Related Experiment Video
Updated: Aug 5, 2025
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Persistent foramen of Huschke: Clinical manifestations and complications, systematic review
Louis Chappuis1, Isabelle Barthelemy2, Nathalie Pham Dang2
1Oral and Maxillofacial Department, Estaing Hospital, CHU Clermont-Ferrand, F-63003, Clermont-Ferrand, France; Université d'Auvergne, Faculty of Medicine, F- 63001, Clermont-Ferrand cedex 1, France.
Insights
Persistent foramen of Huschke, an anatomical variation, can cause ear infections and tinnitus. Early recognition and treatment are crucial to prevent temporomandibular joint (TMJ) destruction and chronic pain.
Area of Science:
- Anatomy
- Otolaryngology
- Dentistry
Background:
- The foramen of Huschke is a bone defect with diverse clinical presentations that can lead to severe complications.
- Clinical history and imaging findings are often non-specific, highlighting the need for accurate diagnosis and management of pathologies associated with this persistent foramen.
Purpose of the Study:
- To review and summarize the clinical manifestations and complications of a persistent foramen of Huschke in adult patients.
- To consolidate findings from reported literature cases and provide insights into this anatomical variation.
Main Methods:
- A comprehensive literature search was performed across PubMed, Cochrane Library, ScienceDirect, and Embase databases up to November 2022.
- Key search terms included "foramen of Huschke" and "foramen tympanicum" to identify relevant studies and case reports.
Main Results:
- Out of 74 initially identified papers, 21 were selected, encompassing 46 patients and one additional case.
- The most frequently reported symptoms were otitis (63%), otorrhea (28.26%), and masticatory tinnitus (19.57%).
- Computed tomography (CT) scans were the primary diagnostic tool (95.65%), and surgical intervention was the most common treatment (28.26%).
Conclusions:
- A persistent foramen of Huschke should be suspected in patients presenting with otitis, otorrhea, and masticatory tinnitus.
- Understanding this anatomical variation is vital for managing temporomandibular joint (TMJ) disorders and preventing conditions like TMJ septic arthritis.
Background:
Foramen of Huschke is a bone defect with wide clinical symptoms which ca can be responsible for severe complications. Clinical history and imaging are unspecific, it is therefore essential to recognize and treat the pathology related to the persistence of this foramen, to avoid destruction of the TMJ, chronic pain or OBJECTIVE: The aim of this review was to summarise the clinical manifestations and complications of persistent foramen of Huschke in adult patients, through a review of the cases reported in the literature.
Methods & Materials:
A literature search of the PubMed, Cochrane Library, ScienceDirect and Embase databases was conducted for all articles published up to November 2022 to identify studies and case reports concerning clinical manifestations and complications of persistent foramen of Huschke in adult patients, with the key words "foramen of Huschke" or "foramen tympanicum".
Results:
74 papers where firstly identify, and 21 were selected. This correspond to 46 patients with the additional case from our department. Symptoms mostly reported consisted of otitis (63%, 29/46), otorrhea (28.26%, 13/46), and masticatory tinnitus (19.57%, 9/46). Diagnosis was priority made by CT-scan (95.65%, 44/46). Surgery was the most performed treatment (28.26%, 13/46). In our case, the use of FLUOBEAM® NIR camera was help-full for TMJ surgery.
Conclusion:
Persistent foramen of Huschke should be suspected in the presence of otitis, otorrhea and masticatory tinnitus. Knowledge of this anatomical variation could help to treat certain pathology like TMJ disorders or TMJ septic arthritis.
More Related Videos
03:08Harvest of Vestibular End-Organs under Physiologic Conditions during Labyrinthectomy
Published on: November 29, 2024
04:33Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
Published on: November 8, 2024
