scholarly journals Persistent foramen of Huschke: Presentation, evaluation, and management

Author(s):  
Robert J. Macielak ◽  
Ashley M. Nassiri ◽  
W. Jonathan Fillmore ◽  
John I. Lane ◽  
Colin L. W. Driscoll ◽  
...  
Keyword(s):  
Author(s):  
Mahvash Hasani ◽  
Shoaleh Shahidi ◽  
Mahsa Hasani ◽  
Amir H. Pourhoseini

2011 ◽  
Vol 125 (12) ◽  
pp. 1279-1281 ◽  
Author(s):  
S J Prowse ◽  
G Kelly ◽  
F Agada

AbstractObjectives:We describe a rare case of spontaneous temporomandibular joint herniation into the external auditory canal, and we also review the presentation, aetiology and management of such cases.Case report:An 87-year-old woman presented with a four-month history of left-sided otorrhoea and otalgia. Examination revealed a soft, polypoid mass in the left ear canal. When the patient opened her mouth the lesion disappeared. Subsequent computed tomographic imaging of the patient's temporal bones confirmed an 8.6 mm defect in the antero-inferior portion of the left ear canal, with herniation of retrodiscal soft tissues.Conclusion:The external auditory canal is intimately related to the temporomandibular joint, separated only by its bony anterior wall. Neoplasm, trauma or inflammation in this area can result in displacement of the temporomandibular joint into the ear canal; however, spontaneous herniation is rare. Persistence of the primitive foramen of Huschke can result in dehiscence of the anterior canal wall, allowing articular tissue to prolapse into the ear canal. Surgical closure of these defects is known to be effective in ameliorating symptomatic cases.


2012 ◽  
Vol 126 (8) ◽  
pp. 837-839 ◽  
Author(s):  
J Ajduk ◽  
M Ries ◽  
D Vagic ◽  
A Batos-Tripalo

AbstractBackground:Temporomandibular joint fistula into the external auditory canal is a very rare condition. We report a case of spontaneous fistula which presented with repeated episodes of clear fluid otorrhoea and ear infection.Case report:A 53-year-old woman complained of occasional episodes of clear fluid otorrhoea from the right ear followed by infection. Otoscopic examination showed a normal tympanic membrane and normal skin in the external auditory meatus. Otomicroscopy showed a small punctum on the anteroinferior part of the meatus. Computed tomography identified a foramen of Huschke. Surgery revealed a fistula between the meatus and the temporomandibular joint, which was successfully resolved.Conclusion:This report presents a rare case of a fistula between the temporomandibular joint and the external auditory meatus, associated with Huschke's foramen. Such a defect can be quite difficult to detect. It should be suspected in cases of chronic otorrhoea when neither middle nor external ear disease is apparent. Surgery is usually successful, and is advised in cases with repeated complications.


2021 ◽  
Vol 46 (4) ◽  
pp. 161-164
Author(s):  
Hee-Jeong Song ◽  
Yuni Lee ◽  
Hang-Moon Choi ◽  
Young-Jun Kim ◽  
Cheul Kim ◽  
...  

Author(s):  
Jong Kyou Lee ◽  
Bum Sang Lee ◽  
Soo Kyung Jang ◽  
Su-Kyoung Park

A congenital defect of the anterior wall of the external auditory canal (EAC) is known as foramen of Huschke. The tympanic bone is incompletely developed and has a U shape at birth. The foramen of Huschke closes via continuous bone growth, which occurs before the age of 5 years. A persistent foramen of Huschke is an anatomic variation located in the anteroinferior portion of EAC, which can cause ear discomfort with spontaneous temporomandibular joint (TMJ) herniation into the EAC bony defect. We present a case of 50-year-old man who had a symptomatic TMJ herniation through an osseous defect. The physical examination showed a bulging mass of anterioinferior portion of EAC when the patient closed his mouth, which was retracted when the mouth openned. We report a case of surgical reconstruction of the EAC wall defect, and the foramen of Huschke with titanium mesh via preauricular approach along with literature’s review.


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