Araştırma Makalesi
BibTex RIS Kaynak Göster

Otosklerozlu hastalarda süperior semisirküler kanal dehissansının sıklığının araştırılması

Yıl 2021, Cilt: 14 Sayı: 1, 95 - 101, 04.01.2021

Pınar Çakmak

https://doi.org/10.31362/patd.781361

Öz

Amaç: Temporal kemik Bilgisayarlı Tomografi‘de (BT) otoskleroz bulguları olan hastalarda süperior semisirküler kanal dehissansı(SSKD) sıklığını araştırmaktır.
Yöntem: Temporal kemik BT’de otoskleroz bulgusu olan 43 (22 erkek, 21 kadın; ortalama yaş,44 ±11 yıl; dağılım, 20-71 yıl) hastanın 86 temporal kemik BT görüntüsü retrospektif olarak değerlendirildi. Bu BT görüntülerinde fenestral / retrofenestral tip otoskleroz bulgularının ve süperior semisirküler kanal dehissansının sıklıkları, yaş ve işitme kaybı tipleri ile karşılaştırılarak değerlendirildi .
Bulgular: 80 temporal kemikte fenestral tip (n:73, %84,8) ve retrofenestral tip (n:7, %8,1) otoskleroz tespit edildi. 86 temporal kemiğin 11‘inde (%12,7) SSKD bulundu. Fenestral tip otoskleroz bulgusu tespit edilen 11 temporal kemikte eş zamanlı SSKD izlendi (p=0.203). Retrofenestral tip otoskleroza sahip hastalar ile SSKD arasında istatistiksel olarak anlamlı farklılık saptanmadı(p=0.588). 86 temporal kemikte 20-40 yaş grupta, 40 yaş üstü gruba göre SSKD sıklığı anlamlı olarak fazla bulundu (p=0,001).
Sonuç: Bu çalışmada otosklerozda SSKD sıklığı %12,7 bulunmuş olup birlikteliğin sıklığının bilinmesi, otoskleroz nedeniyle opere olacak hastalarda yüksek çözünürlüklü temporal kemik BT’nin önemini arttırmaktadır.

Anahtar Kelimeler

Otoskleroz Süperior semisirküler kanal dehissansı Bilgisayarlı tomografi İşitme kaybı

Destekleyen Kurum

bulunmamaktadır

Kaynakça

  • 1. Valvassori GE. Imaging of otosclerosis. Otolaryngol Clin North Am. 1993;26:359-371.
  • 2. Koch B, Hamilton B, Hudgins P, Harnsberger P. Otosclerosis. In: Harnsberger HR ed. Diagnostic Imaging. Head and Neck, vol VI, 2nd ed. St. Amirsys: Manitoba, 2011; 4–40.
  • 3. Lee TC, Aviv RI, Chen JM, Nedzelski JM, Fox AJ, Symons SP. CT grading of otosclerosis. AJNR Am J Neuroradiol. 2009;30:1435-1439. https://doi:10.3174/ajnr.A1558.
  • 4. Merchant SN, Rosowski JJ, McKenna MJ. Superior semicircular canal dehiscence mimicking otosclerotic hearing loss. Adv Otorhinolaryngol. 2007;65:137-145. https://doi:10.1159/000098790.
  • 5. Yamashita K, Hiwatashi A, Togao1 O et al. Additive value of ‘‘otosclerosis-weighted’’ images for the CT diagnosis of fenestral otosclerosis Acta Radiol 2017;58:1215-1221.https://doi: 10.1177/0284185116687172.
  • 6. Lagleyre S, Sorrentino T, Calmels MN, et al. Reliability of high-resolution CT scan in diagnosis of otosclerosis. Otol Neurotol. 2009;30:1152-1159. https://doi:10.1097/MAO.0b013e3181c2a084.
  • 7. Dudau C, Salim F, Jiang D, Connor SE. Diagnostic efficacy and therapeutic impact of computed tomography in the evaluation of clinically suspected otosclerosis. Eur Radiol. 2017;27:1195-1201. https://doi:10.1007/s00330-016-4446-8.
  • 8. Maxwell AK, Slattery WH 3rd, Gopen QS, Miller ME. Failure to close the gap: Concomitant superior canal dehiscence in otosclerosis patients. Laryngoscope. 2020;130:1023-1027. https://doi:10.1002/lary.28167.
  • 9. Mikulec AA, McKenna MJ, Ramsey MJ, et al. Superior semicircular canal dehiscence presenting as conductive hearing loss without vertigo. Otol Neurotol. 2004;25:121-129. https://doi:10.1097/00129492-200403000-00007.
  • 10. Minor LB, Carey JP, Cremer PD, Lustig LR, Streubel SO, Ruckenstein MJ. Dehiscence of bone overlying the superior canal as a cause of apparent conductive hearing loss. Otol Neurotol. 2003;24:270-278. https://doi:10.1097/00129492-200303000-00023.
  • 11. Merchant SN, Rosowski JJ. Conductive hearing loss caused by third-window lesions of the inner ear. Otol Neurotol. 2008;29:282-289. https://doi:10.1097/mao.0b013e318161ab24.
  • 12. Minor LB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope. 2005;115:1717-1727. https://doi:10.1097/01.mlg.0000178324.55729.b7.
  • 13. Masaki Y. The prevalence of superior canal dehiscence syndrome as assessed by temporal bone computed tomography imaging. Acta Otolaryngol. 2011;131:258-262. https://doi:10.3109/00016489.2010.526145.
  • 14. Lee YH, Rivas-Rodriguez F, Song JJ, Yang KS, Mukherji SK. The prevalence of superior semicircular canal dehiscence in conductive and mixed hearing loss in the absence of other pathology using submillimetric temporal bone computed tomography. J Comput Assist Tomogr. 2014;38:190-195. https://doi:10.1097/RCT.0b013e3182ab2afb.
  • 15. Hope A, Fagan P. Latent superior canal dehiscence syndrome unmasked by stapedotomy for otosclerosis. J Laryngol Otol. 2010;124:428-430. https://doi:10.1017/S0022215109991654.
  • 16. Lehmann M, Ebmeyer J, Upile T, Sudhoff HH. Superior canal dehiscence in a patient with three failed stapedectomy operations for otosclerosis: a case report. J Med Case Rep. 2011;5:47. https://doi:10.1186/1752-1947-5-47.
  • 17. Picavet V, Govaere E, Forton G. Superior semicircular canal dehiscence: prevalence in a population with clinical suspected otosclerosis-type hearing loss. B-ENT. 2009;5:83-88.
  • 18. Berning AW, Arani K, Branstetter BF 4th. Prevalence of Superior Semicircular Canal Dehiscence on High-Resolution CT Imaging in Patients without Vestibular or Auditory Abnormalities [published correction appears in AJNR Am J Neuroradiol. 2019 Jul;40(7):E39]. AJNR Am J Neuroradiol. 2019;40:709-712. https://doi:10.3174/ajnr.A5999.
  • 19. Altun O, Duman SB, Bayrakdar IS, Yasa Y, Duman S, Günen Yılmaz S. Cone beam computed tomography imaging of superior semicircular canal morphology: a retrospective comparison of cleft lip/palate patients and normal controls. Acta Odontol Scand. 2018;76:247-252. https://doi:10.1080/00016357.2017.1412498.
  • 20. Duman IS, Dogan SN. Contribution of Reformatted Multislice Temporal Computed Tomography Images in the Planes of Stenvers and Pöschl to the Diagnosis of Superior Semicircular Canal Dehiscence. J Comput Assist Tomogr. 2020;44:53-58. https://doi:10.1097/RCT.0000000000000957.
  • 21. Ceylan N, Bayraktaroglu S, Alper H, et al. CT imaging of superior semicircular canal dehiscence: added value of reformatted images. Acta Otolaryngol. 2010;130:996-1001. https://doi:10.3109/00016481003602108.
  • 22. Williamson RA, Vrabec JT, Coker NJ, Sandlin M. Coronal computed tomography prevalence of superior semicircular canal dehiscence. Otolaryngol Head Neck Surg. 2003;129:481-489. https://doi:10.1016/s0194-5998(03)01391-3.
  • 23. Loke SC, Goh JP. Incidence of semicircular canal dehiscence in Singapore. Br J Radiol. 2009;82:371-373. https://doi:10.1259/bjr/32471003.
  • 24. Branstetter BF 4th, Harrigal C, Escott EJ, Hirsch BE. Superior semicircular canal dehiscence: oblique reformatted CT images for diagnosis. Radiology. 2006;238:938-942. https://doi:10.1148/radiol.2382042098.
  • 25. Cloutier JF, Bélair M, Saliba I. Superior semicircular canal dehiscence: positive predictive value of high-resolution CT scanning. Eur Arch Otorhinolaryngol. 2008;265:1455-1460. https://doi:10.1007/s00405-008-0672-2.

Investigation of the frequency of superior semicircular canal dehiscence in patients with otosclerosis

Yıl 2021, Cilt: 14 Sayı: 1, 95 - 101, 04.01.2021

Pınar Çakmak

https://doi.org/10.31362/patd.781361

Öz

Abstract
Purpose: To investigate the frequency of superior semicircular canal dehiscence (SSCD) in patients with signs of otosclerosis on temporal bone computed tomography (CT).
Materials and Methods: 86 temporal bone CT images of 43 patients (22 men, 21 women; mean age,44 ±11 years; distribution, 20-71 years) with otosclerosis were retrospectively evaluated in Temporal bone CT. In these CT images, the frequency of fenestral / retrofenestral type otosclerosis findings and superior semicircular canal dehissance were compared with age and types of hearing loss .
Results: Fenestral type (n:73, 84.8%) and retrofenestral type (n:7, 8.1%) otosclerosis were detected in 80 temporal bones. SSCD was found in 11 (12.7%) of 86 temporal bones. SSCD was detected in 11 temporal bones with signs of Fenestral type otosclerosis (p=0.203). There were no statistically significant differences between SSCD and patients with retrofenestral type otosclerosis(p=0.588). 86 temporal bones were evaluated, the frequency of superior semicircular canal dehissance was significantly higher in the 20-40 age group than in the 40-year-old group (p=0.001).
Conclusion: In this study, the frequency of SSCD in otosclerosis was found to be 12.7% and knowing the frequency of association increases the importance of pre-operative high-resolution temporal bone CT, especially in patients who will be operated due to otosclerosis.

Anahtar Kelimeler

Otosclerosis Superior semicircular canal dehiscence Computed tomography Hearing loss

Kaynakça

  • 1. Valvassori GE. Imaging of otosclerosis. Otolaryngol Clin North Am. 1993;26:359-371.
  • 2. Koch B, Hamilton B, Hudgins P, Harnsberger P. Otosclerosis. In: Harnsberger HR ed. Diagnostic Imaging. Head and Neck, vol VI, 2nd ed. St. Amirsys: Manitoba, 2011; 4–40.
  • 3. Lee TC, Aviv RI, Chen JM, Nedzelski JM, Fox AJ, Symons SP. CT grading of otosclerosis. AJNR Am J Neuroradiol. 2009;30:1435-1439. https://doi:10.3174/ajnr.A1558.
  • 4. Merchant SN, Rosowski JJ, McKenna MJ. Superior semicircular canal dehiscence mimicking otosclerotic hearing loss. Adv Otorhinolaryngol. 2007;65:137-145. https://doi:10.1159/000098790.
  • 5. Yamashita K, Hiwatashi A, Togao1 O et al. Additive value of ‘‘otosclerosis-weighted’’ images for the CT diagnosis of fenestral otosclerosis Acta Radiol 2017;58:1215-1221.https://doi: 10.1177/0284185116687172.
  • 6. Lagleyre S, Sorrentino T, Calmels MN, et al. Reliability of high-resolution CT scan in diagnosis of otosclerosis. Otol Neurotol. 2009;30:1152-1159. https://doi:10.1097/MAO.0b013e3181c2a084.
  • 7. Dudau C, Salim F, Jiang D, Connor SE. Diagnostic efficacy and therapeutic impact of computed tomography in the evaluation of clinically suspected otosclerosis. Eur Radiol. 2017;27:1195-1201. https://doi:10.1007/s00330-016-4446-8.
  • 8. Maxwell AK, Slattery WH 3rd, Gopen QS, Miller ME. Failure to close the gap: Concomitant superior canal dehiscence in otosclerosis patients. Laryngoscope. 2020;130:1023-1027. https://doi:10.1002/lary.28167.
  • 9. Mikulec AA, McKenna MJ, Ramsey MJ, et al. Superior semicircular canal dehiscence presenting as conductive hearing loss without vertigo. Otol Neurotol. 2004;25:121-129. https://doi:10.1097/00129492-200403000-00007.
  • 10. Minor LB, Carey JP, Cremer PD, Lustig LR, Streubel SO, Ruckenstein MJ. Dehiscence of bone overlying the superior canal as a cause of apparent conductive hearing loss. Otol Neurotol. 2003;24:270-278. https://doi:10.1097/00129492-200303000-00023.
  • 11. Merchant SN, Rosowski JJ. Conductive hearing loss caused by third-window lesions of the inner ear. Otol Neurotol. 2008;29:282-289. https://doi:10.1097/mao.0b013e318161ab24.
  • 12. Minor LB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope. 2005;115:1717-1727. https://doi:10.1097/01.mlg.0000178324.55729.b7.
  • 13. Masaki Y. The prevalence of superior canal dehiscence syndrome as assessed by temporal bone computed tomography imaging. Acta Otolaryngol. 2011;131:258-262. https://doi:10.3109/00016489.2010.526145.
  • 14. Lee YH, Rivas-Rodriguez F, Song JJ, Yang KS, Mukherji SK. The prevalence of superior semicircular canal dehiscence in conductive and mixed hearing loss in the absence of other pathology using submillimetric temporal bone computed tomography. J Comput Assist Tomogr. 2014;38:190-195. https://doi:10.1097/RCT.0b013e3182ab2afb.
  • 15. Hope A, Fagan P. Latent superior canal dehiscence syndrome unmasked by stapedotomy for otosclerosis. J Laryngol Otol. 2010;124:428-430. https://doi:10.1017/S0022215109991654.
  • 16. Lehmann M, Ebmeyer J, Upile T, Sudhoff HH. Superior canal dehiscence in a patient with three failed stapedectomy operations for otosclerosis: a case report. J Med Case Rep. 2011;5:47. https://doi:10.1186/1752-1947-5-47.
  • 17. Picavet V, Govaere E, Forton G. Superior semicircular canal dehiscence: prevalence in a population with clinical suspected otosclerosis-type hearing loss. B-ENT. 2009;5:83-88.
  • 18. Berning AW, Arani K, Branstetter BF 4th. Prevalence of Superior Semicircular Canal Dehiscence on High-Resolution CT Imaging in Patients without Vestibular or Auditory Abnormalities [published correction appears in AJNR Am J Neuroradiol. 2019 Jul;40(7):E39]. AJNR Am J Neuroradiol. 2019;40:709-712. https://doi:10.3174/ajnr.A5999.
  • 19. Altun O, Duman SB, Bayrakdar IS, Yasa Y, Duman S, Günen Yılmaz S. Cone beam computed tomography imaging of superior semicircular canal morphology: a retrospective comparison of cleft lip/palate patients and normal controls. Acta Odontol Scand. 2018;76:247-252. https://doi:10.1080/00016357.2017.1412498.
  • 20. Duman IS, Dogan SN. Contribution of Reformatted Multislice Temporal Computed Tomography Images in the Planes of Stenvers and Pöschl to the Diagnosis of Superior Semicircular Canal Dehiscence. J Comput Assist Tomogr. 2020;44:53-58. https://doi:10.1097/RCT.0000000000000957.
  • 21. Ceylan N, Bayraktaroglu S, Alper H, et al. CT imaging of superior semicircular canal dehiscence: added value of reformatted images. Acta Otolaryngol. 2010;130:996-1001. https://doi:10.3109/00016481003602108.
  • 22. Williamson RA, Vrabec JT, Coker NJ, Sandlin M. Coronal computed tomography prevalence of superior semicircular canal dehiscence. Otolaryngol Head Neck Surg. 2003;129:481-489. https://doi:10.1016/s0194-5998(03)01391-3.
  • 23. Loke SC, Goh JP. Incidence of semicircular canal dehiscence in Singapore. Br J Radiol. 2009;82:371-373. https://doi:10.1259/bjr/32471003.
  • 24. Branstetter BF 4th, Harrigal C, Escott EJ, Hirsch BE. Superior semicircular canal dehiscence: oblique reformatted CT images for diagnosis. Radiology. 2006;238:938-942. https://doi:10.1148/radiol.2382042098.
  • 25. Cloutier JF, Bélair M, Saliba I. Superior semicircular canal dehiscence: positive predictive value of high-resolution CT scanning. Eur Arch Otorhinolaryngol. 2008;265:1455-1460. https://doi:10.1007/s00405-008-0672-2.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Radyoloji ve Organ Görüntüleme
Bölüm Araştırma Makalesi
Yazarlar

Pınar Çakmak 0000-0003-4652-6748

Yayımlanma Tarihi 4 Ocak 2021
Gönderilme Tarihi 16 Ağustos 2020
Kabul Tarihi 22 Eylül 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 14 Sayı: 1

Kaynak Göster

APA Çakmak, P. (2021). Otosklerozlu hastalarda süperior semisirküler kanal dehissansının sıklığının araştırılması. Pamukkale Medical Journal, 14(1), 95-101. https://doi.org/10.31362/patd.781361
AMA Çakmak P. Otosklerozlu hastalarda süperior semisirküler kanal dehissansının sıklığının araştırılması. Pam Tıp Derg. Ocak 2021;14(1):95-101. doi:10.31362/patd.781361
Chicago Çakmak, Pınar. “Otosklerozlu Hastalarda süperior semisirküler Kanal dehissansının sıklığının araştırılması”. Pamukkale Medical Journal 14, sy. 1 (Ocak 2021): 95-101. https://doi.org/10.31362/patd.781361.
EndNote Çakmak P (01 Ocak 2021) Otosklerozlu hastalarda süperior semisirküler kanal dehissansının sıklığının araştırılması. Pamukkale Medical Journal 14 1 95–101.
IEEE P. Çakmak, “Otosklerozlu hastalarda süperior semisirküler kanal dehissansının sıklığının araştırılması”, Pam Tıp Derg, c. 14, sy. 1, ss. 95–101, 2021, doi: 10.31362/patd.781361.
ISNAD Çakmak, Pınar. “Otosklerozlu Hastalarda süperior semisirküler Kanal dehissansının sıklığının araştırılması”. Pamukkale Medical Journal 14/1 (Ocak 2021), 95-101. https://doi.org/10.31362/patd.781361.
JAMA Çakmak P. Otosklerozlu hastalarda süperior semisirküler kanal dehissansının sıklığının araştırılması. Pam Tıp Derg. 2021;14:95–101.
MLA Çakmak, Pınar. “Otosklerozlu Hastalarda süperior semisirküler Kanal dehissansının sıklığının araştırılması”. Pamukkale Medical Journal, c. 14, sy. 1, 2021, ss. 95-101, doi:10.31362/patd.781361.
Vancouver Çakmak P. Otosklerozlu hastalarda süperior semisirküler kanal dehissansının sıklığının araştırılması. Pam Tıp Derg. 2021;14(1):95-101.
Creative Commons Lisansı
Pamukkale Tıp Dergisi, Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı ile lisanslanmıştır