Foramen of Huschke persistence in Brazilian adult temporal bones: a morphometric study

Autores

  • Wagner Gomes da Silva Universidade do Estado do Rio de Janeiro https://orcid.org/0000-0002-4219-0899
  • Amanda Barreto Ramos Universidade do Estado do Rio de Janeiro
  • Bianca Silva Gomes Universidade do Estado do Rio de Janeiro
  • Deise Caldas Kühlman Universidade do Estado do Rio de Janeiro
  • José Gabriel Chávez Universidade do Estado do Rio de Janeiro
  • Luciana Quintanilha Pires Fernandes Universidade do Estado do Rio de Janeiro
  • Henrique Ayres de-Vasconcellos Universidade do Estado do Rio de Janeiro. Faculdade de Medicina de Petrópolis

DOI:

https://doi.org/10.5935/2525-5711.20180015

Palavras-chave:

Temporal bone, Temporomandibular joint, Ear Canal, Anatomy

Resumo

Foramen of Huschke (FH) is a normal anatomical structure performed until the total maturation of the cranium skeleton, which obliterates by a natural process about the 5-year- old. However, it may persist in adult life and can be rarely associated with complications in the temporomandibular joint (TMJ) and external auditory canal apparatus as well as a higher risk of tympanic injury during surgical procedures such as TMJ arthroscopy. The aim of this study was to report the prevalence and morphometric features of persistent FH in a Brazilian adult temporal bones sample. The methods included an anatomic and morphometric analysis of 146 dried temporal bones obtained from adult cadavers. Twenty-two (15.0%) of the temporal bones presented persistent FH. Unilateral FH accounted for 4 (30.8%) and bilateral foramens for 18 (69.2%) of the 13 affected craniums. Forms varied, including 2 (7.8%) circular, 12 (46.1%) oval and 12 (46.1%) irregular FH. Ten (45.4%) of the temporal bones presenting FH were observed in the right side and 12 (54.6%) in the left. Mean size of FH was 3,00 mm in the transversal and 2,52 mm in the longitudinal axis. Additionally, the mean anterior and posterior distances from two adjacent anatomical structures, petrotympanic fissure, and styloid process were 4,23 mm and 9,9 mm respectively. In conclusion, there seemed to be a considerable morphological heterogeneity when comparing the persistent FH specimens. We, additionally, highlight the importance of clinicians and oral and maxillofacial surgeons know this condition and its anatomical implications.

Biografia do Autor

Wagner Gomes da Silva, Universidade do Estado do Rio de Janeiro

Discipline of Human Anatomy

Amanda Barreto Ramos, Universidade do Estado do Rio de Janeiro

Discipline of Human Anatomy

Bianca Silva Gomes, Universidade do Estado do Rio de Janeiro

Departament of Anatomy and Morphology

Deise Caldas Kühlman, Universidade do Estado do Rio de Janeiro

Discipline of Human Anatomy

José Gabriel Chávez, Universidade do Estado do Rio de Janeiro

Discipline of Human Anatomy

Luciana Quintanilha Pires Fernandes, Universidade do Estado do Rio de Janeiro

Discipline of Human Anatomy

Henrique Ayres de-Vasconcellos, Universidade do Estado do Rio de Janeiro. Faculdade de Medicina de Petrópolis

Universidade do Estado do Rio de Janeiro - UERJ, Departament of Anatomy and Morphology. Faculdade de Medicina de Petrópolis - FMP/ Fase, Laboratory of Anatomy

Referências

Bailey FR, Miller AM. Textbook of Embryology. 4th ed. New York: William Wood And Company; 1921.

Lacout A, Marsot-Dupuch K, Smoker WR, Lasjaunias P. Foramen tympanicum, or foramen of Huschke: pathologic cases and anatomic CT study. Am J Neuroradiol. 2005;26:1317-23.

Jaju PP. Cone beam CT detection of foramen tympanicum or foramen of Huschke. Dentomaxillofac Radiol. 2012;41:619.

Sharma PD, Dawkins RS. Patent foramen of Huschke and spontaneous salivary fistula. J Laryngol Otol. 1984;98:83-5.

Chilla R. Otosialorrhoe: Über den seltenen Fall einer primären Speichelfistel im äußeren Gehörgang. HNO. 2002;50:943-5.

De Zoysa N, Vasani S, Kaniyur S, Frosh A. Gustatory otorrhoea: a rare case of congenital external ear salivary fistula. J Laryngol Otol. 2009;123:1371-4.

Akcam T, Hidir Y, Ilica AT, Kilic E, Sencimen M. Temporomandibular joint herniation into the external ear canal through foramen of Huschke. Auris Nasus Larynx. 2011;38:646-9.

Prowse SJ, Kelly G, Agada F. Temporomandibular joint herniation and the foramen of Huschke: an unusual external auditory canal mass. J Laryngol Otol. 2011;125:1279-81.

Ajduk J, Ries M, Vagic D, Batos-Tripalo A. Temporomandibular joint fistula into the external ear canal. J Laryngol Otol. 2012;126:837-9.

Pepato AO, Yamaji MA, Sverzut CE, Trivellato AE. Lower third molar infection with purulent discharge through the external auditory meatus. Case report and review of literature. Int J Oral Maxillofac Surg. 2012;41:380-3.

Nakasato T, Nakayama T, Kikuchi K, Ehara S, Ohtsuka H, Fukuda K, et al. Spontaneous temporomandibular joint herniation into the external auditory canal through a persistent foramen tympanicum (Huschke): radiographic features. J Comput Assist Tomogr. 2013;37:111-3.

Ars B. Le foramen de Huschke. Acta Otorhinolaryngol Belg. 1988;42:654-8.

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;68:267-70.

Wang RG, Bingham B, Hawke M, Kwok P, Li JR. Persistence of the foramen of Huschke in the adult: an osteological study. J Otolaryngol. 1991;20:251-3.

Hashimoto T, Ojiri H, Kawai Y. The foramen of Huschke: age and gender specific features after childhood. Int J Oral Maxillofac Surg. 2011;40:743-6.

Bhanu PS, Sankar KD. Incidence of Foramen of Huschke in South Andhra Population of India. J Clin Diagn Res. 2016;10:AC01-3.

Tozoglu U, Caglayan F, Harorli A. Foramen tympanicum or foramen of Huschke: anatomical cone beam CT study. Dentomaxillofac Radiol. 2012;41:294-7.

Akbulut N, Kursun S, Aksoy S, Kurt H, Orhan K. Evaluation of foramen tympanicum using cone-beam computed tomography in orthodontic malocclusions. J Craniofac Surg. 2014;25:e105-9.

Deniz Y, Geduk G, Zengin AZ. Examination of foramen tympanicum: an anatomical study using cone-beam computed tomography. Folia Morphol (Warsz). 2017;77:335-9. DOI: 10.5603/FM.a2017.0078

Reis HN, Carvalho ACP, Leite HF, Mello RCR, Xavier SS. Persistência do forame de Huschke: um estudo tomográfico. Radiol Bras. 2006;39:273-6.

Faig-Leite H, Horta Júnior JAC. Persistence of the foramen of Huschke. Dent Res. 1999;77:1177.

Yoo MH, Park JW, Lee HS, Yang CJ, Park HJ. Repair of the foramen of Huschke using an extended endaural approach. Laryngoscope. 2016;126:2137-9.

Downloads

Publicado

2018-01-20

Como Citar

1.
Silva WG da, Ramos AB, Gomes BS, Kühlman DC, Chávez JG, Fernandes LQP, et al. Foramen of Huschke persistence in Brazilian adult temporal bones: a morphometric study. J Oral Diagn [Internet]. 20º de janeiro de 2018 [citado 10º de março de 2025];3:1-5. Disponível em: https://joraldiagnosis.com/revista/article/view/169

Edição

v. 3 (2018)

Seção

Artigo Original

Licença

Copyright (c) 1969 Wagner Gomes da Silva, Amanda Barreto Ramos, Bianca Silva Gomes, Deise Caldas Kühlman, José Gabriel Chávez, Luciana Quintanilha Pires Fernandes, Henrique Ayres de-Vasconcellos

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.