Temporal Bone Computed Tomography of Patients with Poor Postoperative Hearing Improvement after Surgery for Atresia of the External Auditory Canal

Author(s):  
Yushi Hayashi ◽  
Kimitaka Kaga
2012 ◽  
Vol 126 (3) ◽  
pp. 313-315 ◽  
Author(s):  
V Van Rompaey ◽  
E Offeciers ◽  
B De Foer ◽  
T Somers

AbstractObjectives:To demonstrate the need for computed tomography imaging of the temporal bone before considering revision stapes surgery in patients with recurrent or residual conductive hearing loss.Case report:We report the case of a high-riding jugular bulb with an associated jugular bulb diverticulum, which was dehiscent towards the vestibular aqueduct, in a patient with confirmed otosclerosis who did not experience hearing improvement after stapedotomy.Conclusion:This case demonstrates the usefulness of temporal bone computed tomography in the evaluation of patients with otosclerosis in whom stapedotomy has not improved hearing. In such patients, revision surgery to address residual hearing loss would eventually prove unnecessary and avoidable.


Skull Base ◽  
2007 ◽  
Vol 16 (S 2) ◽  
Author(s):  
Su-Jin Han ◽  
Sang-Woo Moon ◽  
Mee-Hyun Song ◽  
Ho-Ki Lee

Author(s):  
Beomcho Jun ◽  
Sunwha Song

Abstract Objective This paper describes the construction of portals for electrode placement during cochlear implantation and emphasises the utility of pre-operative temporal bone three-dimensional computed tomography. Methods Temporal bone three-dimensional computed tomography was used to plan portal creation for electrode insertion. Results Pre-operative temporal bone three-dimensional computed tomography can be used to determine the orientation of temporal bone structures, which is important for mastoidectomy, posterior tympanotomy and cochleostomy, and when using the round window approach. Conclusion It is essential to create appropriate portals (from the mastoid cortex to the cochlea) in a step-by-step manner, to ensure the safe insertion of electrodes into the scala tympani. Pre-operative three-dimensional temporal bone computed tomography is invaluable in this respect.


1987 ◽  
Vol 28 (1) ◽  
pp. 25-30 ◽  
Author(s):  
K. Wadin ◽  
L. Thomander ◽  
H. Wilbrand

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.


2018 ◽  
Vol 41 (2) ◽  
pp. 221-225 ◽  
Author(s):  
Pengfei Zhao ◽  
Heyu Ding ◽  
Han Lv ◽  
Jing Li ◽  
Xuehuan Liu ◽  
...  

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