Trigemino-Abducens Synkinesis Involving the Malleolar Muscle. an Exceptional Case

Trigemino-abducens synkinesis is a rare neurological condition scarcely discussed in the current bibliography. The few cases are related to synkinesis involving the masticatory muscles, but there are no reports associated to the malleolar muscle. We report a 56 years old woman with annoying feeling inside the right ear when she looks to the same side. Examining this ear, we can identify some eardrum movements when the patient looks to the right. We diagnose this synkinesis and we offer a surgical solution after the poor efficacy of the neurological treatment.

The online version contains supplementary material available at 10.1007/s12070-025-05584-4.