Macielak Robert J, Nassiri Ashley M, Fillmore W Jonathan, Lane John I, Driscoll Colin L W, Carlson Matthew L
Department of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA.
Division of Oral and Maxillofacial Surgery, Department of Surgery Mayo Clinic Rochester Minnesota USA.
Laryngoscope Investig Otolaryngol. 2022 Jan 4;7(1):237-241. doi: 10.1002/lio2.725. eCollection 2022 Feb.
Describe the presentation and management strategy for patients with symptomatic foramen of Huschke (FH).
Adults with persistent FH confirmed on imaging.
Diagnosis and management of symptomatic persistent FH.
Resolution of otologic symptoms.
A total of four patients with symptomatic, radiographically-confirmed persistent FH were included. The majority of patients endorsed otalgia ( = 4) and otorrhea ( = 3), and only one patient was noted to have a conductive hearing loss. All patients were noted to have dynamic movement of an external auditory canal mass with mandible manipulation on examination, and all patients had an identifiable fistula on imaging. Patients underwent surgical intervention, including both preauricular ( = 2) and transcanal ( = 2) approaches, and all endorsed symptomatic resolution after convalescence.
Persistent FH remains an uncommon and potentially underrecognized cause of otologic symptoms. Diagnosis requires a high index of suspicion, and one must rely on both key examination findings and imaging to confirm this diagnosis. In appropriately selected patients, surgical intervention can provide durable symptomatic resolution.
IV.
描述有症状的胡施克孔（FH）患者的临床表现及管理策略。
影像学检查确诊为持续性FH的成年人。
有症状的持续性FH的诊断与管理。
耳科症状的缓解情况。
共纳入4例经影像学证实有症状的持续性FH患者。大多数患者有耳痛（n = 4）和耳漏（n = 3），仅1例患者有传导性听力损失。所有患者在检查时均发现外耳道肿物随下颌骨操作有动态移动，且所有患者在影像学上均有可识别的瘘管。患者接受了手术干预，包括耳前入路（n = 2）和经耳道入路（n = 2），所有患者在康复后均表示症状缓解。
持续性FH仍然是一种罕见且可能未被充分认识的耳科症状病因。诊断需要高度怀疑，必须依靠关键的检查结果和影像学来确诊。在适当选择的患者中，手术干预可实现持久的症状缓解。
IV级。
