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Finding the Silver Bullet for Persistent Foramen Hushke.
Theresa Teoh1, Asma Abdullah2, Guhan Kumarasamy3
1Otorhinolaryngology, University Kebangsaan Malaysia, Kuala Lumpur, MYS.
Cureus
|February 23, 2024
Summary
Persistent foramen of Hushke, a rare temporomandibular joint (TMJ) herniation, often presents with ear symptoms. Surgical treatment generally yields good outcomes for this condition.
Area of Science:
- Otolaryngology
- Neurosurgery
- Radiology
Background:
- Persistent foramen of Hushke is a rare anatomical variation.
- It can lead to temporomandibular joint (TMJ) herniation into the ear canal.
- This condition is often associated with symptoms like otalgia and tinnitus.
Observation:
- A literature review identified 37 case reports of persistent foramen of Hushke from 1990-2021.
- Common presentations include otalgia, tinnitus, otorrhea, and aural fullness.
- Herniation of the temporomandibular joint (TMJ) into the external auditory canal (EAC) was noted.
Findings:
- Surgical intervention demonstrated favorable outcomes for symptomatic persistent foramen of Hushke.
- Conservative management yielded a mixed response in patients.
- Common symptoms include otalgia, tinnitus, otorrhea, and aural fullness.
Implications:
- Surgical treatment is effective for persistent foramen of Hushke.
- Further high-quality studies and long-term follow-up are needed to establish management guidelines.
- Understanding TMJ herniation outcomes is crucial for clinical practice.

