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2006 | 65 | 3 |

Tytuł artykułu

The anatomy of the tympanic sinus

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The tympanic sinus is one of the most important structures of the human temporal bone. Located in its vicinity are the round window, posterior semicircular canal and facial nerve. The study was performed on 30 temporal bones taken from adult cadavers of both sexes. After the tympanic sinus had been identified, its morphological features were evaluated. The sinus was then measured using a graticule with an accuracy of 0.05 mm. Also measured were the shortest distances from the tympanic sinus to the neighbouring structures (the lateral and posterior semicircular canal, the facial nerve canal and the jugular fossa). The measurements were performed under a surgical microscope with eye-piece graduation of 0.05 mm accuracy. Four main morphological types of fossa of the tympanic sinus and two main developmental forms, a deep sinus and a shallow sinus, were distinguished. The existence of a deep sinus was associated with absence of the bridge and the sinus was shallower when the bridge was prominent. The very deep sinuses were located close to the facial canal, in some cases penetrating deep in its vicinity (in some cases even going beyond two thirds of the canal’s circumference), which poses a real risk of facial nerve damage during surgical removal of a lesion located in close proximity to the nerve. In most cases the tympanic sinus is elliptical in shape and its long diameter lies in the vertical plane (mean value: 2.73 × 2.23 mm). The mean distances from the tympanic sinus to the facial nerve canal, lateral semicircular canal, posterior semicircular canal and jugular fossa were 1.5 mm, 2.1 mm, 1.59 mm and 5.5 mm respectively. No correlation was observed between the measurement results and either sex or side.

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

65

Numer

3

Opis fizyczny

p.195-199,fig.,ref.

Twórcy

autor
  • Medical University of Warsaw, Chalubinskiego 5, 02-004 Warsaw, Poland
autor
autor
autor

Bibliografia

  • 1. Abdel Baki F, El Dine MB, El Saiid I, Bakry M (2002) Sinus tympani endoscopic anatomy. Otolaryngol Head Neck Surg, 127: 158–162.
  • 2. Amjad AH, Starke JJ, Scheer AA (1968) Tympanofacial recess in the human ear. Arch Otolaryngol, 88: 131–137.
  • 3. Donaldson JA, Anson BI, Warpeha RL, Rensink ML (1970) The surgical anatomy of the sinus tympani. Arch Otolaryngol, 91: 219–227.
  • 4. Dworaćek H. (1960) Die Anatomischen Verhältnisse des Mittelohres unter operationsmikroskopischer Betrachtung. Acta Oto-Laryng (Stockh), 51: 15-45.
  • 5. Gray H (1977) Anatomy, descriptive and surgical. A revised American, from the l5th English edition. Ayenel NJ, Gramercy Books.
  • 6. Holt JJ (2005) The ponticulus: an anatomic study. Otol Neurotol, 26: 1122–1124.
  • 7. Niemczyk K, Bruzgielewicz A, Wysocki J, Nitek S, Olesiński T (2003) Zatoka bębenkowa w chirurgii ucha środkowego i podstawy czaszki. Otolaryngol Pol, 57: 65–68.
  • 8. Ozturan O, Bauer CA, Miller CC, Jenkins HA (1996) Dimensions of the sinus tympani and its surgical access via a retrofacial approach. Ann Otol Rhinol Laryngol, 105: 776–783.
  • 9. Pickett BP, Cail WS, Lambert PR (1995) Sinus tympani: anatomic considerations, computed tomography, and discussion of the retrofacial approach for removal of disease. Am J Otol, 16: 741–750.
  • 10. Platzer W (1961) On the anatomy of the eminentia pyramidałis and the stapedius muscle. Monarsschr Ohrenheilkd Laryngorhinol, 95: 553–564.
  • 11. Proctor B (1969) Surgical anatomy of the posterior tympanum. Ann Otol Rhinol Laryngol, 78: 1026–1040.
  • 12. Roland TJ, Hoffman RA, Miller PJ, Cohen NL (1995) Retrofacial approach to the hypotympanum. Arch Otolaryngol Head Neck Surg, 121: 233–236.
  • 13. Saito R, Igarashi M, Alford BR, Guilforti FR (1971) Anatomical measurement of the sinus tympani: A study of horizontal serial sections of the human temporal bone. Arch Otolaryngol, 94: 418–425.
  • 14. Siebenmann F (1897) Mittelohr und Labyrinth. In: von Bardeleben KK (ed.) Handbuch der Anatomie des Menschen. Bd. V. Abt. 2, G. Fischer Verlag, Jena.
  • 15. Takahashi H, Sando J (1990) Computer-aided 3-D temporal bone anatomy for cochlear implant surgery. Laryngoscope, 100: 417–421.
  • 16. Testut L, Latarjet A (1905): Traite d’anatomie humaine. Vol. 3. Livre 7: Organes des sens. O. Doin, Paris.
  • 17. Wysocki J (1998) Mnogi mostek wzgórka. Otolaryngol Pol, 52: 531–533.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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