Patent foramen of Huschke causing persistent otorrhoea

Patent foramen of Huschke is an uncommon condition that may lead to otological symptoms. A woman in her 60s presented with left-sided clear watery otorrhoea while eating. Despite multiple consultations, diagnosis was delayed. Examination in our clinic revealed a bead of clear discharge emerging from the anterior canal wall with jaw movement. A temporal bone scan confirmed a lesion bridging the canal with the left temporomandibular joint and bulging through a dehiscence in the anterior canal wall. She was diagnosed with patent foramen of Huschke. We report the surgical management of this case, involving a left canaloplasty to reconstruct the bony defect and stop the otorrhoea. This condition should be included in the differential diagnosis of otorrhoea despite being rare. It is important to inspect the canal during jaw movement when persistent watery discharge from the ear cannot be attributed to common causes to avoid missing this diagnosis.