Eberliköse Hacer, Tuğtağ Demir Berrin, Akbarihamed Raha, Karasu Hakan Alpay
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ankara Medipol University, Ankara, Turkey.
Anatomy, Faculty of Medicine, Ankara Medipol University, Ankara, Turkey.
J Oral Rehabil. 2025 May;52(5):597-603. doi: 10.1111/joor.13923. Epub 2025 Jan 9.
The foramen of Huschke (FH) and the petrotympanic fissure (PTF) are anatomical structures that can influence temporomandibular joint disorders (TMD) by potentially affecting the movement and function of the mandibular condyle.
This study investigates the relationship between patients with TMD and the presence of FH and PTF to enhance diagnostic and therapeutic approaches.
This retrospective study analyzed cone beam computed tomography (CBCT) images from 212 patients. Patients were categorised into TMD and control groups based on standardized DC/TMD protocols. An observer, blinded to the patient's clinical status, then analyzed the CBCT images. The CBCT images were evaluated for the presence and characteristics of FH, PTF, and condyle shape and position.
A higher incidence of FH and PTF was observed in patients with TMD than in the control group. FH was present on the right side in 33.3% of patients with TMD and 18% of controls and on the left side in 23.8% of patients with TMD and 10.9% of controls. Open and semi-open FPT statistically differed between the TMD and control groups (p < 0.05). The length of FH in patients with TMD was significantly larger (2.11 ± 0.44 mm) than in the controls (1.67 ± 0.56 mm). The position of the condyle showed a statistically significant difference between the groups (p < 0.05).
FH and PTF subtypes are significantly associated with TMD, underscoring their importance in clinical practice.
胡施克孔（FH）和岩鼓裂（PTF）是解剖结构，可能通过影响下颌髁突的运动和功能来影响颞下颌关节紊乱病（TMD）。
本研究调查TMD患者与FH和PTF存在情况之间的关系，以改进诊断和治疗方法。
这项回顾性研究分析了212例患者的锥束计算机断层扫描（CBCT）图像。根据标准化的DC/TMD方案将患者分为TMD组和对照组。一名对患者临床状况不知情的观察者随后分析CBCT图像。对CBCT图像评估FH、PTF的存在情况及特征以及髁突的形状和位置。
观察到TMD患者中FH和PTF的发生率高于对照组。右侧存在FH的TMD患者占33.3%，对照组占18%；左侧存在FH的TMD患者占23.8%，对照组占10.9%。TMD组和对照组之间开放型和半开放型FPT在统计学上存在差异（p < 0.05）。TMD患者的FH长度（2.11±0.44毫米）显著大于对照组（1.67±0.56毫米）。两组之间髁突位置在统计学上存在显著差异（p < 0.05）。
FH和PTF亚型与TMD显著相关，突出了它们在临床实践中的重要性。
