Quantitative three-dimensional computed tomography analysis of sinus tympani volume in temporal bones with petrous apex pneumatization

2020 ◽  
Vol 47 (4) ◽  
pp. 587-592
Author(s):  
Tumay Bekci ◽  
Omer Hizli ◽  
Mesut Ozturk ◽  
Guven Yildirim
Keyword(s):  
Computed Tomography ◽  
Three Dimensional ◽  
Petrous Apex ◽  
Sinus Tympani ◽  
Temporal Bones ◽  
Tomography Analysis

scholarly journals Analysis of tympanic sinus shape for purposes of intraoperative hearing monitoring: a microCT study

2021 ◽  
Author(s):  
Małgorzata Bilińska ◽  
Tomasz Wojciechowski ◽  
Jacek Sokołowski ◽  
Kazimierz Niemczyk
Keyword(s):  
Computed Tomography ◽  
Round Window ◽  
Optimal Placement ◽  
Facial Canal ◽  
Average Width ◽  
Sinus Tympani ◽  
Stapedius Muscle ◽  
Electrode Shape ◽  
Posterior Tympanotomy ◽  
Temporal Bones

Abstract Purpose Sinus tympani is the space in the retrotympanum, with variable morphology. Computed tomography is a common tool to investigate sinus tympani anatomy. During cochlear implantation or tympanoplasty, electrocochleography can be used for hearing monitoring. In such a surgical strategy the electrode is placed in the round window’s region throughout posterior tympanotomy. Common accessible needle-shaped electrodes using is difficult in achieving intraoperative stabilization. The aim of the study is to assess the dimensions and shape of sinus tympani, basing on the micro computed tomography scans for purposes of establishing the possible new electrocochleography electrode shape. Materials and methods Sixteen fresh frozen cadaveric temporal bones were dissected. MicroCT measurements included the depth and the width of sinus tympani, width of facial canal with stapedius muscle chamber. Obtained data were analyzed statistically with the use of RStudio 1.3.959 software. Results The highest average width of sinus tympani amounted for 2.68 mm, depth measured at the round window plane for 3.19 mm. Width of facial canal with stapedius muscle chamber highest average values at the round window plane- 3.32 mm. The lowest average minimum and maximum values were calculated at the 1 mm above the round window plane. The highest average posterior tympanotomy width was 2.91 mm. Conclusions The shape of the tympanic sinus is like a trough with the narrowest and deepest dimensions in the middle part. The ST shape and dimensions should be taken into account in constructing the ECochG electrode, designed for optimal placement through posterior tympanotomy approach.

Three-dimensional Computed Tomographic Cranial Base Measurements for Improvement of Surgical Approaches to the Petrous Carotid Artery and Apex Regions

Neurosurgery ◽  
2001 ◽  
Vol 49 (2) ◽  
pp. 342-353 ◽  
Author(s):  
Alan T. Villavicencio ◽  
Jean-Christophe Leveque ◽  
Ketan R. Bulsara ◽  
Allan H. Friedman ◽  
Linda Gray
Keyword(s):  
Computed Tomography ◽  
Carotid Artery ◽  
Three Dimensional ◽  
Internal Auditory Canal ◽  
Cranial Base ◽  
Petrous Apex ◽  
Surgical Approaches ◽  
Tomographic Images ◽  
Computed Tomographic ◽  
Preoperative Information

Abstract OBJECTIVE The bony and vascular anatomic features in the region of the petrous apex can vary significantly. These variations affect the operative view obtained via extended subtemporal or anterior transpetrosal approaches to cranial base lesions for individual patients. The goal of this study was to evaluate three-dimensional computed tomography as a means of obtaining detailed preoperative anatomic information regarding bony and vascular landmarks and spatial relationships in the region of the petrous carotid artery and petrous apex. METHODS We radiographically studied 15 patients (30 sides), using 0.8- to 1-mm-thick, reconstructed, computed tomographic images. Special attention was given to the course of the petrous carotid artery. RESULTS The petrous carotid artery was located lateral to the trigeminal impression. The size of the petrous apex medial to the horizontal petrous carotid artery was observed to be variable. The width of bone from the trigeminal impression to the wall of the internal auditory canal averaged 9.6 mm (range, 5.2–16.1 mm). A variable amount of bone overlying the internal auditory canal (4.5 mm) was also present. Multiple other relationships among key landmarks were quantified. CONCLUSION There is significant variability in the anatomic features of the petrous apex among patients. For each patient, detailed preoperative information regarding the amount of bone to be removed during a cranial base procedure can be obtained using three-dimensional computed tomography. This information may be critical for determination of the amount of extra exposure that can be achieved via an anterior petrosectomy for each patient.

Weight-bearing three-dimensional computed tomography analysis of the forefoot in patients with flatfoot deformity

2016 ◽  
Vol 21 (2) ◽  
pp. 154-158 ◽  
Author(s):  
Naoki Yoshioka ◽  
Kazuya Ikoma ◽  
Masamitsu Kido ◽  
Kan Imai ◽  
Masahiro Maki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Weight Bearing ◽  
Three Dimensional ◽  
Tomography Analysis
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