open access

Vol 81, No 3 (2022)
Original article
Submitted: 2021-03-31
Accepted: 2021-05-11
Published online: 2021-05-25
Get Citation

New approach to morphometric analysis of Huschke’s foramen

H. Çetin1, S. Akkaşoğlu2, S. Çalışkan2
·
Pubmed: 34060643
·
Folia Morphol 2022;81(3):749-755.
Affiliations
  1. Department of Radiology, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkey
  2. Department of Anatomy, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkey

open access

Vol 81, No 3 (2022)
ORIGINAL ARTICLES
Submitted: 2021-03-31
Accepted: 2021-05-11
Published online: 2021-05-25

Abstract

Background: The aim of the study is to analyse the demographic and anatomical details of the Huschke’s foramen (HF) which have not been previously studied and to present a new clinical perspective.
Materials and methods: Multidetector computed tomography (MDCT) images of 495 patients were retrospectively evaluated. Presence of a HF, its’ size, relations to side, age and gender were noted for every patient. Size of the foramen was measured in the axial plane, as well as on the reconstructed coronal and sagittal planes.
Results: Of the 495 patients 99 (20%) had HF. There was no significant difference between females and males according to the presence of the HF and the side of the HF. When the dimension of the left- and the right-sided HFs were compared, there were no significant differences on none of the axes for the patients with unilateral or bilateral HF. There was no significant linear correlation between age and the dimension in the axial axis, the dimension in the sagittal axis and the dimension in the coronal axis
Conclusions: The present work presenting morphologic and statistical variables of HF provides data for further studies which will indicate risk factors of herniation through HF. By the aid of MDCT, which is sensitive method for detection of the HF because of its thin sections, high spatial resolution, and multiplanar capabilities, lesions which were previously diagnosed as dehiscence were found to be defects.

Abstract

Background: The aim of the study is to analyse the demographic and anatomical details of the Huschke’s foramen (HF) which have not been previously studied and to present a new clinical perspective.
Materials and methods: Multidetector computed tomography (MDCT) images of 495 patients were retrospectively evaluated. Presence of a HF, its’ size, relations to side, age and gender were noted for every patient. Size of the foramen was measured in the axial plane, as well as on the reconstructed coronal and sagittal planes.
Results: Of the 495 patients 99 (20%) had HF. There was no significant difference between females and males according to the presence of the HF and the side of the HF. When the dimension of the left- and the right-sided HFs were compared, there were no significant differences on none of the axes for the patients with unilateral or bilateral HF. There was no significant linear correlation between age and the dimension in the axial axis, the dimension in the sagittal axis and the dimension in the coronal axis
Conclusions: The present work presenting morphologic and statistical variables of HF provides data for further studies which will indicate risk factors of herniation through HF. By the aid of MDCT, which is sensitive method for detection of the HF because of its thin sections, high spatial resolution, and multiplanar capabilities, lesions which were previously diagnosed as dehiscence were found to be defects.

Get Citation

Keywords

Huschke’s foramen, multidetector computed tomography, herniation, coronal diameter

About this article
Title

New approach to morphometric analysis of Huschke’s foramen

Journal

Folia Morphologica

Issue

Vol 81, No 3 (2022)

Article type

Original article

Pages

749-755

Published online

2021-05-25

Page views

4577

Article views/downloads

911

DOI

10.5603/FM.a2021.0056

Pubmed

34060643

Bibliographic record

Folia Morphol 2022;81(3):749-755.

Keywords

Huschke’s foramen
multidetector computed tomography
herniation
coronal diameter

Authors

H. Çetin
S. Akkaşoğlu
S. Çalışkan

References (30)
  1. Bhanu PS, Sankar KD. Incidence of Foramen of Huschke in South Andhra Population of India. J Clin Diagn Res. 2016; 10(6): AC01–AC03.
  2. Burlak K, So TY, Maclaurin WA, et al. Foramen tympanicum with symptomatic temporomandibular joint herniation. Radiol Case Rep. 2018; 13(4): 822–824.
  3. Deniz Y, Geduk G, Zengin AZ. Examination of foramen tympanicum: an anatomical study using cone-beam computed tomography. Folia Morphol. 2018; 77(2): 335–339.
  4. Ertugrul S. Rare cause of tinnitus: spontaneous temporomandibular joint herniation into the external auditory canal. J Craniofac Surg. 2018; 29(5): e521–e522.
  5. Ertugrul S, Keskin NK. Relationship between the degree of mastoid pneumatization and the presence of persistent foramen of Huschke. Int J Oral Maxillofac Surg. 2019; 48(8): 1072–1076.
  6. Ertugrul S, Keskin NK. Relationship of age to foramen of Huschke and investigation of the development of spontaneous temporomandibular joint herniation. Int J Oral Maxillofac Surg. 2019; 48(4): 534–539.
  7. Fusconi M, Benfari G, Franco M, et al. Foramen of Huschke: case report and experimental procedure for diagnosis of spontaneous salivary fistula. J Oral Maxillofac Surg. 2009; 67(8): 1747–1751.
  8. Hashimoto T, Ojiri H, Kawai Y. The foramen of Huschke: age and gender specific features after childhood. Int J Oral Maxillofac Surg. 2011; 40(7): 743–746.
  9. Henry BM, Tomaszewski KA, Walocha JA. Methods of evidence-based anatomy: a guide to conducting systematic reviews and meta-analysis of anatomical studies. Ann Anat. 2016; 205: 16–21.
  10. Henry BM, Tomaszewski KA, Ramakrishnan PK, et al. Development of the anatomical quality assessment (AQUA) tool for the quality assessment of anatomical studies included in meta-analyses and systematic reviews. Clin Anat. 2017; 30(1): 6–13.
  11. Jaju PP. Cone beam CT detection of foramen tympanicum or foramen of Huschke. Dentomaxillofac Radiol. 2012; 41(7): 619.
  12. Lacout A, Marsot-Dupuch K, Smoker WRK, et al. Foramen tympanicum, or foramen of Huschke: pathologic cases and anatomic CT study. Am J Neuroradiol. 2005; 26(6): 1317–1323.
  13. Lim KH, Jung JY, Rhee J, et al. Temporomandibular joint herniation through the foramen of Huschke with clicking tinnitus. Eur Ann Otorhinolaryngol Head Neck Dis. 2019; 136(6): 497–499.
  14. Magliulo G. Acquired atresia of the external auditory canal: recurrence and long-term results. Ann Otol Rhinol Laryngol. 2009; 118(5): 345–349.
  15. Mittal S, Singal S, Mittal A, et al. Identification of foramen of Huschke with reversible herniation of temporomandibular joint soft tissue into the external auditory canal on multidetector computed tomography. Proc (Bayl Univ Med Cent). 2017; 30(1): 92–93.
  16. Moreno R, Chilvarquer I, Hayek J, et al. Anatomic and radiograph study of the persistence of Foramen of Huschke. Braz J Otorhinolaryngol. 2005; 71(5): 676–679.
  17. Nakasato T, Nakayama T, Kikuchi K, et al. Spontaneous temporomandibular joint herniation into the external auditory canal through a persistent foramen tympanicum (Huschke): radiographic features. J Comput Assist Tomogr. 2013; 37(1): 111–113.
  18. Park YHo, Kim HJ, Park MH. Temporomandibular joint herniation into the external auditory canal. Laryngoscope. 2010; 120(11): 2284–2288.
  19. Pękala JR, Pękala PA, Satapathy B, et al. Incidence of Foramen Tympanicum (of Huschke): Comparing Cadaveric and Radiologic Studies. J Craniofac Surg. 2018; 29(8): 2348–2352.
  20. Pirsig W, Mudry A. Huschke's anterior external auditory canal foramen: art before medicine? Otol Neurotol. 2015; 36(3): 555–560.
  21. Prowse SJ, Kelly G, Agada F. Temporomandibular joint herniation and the foramen of Huschke: an unusual external auditory canal mass. J Laryngol Otol. 2011; 125(12): 1279–1281.
  22. Sanna M, Russo A, Khrais T, et al. Canalplasty for severe external auditory meatus exostoses. J Laryngol Otol. 2004; 118(8): 607–611.
  23. Shapiro MC, Osborn T. Temporoparietal fascia flap and total temporomandibular joint replacement for the management of patent foramen of Huschke. Int J Oral Maxillofac Surg. 2016; 45(8): 1023–1026.
  24. Shin JE, Jeong KH, Ahn SH, et al. Temporomandibular joint herniation into the external auditory canal: two cases involving a persistent foramen tympanicum. J Craniofac Surg. 2015; 26(4): e331–e333.
  25. Tomaszewski KA, Henry BM, Kumar Ramakrishnan P, et al. Development of the anatomical quality assurance (AQUA) checklist: guidelines for reporting original anatomical studies. Clin Anat. 2017; 30(1): 14–20.
  26. Tozoglu U, Caglayan F, Harorli A. Foramen tympanicum or foramen of Huschke: anatomical cone beam CT study. Dentomaxillofac Radiol. 2012; 41(4): 294–297.
  27. Tucunduva RM, Lopes IA, Shinohara AL, et al. Usefulness of cone-bean computed tomography exams to detect foramen of huschke in diverse age group. J Craniofac Surg. 2019; 30(2): e138–e141.
  28. van der Meer WL, van Tilburg M, Mitea C, et al. A persistent foramen of huschke: a small road to misery in necrotizing external otitis. Am J Neuroradiol. 2019; 40(9): 1552–1556.
  29. Wang RG, Bingham B, Hawke M, et al. Persistence of the foramen of Huschke in the adult: an osteological study. J Otolaryngol. 1991; 20(4): 251–253.
  30. Yoo MH, Park JW, Lee HS, et al. Repair of the foramen of Huschke using an extended endaural approach. Laryngoscope. 2016; 126(9): 2137–2139.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl