Skip to main content

Advertisement

SpringerLink
Log in

Prevalence of foramen Huschke: evaluation of the association between mastoid pneumatization volume and the existence of foramen Huschke using cone beam computed tomography

  • Head and Neck
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

The study examined the association between mastoid pneumatization (MP) volume and the existence of foramen Huschke (FH).

Methods

Cone beam computed tomography (CBCT) images of 1117 patients (2234 mastoid regions) were analyzed. The prevalence of FH was calculated. The association of MP volume calculated in 83 patients (48 women, 35 men) with sex, side, and the existence of FH analyzed. T test and Pearson’s Chi-square test were used for statistical analyses.

Results

FH was observed in 223 (20%) patients. FH was unilateral in 141 (63.7%) patients (74 left-sided, 68 right-sided) and bilateral in 81 (36.3%) patients. Six patients with FH had herniation into the external auditory canal. MP volume was significantly greater in females (p = 0.016). Additionally, MP volume was significantly greater in patients having FH (p = 0.009).

Conclusion

It is possible to speculate that the volume of MP, which is in close neighborhood with the external auditory canal, somehow affects the existence of FH located in the tympanic segment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Lacout A, Marsot-Dupuch K, Smoker WR et al (2005) Foramen tympanicum, or foramen of Huschke: pathologic cases and anatomic CT study. AJNR Am J Neuroradiol 26:1317–1323

    PubMed  Google Scholar 

  2. Mao JJ, Nah H-D (2004) Growth and development: hereditary and mechanical modulations. Am J Orthod Dentofac Orthop 125:676–689

    Article  Google Scholar 

  3. Aimi K (1983) Role of the tympanic ring in the pathogenesis of congenital cholesteatoma. Laryngoscope 93:1140–1146

    Article  CAS  Google Scholar 

  4. Tozoglu U, Caglayan F, Harorli A (2012) Foramen tympanicum or foramen of Huschke: anatomical cone beam CT study. Dentomaxillofac Radiol 41:294–297

    Article  CAS  Google Scholar 

  5. Ajduk J, Ries M, Vagic D et al (2012) Temporomandibular joint fistula into the external ear canal. J Laryngol Otol 126:837–839

    Article  CAS  Google Scholar 

  6. Faerber TH, Ennis RL, Allen GA (1990) Temporomandibular joint ankylosis following mastoiditis: report of a case. J Oral Maxillofac Surg 48:866–870

    Article  CAS  Google Scholar 

  7. Applebaum EL, Berg LF, Kumar A et al (1988) Otologic complications following temporomandibular joint arthroscopy. Ann Otol Rhinol Laryngol 97:675–679

    Article  CAS  Google Scholar 

  8. Akcam T, Hidir Y, Ilica AT et al (2011) Temporomandibular joint herniation into the external ear canal through foramen of Huschke. Auris Nasus Larynx 38:646–649

    Article  Google Scholar 

  9. Kumar V, Ludlow JB, Mol A et al (2007) Comparison of conventional and cone beam CT synthesized cephalograms. Dentomaxillofac Radiol 36:263–269

    Article  CAS  Google Scholar 

  10. Liang X, Jacobs R, Hassan B et al (2010) A comparative evaluation of cone beam computed tomography (CBCT) and multi-slice CT (MSCT). Part I: on subjective image quality. Eur J Radiol 75:265–269

    Article  Google Scholar 

  11. Lee DH, Jun BC, Kim DG, Junk MK, Yeo SW (2005) Volume variation of mastoid pneumatization in different age groups: a study by three-dimensional reconstruction based on computed tomography images. Surg Radiol Anat 27(1):37–42

    Article  Google Scholar 

  12. Ertugrul S, Keskin NK (2019) Relationship between the degree of mastoid pneumatization and the presence of persistent foramen of Huschke. Int J Oral Maxillofac Surg 48:1072–1076

    Article  CAS  Google Scholar 

  13. Han SJ, Song MH, Kim J, Lee WS, Lee HK (2007) Classification of temporal bone pneumatization based on sigmoid sinus using computed tomography. Clin Radiol 62(11):1110–1118

    Article  Google Scholar 

  14. Pękala JR, Pękala PA, Satapathy B, Henry BM, Skinningsrud B, Paziewski M et al (2018) Incidence of Foramen Tympanicum (of Huschke): comparing cadaveric and radiologic studies. J Craniofac Surg 29(8):2348–2352

    Article  Google Scholar 

  15. Hashimoto T, Ojiri H, Kawai Y (2011) The foramen of Huschke: age and gender specific features after childhood. Int J Oral Maxillofac Surg 40:743–746

    Article  CAS  Google Scholar 

  16. Anderson IA, Goomany A, Bonthron DT, Bellew M, Liddington MI, Smith IM et al (2014) Does patient ethnicity affect site of craniosynostosis? J Neurosurg Pediatr 14(6):682–687

    Article  Google Scholar 

  17. Deniz Y, Geduk G, Zengin AZ (2018) Examination of foramen tympanicum: cone-beam computed tomography anatomical study. Folia Morphol (Warsz) 77:335–339

    Article  CAS  Google Scholar 

  18. Akbulut N, Kursun S, Aksoy S, Kurt H, Orhan K (2014) Evaluation of foramen tympanicum using cone-beam computed tomography in orthodontic malocclusions. J Craniofac Surg 25:106–109

    Article  Google Scholar 

  19. Ertugrul S, Keskin NK (2019) Relationship of age to foramen of Huschke and investigation of the development of spontaneous temporomandibular joint herniation. Int J Oral Maxillofac Surg 48(4):534–539

    Article  CAS  Google Scholar 

  20. Jo YS, Cheong TY, Han BH, Lee JM, Kim SH, Moon IS (2020) Temporomandibular joint herniation: review of the literature. Otol Neurotol 41(1):e1–e6

    Article  Google Scholar 

  21. Park YH, Kim HJ, Park MH (2010) Temporomandibular joint herniation into the external auditory canal. Laryngoscope 120:2284–2288

    Article  Google Scholar 

  22. Li W, Dai C (2015) Spontaneous temporomandibular joint herniation into the external auditory canal. Braz J Otorhinolaryngol 81(3):339–341

    Article  Google Scholar 

  23. van der Meer WL, van Tilburg M, Mitea C, Postma AA (2019) A persistent foramen of Huschke: a small road to misery in necrotizing external otitis. AJNR Am J Neuroradiol 40(9):1552–1556

    PubMed  PubMed Central  Google Scholar 

  24. Rana K, Rathore PK, Raj A, Meher R, Wadhwa V, Prakash A et al (2015) Bilateral spontaneous salivary otorrhoea: case report and a review of the literature. Int J Pediatr Otorhinolaryngol 79(10):1774–1777

    Article  Google Scholar 

  25. Pons M, Lutz JC, Sigaux N, Tavernier L, Graillon N, Louvrier A (2020) Surgical reconstruction of the foramen tympanicum: What is known and how we do it. J Stomatol Oral Maxillofac Surg 30:S2468–7855(20)30087–2. https://doi.org/10.1016/j.jormas.2020.04.005 [Epub ahead of print]

  26. Kim TH, Lee SK, Kim SJ, Byun JY (2013) A case of spontaneous temporomandibular joint herniation into the external auditory canal with clicking sound. Korean J Audiol 17(2):90–93

    Article  Google Scholar 

  27. Ertugrul S (2018) Rare cause of tinnitus: spontaneous temporomandibular joint herniation into the external auditory canal. J Craniofac Surg 29(5):521–522

    Article  Google Scholar 

  28. Moriyama M, Kodama S, Suzuki M (2005) Spontaneous temporomandibular joint herniation into the external auditory canal: a case report and review of the literature. Laryngoscope 115(12):2174–2177

    Article  Google Scholar 

  29. Singh I, Jain A, Prasad P, Rajpurohit P (2017) Spontaneous temporomandibular joint herniation: a rare case. Oral Maxillofac Surg 21(1):87–90

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, Van Yüzüncü Yıl University, Van, 65080, Turkey

    Alaettin Koç & Sema Kaya

Authors
  1. Alaettin Koç
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sema Kaya
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

AK: data collection, protocol development, data analysis, manuscript writing and editing. SK: data collection, protocol development, and manuscript editing. The authors have approved the manuscript and agreed with its submission to European Archives of Oto-Rhino-Laryngology.

Corresponding authors

Correspondence to Alaettin Koç or Sema Kaya.

Ethics declarations

Conflict of interest

The authors declared no potential conflicts of interests associated with this study. This research did not receive any specific grant from funding agencies in the public, commercial, or non-profit sectors.

Ethical standards

All procedures performed in this study involving human participants were in accordance with the ethical standards of institutional local committee of Van Yüzüncü Yıl University and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was not needed for this retrospective study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Koç, A., Kaya, S. Prevalence of foramen Huschke: evaluation of the association between mastoid pneumatization volume and the existence of foramen Huschke using cone beam computed tomography. Eur Arch Otorhinolaryngol 278, 791–796 (2021). https://doi.org/10.1007/s00405-020-06296-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-020-06296-x

Keywords

Search

Navigation