Relationship of age to foramen of Huschke and investigation of the development of spontaneous temporomandibular joint herniation

Ertuğrul, Süha; Keskin, Nevra

doi:10.1016/j.ijom.2018.08.011

Cited by 20 publications

(18 citation statements)

References 16 publications

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“…STMJH is extremely rare, and few case reports on STMJH have been published. Ertugrul 7 and Park 8 reported that the prevalence of STMJH was 0.4% in all samples and 2.9% or 27% in patients with PFH. The present study is the largest case series of STMJH.…”

Section: Discussionmentioning

confidence: 93%

Otoscopy and imaging features of spontaneous temporomandibular joint herniation into the external auditory canal

Liu

Huang

et al. 2020

BJR|Open

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Objective: To explore the otoscopy, CT and MRI features of spontaneous temporomandibular joint(TMJ）herniation(STMJH) into the external auditory canal (EAC) through the persistent foramen of Huschke (PFH). Methods: 15 cases diagnosed STMJH were collected. The otoscopy, CT data of 15 cases and MRI data of 6 cases were retrospectively reviewed. Results: Otoscopy revealed a mass located in the anterior wall of the bony EAC that moved forwards and backwards during mouth opening and closing, respectively. CT showed a soft mass with bony defect in the anterior wall of the EAC, with no enhancement; the bony defect margin was well defined in all cases. The bone adjacent to the PFH was pressed and partially wrapped around the soft mass, as if “holding a ball,” in seven cases. Pseudobone shell around the soft mass was observed in eight cases. Six cases included MRI scans, which showed TMJ soft tissue herniated into the EAC. Conclusion: STMJHs have unique otoscopic, CT and MRI features. The examination strategy recommended is dynamic otoscopy and conventional CT, MRI can be chosen when the herniation is complicated by infection or otitis externa or when the patient has TMJ dysfunction; conservative management and follow-up observations are the main treatment strategy recommended. Advances in knowledge: Mechanical stress of TMJ on the EAC is thought to cause herniation and the special CT features, the location and size of the PFH, especially the location, are the major risk factors for TMJ herniation in patients with FH.

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Section: Discussionmentioning

confidence: 93%

Otoscopy and imaging features of spontaneous temporomandibular joint herniation into the external auditory canal

Liu

Huang

et al. 2020

BJR|Open

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“…Er-tugrul and Keskin reported prevalence of FH between 1.5% and 22.7% in tomography studies and between 7.2% and 38.2% in osteological studies. 4 Unlike, prevalance of TMJ herniation was reported as 0.4% by Park et al It is a rare disease. 5 The most common rheumatologic disease affecting the TMJ is rheumatoid artritis.…”

Section: Discussionmentioning

confidence: 96%

Temporomandibular Joint Herniation as a Cause of Objective Tinnitus

Kökoğlu¹

2020

KBB ve BBC Dergisi

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“…Dimensions of an anatomical defect have critical importance to prevent potential complications and should not be measured in one plane. During TMJ arthroscopy, endoscopes with diameter smaller than 3 mm may lead tympanic membrane perforation, incus dislocation, salivary gland fistula and facial nerve damage by penetrating into the HF [6]. Van der Meer concluded that spread of necrotizan external otitis (NEO)from EAC to surrounding structures is associated to the increased size of HF 28.…”

Section: Discussionmentioning

confidence: 99%

New approach to morphometric analysis of Huschke’s foramen

2022

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Background: Aim of the present study is to analyze the demographic and anatomical details of the Huschke's foramen (HF) which are not previously studied and to present a new clinical perspective.Materials and methods: MDCT (Multidedector Computed Tomography) images of 495 patients obtained were retrospectively evaluated. Presence of a HF, its' size, relations of it with side, age and gender were noted for every patient. Size of the foramen was measured in the axial plane, as well as on the reconstructed coronal and sagittal planes.Results: Of the 495 patients 99 (20%) had HF. There was no significant difference between females and males according to the presence of the HF and the side of the HF.When the dimension of the left-and the right-sided HFs were compared, there were no significant differences on none of the axes for the patients with unilateral or bilateral HF.There was no significant linear correlation between age and the dimension on axial axis, the dimension on the sagittal axis and the dimension on the coronal axis Conclusions: The present work presenting morphologic and statistical variables of HF provides a data for further studies which will indicate risk factor of herniation through HF. By the aid of MDCT which is sensitive for detection of the HF because of its thin sections, high spatial resolution, and multiplanar capabilities, lesions which were previously diagnosed as dehiscence were found to be defects.

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Relationship of age to foramen of Huschke and investigation of the development of spontaneous temporomandibular joint herniation

Cited by 20 publications

References 16 publications

Otoscopy and imaging features of spontaneous temporomandibular joint herniation into the external auditory canal

Otoscopy and imaging features of spontaneous temporomandibular joint herniation into the external auditory canal

Temporomandibular Joint Herniation as a Cause of Objective Tinnitus

New approach to morphometric analysis of Huschke’s foramen

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