The foramen of Huschke: age and gender specific features after childhood

T Hashimoto1, H Ojiri, Y Kawai

  • 1Department of Anatomy, Jikei University School of Medicine, Tokyo, Japan.

Insights

The foramen of Huschke (FH), an opening in the temporal bone, persists in 12% of men and 20% of women. Its incidence decreases with age, suggesting natural closure over time.

Area of Science:

  • Anatomy
  • Anthropology
  • Otolaryngology

Background:

  • The foramen of Huschke (FH) is an anatomical feature of the temporal bone, typically closing by age five.
  • Persistent FH can lead to temporomandibular joint (TMJ) herniation, salivary fistulas, and ear injuries during TMJ arthroscopy.

Purpose of the Study:

  • To investigate the age and gender-specific prevalence of persistent foramen of Huschke (FH) in Japanese adults.
  • To understand the anatomical variations and potential clinical implications of a persistent FH.

Main Methods:

  • Analysis of 1994 temporal bones from 997 Japanese dry skulls.
  • Examination of persistent FH presence, correlating findings with age and gender.

Main Results:

  • A persistent FH was identified in 12% of males and 20% of females.
  • A statistically significant female predominance (P<0.0001) was observed for persistent FH.
  • The incidence of persistent FH decreased with increasing age in both genders.

Conclusions:

  • Persistent foramen of Huschke (FH) is more common in women and its prevalence declines with age.
  • The findings suggest that the foramen of Huschke may continue to close even after childhood.
  • Understanding persistent FH prevalence is crucial for preventing TMJ-related complications and surgical injuries.

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