Is there a relationship between mastoid pneumatisation and facial canal dimensions?

2019 ◽  
Vol 133 (7) ◽  
pp. 546-553
Author(s):  
M Inal ◽  
N Bayar Muluk ◽  
N Asal ◽  
M H Şahan ◽  
G Şimşek ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Retrospective Study ◽  
Multidetector Computed Tomography ◽  
Temporal Bone ◽  
Facial Canal ◽  
Computed Tomography Scans ◽  
Facial Canal Dehiscence ◽  
Older Subjects ◽  
The Right ◽  
Canal Dehiscence

AbstractObjectiveTo evaluate mastoid pneumatisation and facial canal dimensions.MethodIn this retrospective study, 169 multidetector computed tomography scans of temporal bone were reviewed. Facial canal dimensions were evaluated at the labyrinthine, tympanic and mastoid segments using axial and coronal multidetector computed tomography scans of temporal bone. Mastoid pneumatisation and facial canal dehiscence were evaluated. Facial canal dehiscence was measured if it was found to be present.ResultsThis study showed that facial canal dimensions decreased in pneumatised mastoids. Facial canal dimensions in females were smaller than in males. Facial canal dehiscence was detected in 5.9 per cent and 6.5 per cent of the patients on the right and left sides, respectively. No correlations were found between facial canal dehiscence and mastoid pneumatisation. The length of dehiscence was 1.92 ± 0.44 mm (range, 0.86–2.51 mm) on the left side. In older subjects, left facial canal dehiscence was detected more, and the length of the dehiscence increased.ConclusionThis study concluded that during surgery, facial canal dehiscence should be kept in mind in order to avoid complications.

scholarly journals Can MDCT Scan of the Temporal Bone Looking at Pneumatization Predict Surgical Vulnerability of the Facial Nerve?

2019 ◽  
pp. 014556131987952
Author(s):  
Mikail Inal ◽  
Nuray Bayar Muluk ◽  
Mehmet Hamdi Şahan ◽  
Neşe Asal ◽  
Gökçe Şimşek ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Canal ◽  
Nerve Injuries ◽  
Mastoid Pneumatization ◽  
Computed Tomography Scans ◽  
Facial Nerve Injuries ◽  
Important Landmark ◽  
Facial Canal Dehiscence ◽  
Males And Females ◽  
Canal Dehiscence

Objectives: The aim of this study is to investigate the scutum–cochleariform process (CP) and scutum–promontorium distances according to the mastoid pneumatization condition. Methods: Two hundred temporal multidetector computed tomography scans (90 males and 110 females) were evaluated retrospectively. The scutum-CP and scutum–promontorium distances were measured. Facial canal dehiscence (FCD) in the tympanic segment and mastoid pneumatization were also evaluated. Results: The distances between scutum-CP and scutum–promontorium were not different between males and females and between right and left sides. Facial canal dehiscence in the tympanic segment was detected: 5.6% (right) and 7.8% (left) in males and 5.5% (right) and 10.0% (left) in females. Grade 4 (100%) pneumatization was detected mainly in 55.6% to 57.8% of the patients in both genders. Grade 0 (0%) pneumatization (sclerosis) was detected in 22.2% to 28.2% of both males and females. In more pneumatized mastoids, the scutum-CP and scutum–promontorium distances increased. In sclerotic mastoids, the scutum-CP and scutum–promontorium distances decreased. Facial canal dehiscence rates were not related to the mastoid pneumatization levels. Conclusion: Cochleariform process is an important landmark to localize the tympanic segment of the facial canal. In sclerosed mastoids, scutum-CP and scutum–promontorium distances decreased. There was no relationship between FCD rates and mastoid pneumatization levels. It may be due to the development of FCD that occurs during the intrauterine period. In endoscopic and classic ear surgeries, mastoid pneumatization must be evaluated preoperatively to avoid facial nerve injuries.

Facial canal dehiscence in patients with cholesteatoma: concordance between intraoperative inspection, computed tomography and neurophysiological findings

2019 ◽  
Vol 276 (7) ◽  
pp. 1915-1920
Author(s):  
Francisco Arias-Marzán ◽  
Gemma de Lucas-Carmona ◽  
Esteban Reinaldo Pacheco Coronel ◽  
Pedro Javier Perez Lorensu ◽  
Alejandro Jiménez-Sosa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Facial Canal ◽  
Facial Canal Dehiscence ◽  
Canal Dehiscence

Prevalence of facial canal dehiscence and other bone defects by computed tomography

2020 ◽  
Vol 277 (10) ◽  
pp. 2681-2686
Author(s):  
Andrea Fabiola Hernandez-Trejo ◽  
Karla Paola Cuellar-Calderon ◽  
Jose Luis Treviño-Gonzalez ◽  
Masao Yamamoto-Ramos ◽  
Mario Alberto Campos-Coy ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Defects ◽  
Facial Canal ◽  
Facial Canal Dehiscence ◽  
Canal Dehiscence

scholarly journals Diagnostic efficacy of high-resolution computed tomography findings in patients of chronic suppurative otitis media atticoantral type

2020 ◽  
Vol 6 (10) ◽  
pp. 1854
Author(s):  
Nikki Gajjar ◽  
Neena Bhalodiya ◽  
Simple Bhadania
Keyword(s):  
Soft Tissue ◽  
Temporal Bone ◽  
Facial Canal ◽  
Soft Tissue Density ◽  
High Resolution Computed Tomography ◽  
Suppurative Otitis Media ◽  
Tissue Density ◽  
Facial Canal Dehiscence ◽  
Operative Findings ◽  
Canal Dehiscence

<p><strong>Background: </strong>High resolution computed tomography (HRCT) provides information about anatomy and pathology of temporal bone and middle ear cleft, thus becoming important imaging modality in diagnosis and pre-operative planning in patients of chronic suppurative otitis media (attico-antral) CSOM (AA) type. The aim of study was to study disease extension and plan surgery accordingly in patients of CSOM (AA) and to study correlation between the HRCT findings and intra-operative findings of CSOM (AA) like soft tissue density mass, ossicular chain erosion, facial canal dehiscence, semi-circular canal erosion.</p><p><strong>Methods: </strong>Study of 70 patients clinically diagnosed of having CSOM (AA) in period between August 2018 to March 2020 was done at Sola civil hospital, Ahmedabad. All patients were advised HRCT temporal bone except those who had contraindications to CT scan, analysed and operated. Pre-operative CT-scan findings and intra-operative findings were compared for statistical analysis.</p><p><strong>Results: </strong>Soft tissue density was found in 100% of cases on HRCT temporal bone. Bony erosion seen in 25% of cases. 90% showed ossicular erosion. Lateral semi-circular canal fistula was observed in 10% of cases with facial canal dehiscence in 10% of cases. Intra-operative findings showed accuracy of HRCT in detecting soft tissue density to be 100%; bony erosion was observed in 25% cases. 10% patients had lateral semi-circular canal fistula. Facial canal dehiscence was seen in 15% cases.</p><strong>Conclusion: </strong>HRCT has proved quite useful and reliable to identify the disease extension before surgery and plan surgery accordingly.<p> </p>

The Labyrinthine Portion of the Facial Canal in Patients with Bell's Palsy Investigated by Computed Tomography

1987 ◽  
Vol 28 (1) ◽  
pp. 25-30 ◽  
Author(s):  
K. Wadin ◽  
L. Thomander ◽  
H. Wilbrand
Keyword(s):  
Computed Tomography ◽  
Temporal Bone ◽  
No Value ◽  
Bell’S Palsy ◽  
Ct Images ◽  
Slice Thickness ◽  
Facial Canal ◽  
Bell's Palsy ◽  
Unreliable Method ◽  
Different Parts

The reproducibility of the labyrinthine portion of the facial canal by computed tomography was investigated in 22 patients with Bell's palsy. The CT images were compared with those obtained in 18 temporal bone specimens. Measurements of the diameters of different parts of the facial canal were made on these images and also microscopically in plastic casts of the temporal bone specimens. No marked difference was found between the dimensions of the labyrinthine portion of the facial canal of the involved and healthy temporal bone in the patient, nor did these differ from the dimensions in the specimens. CT of the slender, curved labyrinthine portion was found to be of doubtful value for metric estimation of small differences in width. The anatomic variations of the canal rendered the evaluation more difficult. CT with a slice thickness of 2 mm was of no value for assessment of this part of the canal. Measurement of the diameters of the labyrinthine portion on CT images is an inappropriate and unreliable method for clinical purposes.

scholarly journals Radiographic Measurement of Cochlear in Sudanese Population using High Resolution Computed Tomography (HRCT)

2021 ◽  
Vol 29 (2) ◽  
Author(s):  
Lubna Bushara ◽  
Mohamed Yousef ◽  
Ikhlas Abdelaziz ◽  
Mogahid Zidan ◽  
Dalia Bilal ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hearing Loss ◽  
High Resolution ◽  
Temporal Bone ◽  
Healthy Subjects ◽  
Cochlear Nerve ◽  
High Resolution Computed Tomography ◽  
Mean Width ◽  
The Mean ◽  
The Right

This study aimed to determine the measurements of the cochlea among healthy subjects and hearing deafness subjects using a High Resolution Computed Tomography (HRCT). A total of 230 temporal bone HRCT cases were retrospectively investigated in the period spanning from 2011 to 2015. Three 64-slice units were used to examine patients with clinical complaints of hearing loss conditions at three Radiology departments in Khartoum, Sudan. For the control group (A) healthy subjects, the mean width of the right and left cochlear were 5.61±0.40 mm and 5.56±0.58 mm, the height were 3.56±0.36 mm and 3.54±0.36 mm, the basal turn width were 1.87±0.19 mm and 1.88 ±0.18 mm, the width of the cochlear nerve canal were 2.02±1.23 and 1.93±0.20, cochlear nerve density was 279.41±159.02 and 306.84±336.9 HU respectively. However, for the experimental group (B), the mean width of the right and left cochlear width were 5.38±0.46 mm and 5.34±0.30 mm, the height were 3.53±0.25 mm and 3.49±0.28mm, the basal turn width were 1.76±0.13 mm, and 1.79±0.13 mm, the width of the cochlear nerve canal were 1.75±0.18mm and 1.73±0.18mm, and cochlear nerve density were 232.84±316.82 and 196.58±230.05 HU, respectively. The study found there was a significant difference in cochlea’s measurement between the two groups with a p-value < 0.05. This study had established baseline measurements for the cochlear for the healthy Sudanese population. Furthermore, it found that HRCT of the temporal bone was the best for investigation of the cochlear and could provide a guide for the clinicians to manage congenital hearing loss.

Asymptomatic fibrous dysplasia of the temporal bone

2015 ◽  
Vol 129 (S2) ◽  
pp. S42-S45 ◽  
Author(s):  
T Kimitsuki ◽  
S Komune
Keyword(s):  
Computed Tomography ◽  
Fibrous Dysplasia ◽  
Temporal Bone ◽  
Watchful Waiting ◽  
Unknown Origin ◽  
Fibrotic Tissue ◽  
Slow Progression ◽  
Bone Trabeculae ◽  
The Right ◽  
Tomography Scan

AbstractIntroduction:Fibrous dysplasia is a bone disorder of unknown origin in which normal bone is replaced with fibrotic tissue and disorganised bone trabeculae. The temporal bone is rarely affected. Because of the slowly progressive course of the disease, many mild cases may never be recognised and are found incidentally. We present a patient with fibrous dysplasia of the right temporal bone, who had few complaints.Objective:A 62-year-old man was incidentally found to have fibrous dysplasia of the temporal bone on routine computed tomography scan.Method:One case report.Results:Computed tomography showed a thickening of the right temporal bone with a ground-glass appearance. The 62-year-old man opted for watchful waiting.Conclusion:We have presented an asymptomatic fibrous dysplasia of the temporal bone. Mild cases may never be recognised and are found incidentally because of their slow progression.

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