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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.
Abstract:
The foramen of Huschke (FH) is an aperture that is formed in the tympanic plate of the temporal bone at the age of about 1 year. The FH usually closes before the age of 5 years; but it occasionally persists throughout life. A persistent FH may result in complications such as temporomandibular joint (TMJ) herniation and salivary fistula formation, and facilitate ear injury during TMJ arthroscopy. In this study, the authors examined 1994 temporal bones from 997 Japanese dry skulls, in order to define age and gender specific features of the persistent FH after childhood. A persistent FH was found in 12% of men and in 20% of women, representing a female predominance (P<0.0001). The incidence of a persistent FH decreased with age in both genders, suggesting that a persistent FH can close over time.
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