surg. 1995;53(7):803–10.

    Article  CAS  PubMed  Google Scholar 

  8. Kristensen S. Spontaneous healing of traumatic tympanic membrane perforations in man: a century of experience. J Laryngol Otol. 1992;106(12):1037–50.

    Article  CAS  PubMed  Google Scholar 

  9. Orji FT, Agu CC. Determinants of spontaneous healing in traumatic perforations of the tympanic membrane. Clin Otolaryngol. 2008;33(5):420–6.

    Article  CAS  PubMed  Google Scholar 

  10. Couch ME. Cummings otolaryngology. In: Head and neck surgery. Philadelphia: Elsevier; 2010.

    Google Scholar 

  11. Lerut B, Pfammatter A, Moons J, Linder T. Functional correlations of tympanic membrane perforation size. Otol Neurotol. 2012;33(3):379–86.

    Article  PubMed  Google Scholar 

  12. Röösli C, Sim JH, Chatzimichalis M, Huber AM. How does closure of tympanic membrane perforations affect hearing and middle ear mechanics? – An evaluation in a patient cohort and temporal bone models. Otol Neurotol. 2012;33(3):371–8.

    Article  PubMed  Google Scholar 

  13. Honda K, Arai Y, Kashima M, et al. Evaluation of the usefulness of the limited cone-beam CT (3DX) in the assessment of the thickness of the roof of the glenoid fossa of the temporomandibular joint. Dentomaxillofac Radiol. 2004;33(6):391–5.

    Article  CAS  PubMed  Google Scholar 

  14. Holmlund A, Hellsing G. Arthroscopy of the temporomandibular joint. An autopsy study. Int J Oral Surg. 1985;14(2):169–75.

    Article  CAS  PubMed  Google Scholar 

  15. Perrott DH, Alborzi A, Kaban LB, Helms CA. A prospective evaluation of the effectiveness of temporomandibular joint arthroscopy. J Oral Maxillofac Surg. 1990;48(10):1029–32.

    Article  CAS  PubMed  Google Scholar 

  16. Murphy MA, Silvester KC, Chan TY. Extradural haematoma after temporomandibular joint arthroscopy. A case report. Int J Oral Maxillofac Surg. 1993;22(6):332–5.

    Article  CAS  PubMed  Google Scholar 

  17. JP MC. Arthroscopy of the human temporomandibular joint. J Oral Maxillofac Surg. 1988;46(8):648–55.

    Article  Google Scholar 

  18. Carter JB. Complications of TMJ arthroscopy: a review of 2,225 cases. J Oral Maxillofac Surg. 1988;46(12):M14–5.

    Article  Google Scholar 

  19. Patel S, Jerjes W, Upile T, Hopper C. Short communication TMJ arthroscopy: rare neurological complications associated with breach of the skull base. Br J Oral Maxillofac Surg. 2010;48(4):e18–20.

    Article  PubMed  Google Scholar 

  20. Greene MW, Hackney FL, Van Sickels JE. Arthroscopy of the temporomandibular joint: an anatomic perspective. J Oral Maxillofac Surg. 1989;47(4):386–9.

    Article  CAS  PubMed  Google Scholar 

  21. Greene MW, van Sickels JE. Survey of TMJ arthroscopy in oral and maxillofacial surgery residency programs. J Oral Maxillofac Surg. 1989;47(6):574–6.

    Article  CAS  PubMed  Google Scholar 

  22. Westesson PL, Eriksson L, Liedberg J. The risk of damage to facial nerve, superficial temporal vessels, disk, and articular surfaces during arthroscopic examination of the temporomandibular joint. Oral Surg Oral Med Oral Pathol. 1986;62(2):124–7.

    Article  CAS  PubMed  Google Scholar 

  23. Talebzadeh N, Rosenstein TP, Pogrel MA. Anatomy of the structures medial to the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(6):674–8.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gary Warburton DDS, MD, FDSRCS, FACS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Warburton, G., Aslam-Pervez, N. (2017). Perforation of the External Auditory Canal or Middle Cranial Fossa. In: Bouloux, G. (eds) Complications of Temporomandibular Joint Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-51241-9_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-51241-9_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-51239-6

  • Online ISBN: 978-3-319-51241-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics