Oral and Maxillofacial Department, Estaing Hospital, CHU Clermont-Ferrand, F-63003, Clermont-Ferrand, France; Université d'Auvergne, Faculty of Medicine, F- 63001, Clermont-Ferrand cedex 1, France.
Oral and Maxillofacial Department, Estaing Hospital, CHU Clermont-Ferrand, F-63003, Clermont-Ferrand, France; Université d'Auvergne, Faculty of Medicine, F- 63001, Clermont-Ferrand cedex 1, France; Inserm U1107 Neuro-Dol, Trigeminal Pain and Migraine, Faculty of Dental Surgery, F-63100 Clermont-Ferrand, France.
J Stomatol Oral Maxillofac Surg. 2023 Dec;124(6):101455. doi: 10.1016/j.jormas.2023.101455. Epub 2023 Mar 24.
Foramen of Huschke is a bone defect with wide clinical symptoms which ca can be responsible for severe complications. Clinical history and imaging are unspecific, it is therefore essential to recognize and treat the pathology related to the persistence of this foramen, to avoid destruction of the TMJ, chronic pain or OBJECTIVE: The aim of this review was to summarise the clinical manifestations and complications of persistent foramen of Huschke in adult patients, through a review of the cases reported in the literature.
METHODS & MATERIALS: A literature search of the PubMed, Cochrane Library, ScienceDirect and Embase databases was conducted for all articles published up to November 2022 to identify studies and case reports concerning clinical manifestations and complications of persistent foramen of Huschke in adult patients, with the key words "foramen of Huschke" or "foramen tympanicum".
74 papers where firstly identify, and 21 were selected. This correspond to 46 patients with the additional case from our department. Symptoms mostly reported consisted of otitis (63%, 29/46), otorrhea (28.26%, 13/46), and masticatory tinnitus (19.57%, 9/46). Diagnosis was priority made by CT-scan (95.65%, 44/46). Surgery was the most performed treatment (28.26%, 13/46). In our case, the use of FLUOBEAM® NIR camera was help-full for TMJ surgery.
Persistent foramen of Huschke should be suspected in the presence of otitis, otorrhea and masticatory tinnitus. Knowledge of this anatomical variation could help to treat certain pathology like TMJ disorders or TMJ septic arthritis.
Huschke 孔是一种具有广泛临床症状的骨缺损，可能导致严重并发症。临床病史和影像学表现不具特异性，因此，识别和治疗与该孔持续性相关的病理学至关重要，以避免 TMJ 破坏、慢性疼痛或 OBJECTIVE：本综述的目的是通过回顾文献中报道的病例，总结成人持续性 Huschke 孔的临床表现和并发症。
对 PubMed、Cochrane 图书馆、ScienceDirect 和 Embase 数据库进行文献检索，以查找截至 2022 年 11 月发表的所有关于成人持续性 Huschke 孔临床表现和并发症的研究和病例报告，关键词为“Huschke 孔”或“鼓室孔”。
首先识别出 74 篇论文，然后选择了 21 篇。这对应于 46 名患者，外加我们科室的另外一个病例。报告的症状主要包括中耳炎（63%，29/46）、耳漏（28.26%，13/46）和咀嚼性耳鸣（19.57%，9/46）。诊断主要通过 CT 扫描（95.65%，44/46）进行。手术是最常进行的治疗方法（28.26%，13/46）。在我们的病例中，FLUOBEAM®NIR 相机的使用对 TMJ 手术很有帮助。
在存在中耳炎、耳漏和咀嚼性耳鸣时应怀疑存在持续性 Huschke 孔。了解这种解剖变异有助于治疗某些疾病，如 TMJ 紊乱或 TMJ 化脓性关节炎。
