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Czasopismo

2012 | 71 | 4 |

Tytuł artykułu

Normative size evaluation of internal auditory canal with magnetic resonance imaging: review of 3786 patients

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: A narrow internal auditory canal (IAC) is significantly associated with congenital sensorineural hearing loss. It would therefore seem likely that any patient with an IAC measured radiographically to be under the normal range represents an abnormality and probable IAC stenosis. If narrow IAC is diagnosed with routine magnetic resonance imaging (MRI), then the cochlear nerve may be evaluated with special MRI studies. However, there is no consensus in the literature on the normal measurements of the IAC or on what parameters should be used to determine narrow IAC using MRI. In this study, we aimed to assess the normative size of IAC in normal-hearing ears and to determine whether canal size varies with age and gender using MRI. Material and methods: A retrospective review was undertaken from 2010 to 2012. A total of 7572 normal-hearing ears of 3786 patients were assessed, who had MRI due to various reasons except hearing loss. Patients under 20 years old and over 60 years old were excluded, and the subjects were divided into 4 groups at 10-year intervals. All subjects were divided by gender also. Anteroposterior (AP) and craniocaudal (CC) measurements were obtained in the middle of the IAC on axial and coronal images of 1.5-T MRI. Results: The mean age was 42 years (range 20–60 years). The mean IAC diameters were 5.93 mm with a standard deviation of 0.25 mm (max 6.99 mm, min 4.73 mm) on AP measurements and were 5.70 mm with a standard deviation of 0.26 mm (max 6.82 mm, min 4.71 mm) on CC measurements. There were no differences in the IAC diameters between males and females or with age groups. Conclusions: These measurements should provide a normative reference for comparison in radiographic assessment of any patient with suspected IAC stenosis. This measurement can help the diagnosis of narrow IAC. To our knowledge, this is the first study using MRI with a large group of patients in the literature. (Folia Morphol 2012; 71, 4: 217–220)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

71

Numer

4

Opis fizyczny

p.217-220,fig.,ref.

Twórcy

  • Sivas Numune Hastanesi Radyoloji Bolumu Sivas, Turkey
autor
  • Sivas Numune Hastanesi Radyoloji Bolumu Sivas, Turkey
autor
  • Bozok Universitesi Tip Fakultesi Radyoloji Abd Yozgat, Turkey
autor
  • Cumhuriyet Universitesi Tip Fakultesi Radyoloji Abd Sivas, Turkey
autor
  • Cumhuriyet Universitesi Tip Fakultesi Kbb Abd Sivas, Turkey

Bibliografia

  • 1. Adunka OF, Roush PA, Teagle HF, Brown CJ, Zdanski CJ, Jewells V, Buchman CA (2006) Internal auditory canal morphology in childeren with cochlear nerve defficiency. Otol Neurotol, 27: 793–801.
  • 2. Casselman JW, Offeciers FE, Govaerts PJ, Kuhweide R, Geldof H, Somers T, D’Hont G (1997) Aplasia and hypoplasia of the vestibulocochlear nerve: diagnosis with MR imaging. Radiology, 202: 773–781.
  • 3. Fatterpekar GM, Mukherji SK, Alley J, Lin Y, Castillo M (2000) Hypoplasia of the bony canal for the cochlear nerve in patients with congenital sensorineural hearing loss: initial observations. Radiology, 215: 243–246.
  • 4. Fatterpekar GM, Mukherji SK, Lin Y, Alley JG, Stone JA, Castillo M (1999) Normal canals at the fundus of the internal auditory canal: CT evaluation. J Comput Assisted Tomogr, 23: 776–780.
  • 5. Glastonbury CM, Davidson HC, Harnsberger HR, Butler J, Kertesz TR, Shelton C (2002) Imaging findings of cochlear nerve deficiency. Am J Neuroradiol, 23: 635–643.
  • 6. Govaerts PJ, Casselman K, Daemers K, De Beukelear C, Yperman M, De Ceulaer G (2003) Cochlear implants in aplasia and hypoplasia of the cochleovestibular nerve. Otol Neurotol, 24: 887–891.
  • 7. Ito K, Suzuki S, Murofushi T, Ishimoto S, Iwasaki S, Karino S (2005) Neuro-otologic findings in unilateral isolated narrow internal auditory meatus. Otol Neurotol, 26: 767–772.
  • 8. Kolagi S, Herur A, Ugale M, Manjula R, Ashwini Mutali A (2010) Suboccipital retrosigmoid surgical approach for internal auditory canal: a morphometric anatomical study on dry human temporal bones. Indian J Otolaryngol Head Neck Surg, 62: 372–375.
  • 9. Lo W (1998) Imaging of cochlear and auditory brain stem implantation. Am J Neuroradiol, 19: 1147–1154.
  • 10. Mafee MF, Selis JE, Yannias DA, Valvassori GE, Pruzansky S, Applebaum EL, Capek V (1984) Congenital sensorineural hearing loss. Radiology, 150: 427–434.
  • 11. Miyasaka M, Nosaka S, Morimoto N, Taiji H, Masaki H (2010) CT and MR imaging for pediatric cochlear implantation: emphasis on the relationship between the cochlear nerve canal and the cochlear nerve. Pediatric Radiol, 40: 1509–1516.
  • 12. Nakamura K, Koda J, Koike Y (1999) Stenosis of the internal auditory canal with VIIth and VIIIth cranial nerve dysfunctions. ORL, 61: 16–18.
  • 13. Papsin BC (2005) Cochlear implantation in children with anomalous cochleovestibular anatomy. Laryngoscope, 115: 1–26.
  • 14. Phelps PD (1992) Cochlear implants for congenital deformaties. J Laryngol Otol, 106: 967–970.
  • 15. Rothschild MA, Wackym PA, Silvers AR, Som PM (1999) Isolated primary unilateral stenosis of the internal auditory canal. Int J Pediatric Otorhinolaryngol, 50: 219–224.
  • 16. Shelton CLW, Tonokawa LL, Lo WW, House WF (1989) The narrow internal auditory canal in children: a contraindication to cochlear implants. Otolaryngol Head Neck Surg, 100: 227–231.
  • 17. Stjernholm C, Muren C (2002) Dimensions of the cochlear nerve canal: a radioanatomic investigation. Acta Oto-Laryngol, 122: 43–48.
  • 18. Valvassori GE, Pierce RH (1964) The normal internal auditory canal. Am J Roentgenol, 92: 773–781.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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