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A Case Report on Cervicofacial Subcutaneous Emphysema and Its Management: A Unique Presentation of Congenital Defect of the Foramen of Huschke

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dc.contributor.authorSiti Nurafiqah Sharudinen_US
dc.contributor.authorNor Azirah Salahuddinen_US
dc.contributor.authorSiti Asmat Md Arepenen_US
dc.contributor.authorNoor Azrin Md Anuaren_US
dc.contributor.authorNor Eyzawiah Hassanen_US
dc.contributor.authorShahrul Hitamen_US
dc.contributor.authorFadzilah Ismailen_US
dc.contributor.authorSalina Husainen_US
dc.date.accessioned2024-05-28T06:52:26Z
dc.date.available2024-05-28T06:52:26Z
dc.date.issued2023
dc.date.submitted2024-2-21
dc.descriptionVol. 15, Issue 10 (page: 1-10)
dc.description.abstractCongenital defect to the foramen of Huschke with a manifestation as temporomandibular joint (TMJ) soft tissue herniation in a radiological study is rare. The patient may present with nonspecific symptoms such as otalgia, mandibular joint pain, tinnitus and conductive hearing loss, and scarcely cervicofacial subcutaneous emphysema. Here, we report a patient presented with cervicofacial subcutaneous emphysema secondary to a congenital defect of the foramen of Huschke. A 45-year-old gentleman presented with right-sided neck swelling and right otalgia with a crackling sound over the right ear upon chewing. Examination shows right-sided fullness with subcutaneous emphysema from the zygoma to the upper neck. Otherwise, it is non-tender with no skin changes, and the facial nerve is intact. Otoendoscopy shows erythematous soft tissue bulging of the anterior wall of the right external auditory canal (EAC) upon closing the mouth and prolapsing upon mouth opening. The right tympanic membrane was intact. Contrast-enhanced computer tomography (CECT) of the neck and temporal region revealed extensive cervicofacial subcutaneous emphysema with a bony defect at the anterior wall of the right EAC, indicating fistulous communication between the right EAC and TMJ. The subcutaneous emphysema resolved on the treatment of the right otitis externa. The patient is subjected to a combined approach of open and endoscopic-assisted repair of the anterior EAC wall defect. TMJ herniation into the anterior EAC is rare; however, the patient presentation may vary. CECT is the gold standard for diagnosing and facilitating treatment options. Treatment choice is based on the patient's condition, including conservative or surgical intervention.en_US
dc.identifier.citationSharudin S, Salahuddin N, Md Arepen S, et al. (October 15, 2023) A Case Report on Cervicofacial Subcutaneous Emphysema and Its Management: A Unique Presentation of Congenital Defect of the Foramen of Huschke. Cureus 15(10): e47078. DOI 10.7759/cureus.47078en_US
dc.identifier.doi10.7759/cureus.47078
dc.identifier.epage4
dc.identifier.issn2168-8184
dc.identifier.issue10
dc.identifier.spage1
dc.identifier.urihttps://www.cureus.com/articles/190470-a-case-report-on-cervicofacial-subcutaneous-emphysema-and-its-management-a-unique-presentation-of-congenital-defect-of-the-foramen-of-huschke#!/authors
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/7883
dc.identifier.volume15
dc.language.isoen_USen_US
dc.publisherSpringer Science and Business Media LLC; Cureus, Inc
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.issn21688184
dc.subjectCervicofacial
dc.subjectEmphysema subcutaneous
dc.subjectTemporomandibular joint prolapse
dc.subjectPersistent foramen hushke
dc.subjectCongenital facial defect
dc.titleA Case Report on Cervicofacial Subcutaneous Emphysema and Its Management: A Unique Presentation of Congenital Defect of the Foramen of Huschkeen_US
dc.typeArticleen_US
dspace.entity.typePublication
oaire.citation.endPage10
oaire.citation.issue10
oaire.citation.startPage1
oaire.citation.volume15

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