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Relationship between the degree of mastoid pneumatization and the presence of persistent foramen of Huschke
Affiliation:1. Department of Otorhinolaryngology, Karabuk University, Faculty of Medicine, Karabuk, Turkey;2. Department of Radiology, Karabuk University Training and Research Hospital, Karabuk, Turkey;1. Department of Maxillofacial and Facial Plastic Surgery, Central Medical Center Bremen, Germany;2. Institute of Anatomy, University of Leipzig, Germany;3. Department of Orthodontics, University Medical Center Goettingen, Germany;1. Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan;2. Institute of Pharmacology, National Yang-Ming University, Taipei, Taiwan;3. School of Medicine, National Yang-Ming University, Taipei, Taiwan;4. Department of Urology, Mackay Memorial Hospital, Taipei, Taiwan;5. Mackay Medical College, Taipei, Taiwan;6. Department of Pathology, Mackay Memorial Hospital, Taipei, Taiwan;7. Department of Anesthesiology, Taipei Tzu Chi Hospital, Taipei, Taiwan;8. School of Medicine, Tzu Chi University, Hualien, Taiwan;1. Oral and Maxillofacial Department, Santa Casa Hospital of São Miguel dos Campos, Alagoas, Brazil;2. Department of Morphology, Anatomy Area Piracicaba Dental School, University of Campinas, Brazil;3. Sector of Human Anatomy, Institute of Health and Biological Sciences, Federal University of Alagoas, Maceio, Brazil;1. Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;2. Institute of Statistics, Department of Medicine, University of Udine, Udine, Italy
Abstract:The aim of this study was to determine the relationship between the degree of mastoid pneumatization and the presence of persistent foramen of Huschke (FH). Temporal computed tomography images of 714 patients (1428 ears) who applied to the Otorhinolaryngology Department of Karabuk University Training and Research Hospital between January 2016 and June 2018 were retrospectively analysed. We compared the mastoid pnomatization levels of 95 patients (74 females, 21 males, mean age 53.18 ± 15.09 years) who had persistent FH and 135 patients (103 females, 32 males, mean age 54.29 ± 15.82 years) with no FH who had similar age and gender. FH was found to be unilateral (right: 23, left: 45) in 68 (71.5%) out of 95 patients with FH, and FH was bilateral in 27 (28.4%) patients. The degree of mastoid pnomatization of the patients with FH was significantly higher than the patients without FH (p = 0.015). The degree of pneumatization of the mastoid bone may lead to persistent FH by affecting the ossification process of the tympanic segment, which has a close anatomical relationship with it.
Keywords:computed tomography  external auditory canal  Huschke  foramen tympanicum  mastoid pneumatization  temporomandibular joint
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