Department of Otorhinolaryngology, Karabuk University, Faculty of Medicine, Karabuk, Turkey.
Department of Radiology, Karabuk University Training and Research Hospital, Karabuk, Turkey.
Int J Oral Maxillofac Surg. 2019 Aug;48(8):1072-1076. doi: 10.1016/j.ijom.2019.01.022. Epub 2019 Feb 14.
The aim of this study was to determine the relationship between the degree of mastoid pneumatization and the presence of persistent foramen of Huschke (FH). Temporal computed tomography images of 714 patients (1428 ears) who applied to the Otorhinolaryngology Department of Karabuk University Training and Research Hospital between January 2016 and June 2018 were retrospectively analysed. We compared the mastoid pnomatization levels of 95 patients (74 females, 21 males, mean age 53.18±15.09years) who had persistent FH and 135 patients (103 females, 32 males, mean age 54.29±15.82years) with no FH who had similar age and gender. FH was found to be unilateral (right: 23, left: 45) in 68 (71.5%) out of 95 patients with FH, and FH was bilateral in 27 (28.4%) patients. The degree of mastoid pnomatization of the patients with FH was significantly higher than the patients without FH (p=0.015). The degree of pneumatization of the mastoid bone may lead to persistent FH by affecting the ossification process of the tympanic segment, which has a close anatomical relationship with it.
本研究旨在确定乳突气化程度与胡什克(Huschke)持续孔(FH)存在之间的关系。回顾性分析了 2016 年 1 月至 2018 年 6 月期间在卡拉比克大学培训与研究医院耳鼻喉科就诊的 714 例患者(1428 耳)的颞骨计算机断层扫描图像。我们比较了 95 例(74 名女性,21 名男性,平均年龄 53.18±15.09 岁)存在持续 FH 的患者和 135 例(103 名女性,32 名男性,平均年龄 54.29±15.82 岁)无 FH 但年龄和性别相似的患者的乳突气腔化水平。95 例 FH 患者中,68 例(71.5%)为单侧(右侧:23 例,左侧:45 例),27 例(28.4%)为双侧。FH 患者的乳突气腔化程度明显高于无 FH 患者(p=0.015)。乳突骨的气腔化程度可能通过影响与其密切解剖关系的鼓膜段的骨化过程而导致 FH 持续存在。