Hipoplasia condylar of probable otologic origin

ABSTRACT: The temporomandibular joint is one of the most complex of the human body and the condylar process is responsible for the expression of mandibular growth. The condylar hypoplasia is characterized by a defective formation of the condylar process. The acute otitis media is an inflammatory process, triggered from infections of the nasal cavity, paranasal sinuses and, nasopharynx, propagated through the Eustachian tube. In the presented case, the patient had facial asymmetry since the first year of life, and recurring cases of otitis just in the early stages of closing the temporal tympanic suture and in the foramen of Huschke, which would facilitate the dissemination of this ear infection which would undermine the development of condyle resulting in hypoplasia identified, only in the right side. Thus, professionals who work in temporomandibular joint and ear regions must have knowledge of the existence and clinical implications of the foramen of Huschke for early diagnosis and prevent the development of facial asymmetry where this association presents with clinical signs of infection of the affected areas, restoring function, aesthetic and, psychological state of the patient.

摘要：颞下颌关节（temporomandibular joint）是人体最为复杂的关节之一，髁突（condylar process）负责调控下颌骨的生长发育。髁突发育不全（condylar hypoplasia）以髁突形成缺陷为主要特征。急性中耳炎（acute otitis media）是一类炎症性病变，多由鼻腔、鼻旁窦及鼻咽部的感染引发，并经咽鼓管（Eustachian tube）扩散致病。本次报道的患者自出生后第一年即出现面部不对称，且在颞鼓缝闭合早期、许氏孔（foramen of Huschke）未闭阶段反复发生中耳炎；该解剖结构未闭会为耳部感染的播散提供便利，进而损害髁突发育，最终仅右侧出现明确的髁突发育不全。因此，从事颞下颌关节及耳部相关诊疗的专业人员，需掌握许氏孔的存在及其临床意义，以便早期识别此类疾病，在受累区域出现感染相关临床征象时及时干预，预防面部不对称的发生，帮助患者恢复生理功能、改善外观与心理状态。

搜集汇总

背景与挑战

背景概述

该数据集聚焦于颞下颌关节髁突发育不全的医学案例研究，特别探讨了急性中耳炎可能通过Huschke孔传播导致髁突发育不全的病理机制。数据集包含相关医学图像和文档，发布于2022年，适用于康复与治疗领域的研究，旨在促进早期诊断和预防面部不对称的发展。