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2020 | 79 | 2 |

Tytuł artykułu

Korner’s septum (petrosquamosal lamina): the anatomical variant or clinical problem?

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Körner’s septum (KS) or petrosquamosal lamina is a bony lamina beginning at the articular fossa, extending above the middle ear, and running inferiorly and laterally to the facial nerve canal as it proceeds to the mastoid apex. This septum marks the junction of petrous and squamous bones. The paper presents details of the anatomical structure of KS, which is most often present at the level of the head of the malleus and/or the anterior semicircular canal. Attention is paid to embryological aspects of temporal bone development that lead to the formation of KS. Two imaging techniques most frequently used to diagnose KS are described, high resolution computed tomography (HRCT) and cone-beam computed tomography. Also presented is a case report of a 6-year-old patient suffering from chronic otitis media who developed a cholesteatoma due to presence of KS, illustrated with HRCT images and intraoperative capture. The authors describe diagnostic difficulties associated with this anatomical variant in the middle ear. The article also discusses the more frequent occurrence of this clinical problem in ears operated on due to chronic inflammation, retraction pocket or tympanosclerosis in comparison to healthy ears. (Folia Morphol 2020; 79, 2: 205–210)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

79

Numer

2

Opis fizyczny

p.205-210,fig.,ref.

Twórcy

  • Department of Otolaryngology, Medical University of Gdansk, Poland
autor
  • Department of Clinical Anatomy, Medical University of Gdansk, Poland
autor
  • Department of Clinical Anatomy, Medical University of Gdansk, Poland
autor
  • Department of Otolaryngology, Medical University of Gdansk, Poland
  • Department of Otolaryngology, Medical University of Gdansk, Poland
  • Department of Otolaryngology, Medical University of Gdansk, Poland
autor
  • Department of Otolaryngology, Medical University of Gdansk, Poland

Bibliografia

  • 1. Aslan A, Mutlu C, Celik O, et al. Surgical implications of anatomical landmarks on the lateral surface of the mastoid bone. Surg Radiol Anat. 2004; 26(4): 263–267, doi: 10.1007/s00276-004-0235-1, indexed in Pubmed: 15205917.
  • 2. Avci S, Ergun T, Aydin E, et al. Sex differences in adult craniofacial parameters. Surg Radiol Anat. 2015; 37(9): 1069–1078, doi: 10.1007/s00276-015-1477-9, indexed in Pubmed: 25935592.
  • 3. Avci S, Ergun T, Aydin E, et al. Craniofacial measures of chronic otitis media patients by 2D reformatted CT. Clin Anat. 2010; 23(4): 374–385, doi: 10.1002/ca.20967, indexed in Pubmed: 20235166.
  • 4. Göksu N, Kemaloğlu YK, Köybaşioğlu A, et al. Clinical importance of the Korner’s septum. Am J Otol. 1997; 18(3): 304–306, indexed in Pubmed: 9149822.
  • 5. Hentona H, Okubo J, Tanaka H, et al. [The volume ratio between squamosal and petrosal air cells divided by Körner’s septum]. Nihon Jibiinkoka Gakkai Kaiho. 1995; 98(8): 1278–1284, doi: 10.3950/jibiinkoka.98.1278, indexed in Pubmed: 7472765.
  • 6. Karaca CT, Toros SZ, Noşeri H. Analysis of anatomic variations in temporal bone by radiology. Int Adv Otol. 2012; 8(2): 239–243.
  • 7. Körner O. Das Septum petrosquamosum (mastoideum) und seine klinische Bedeutung. Fortschr Hals Nasen Ohrenheilkd. 1926; 17: 137–140.
  • 8. Lemmerling M, De Fo, Smet B. Temporal Bone Imaging Techniques. In: Lemmerling M, De Foer B. ed. Temporal Bone Imaging. Springer-Verlag, Berlin Heidelberg 2015: 7–10.
  • 9. Leng T, Zhao S, Liu Z, et al. [Korner’s septum and congenital aural atresia]. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005; 19(10): 436–438, indexed in Pubmed: 16108317.
  • 10. Ozer E, Bayazit YA, Kara C, et al. Körner’s septum (petrosquamosal lamina) and chronic ear disease. Surg Radiol Anat. 2004; 26(2): 118–121, doi: 10.1007/s00276-003-0186-y, indexed in Pubmed: 14586561.
  • 11. Penninger RT, Tavassolie TS, Carey JP. Cone-beam volumetric tomography for applications in the temporal bone. Otol Neurotol. 2011; 32(3): 453–460, doi: 10.1097/MAO.0b013e31820d962c, indexed in Pubmed: 21307814.
  • 12. Proctor B, Nielsen E, Proctor C. Petrosquamosal suture and lamina. Otolaryngol Head Neck Surg. 1981; 89(3 Pt 1): 482–495, doi: 10.1177/019459988108900325, indexed in Pubmed: 6791114.
  • 13. Puricelli MD, Newby MD, Fishman AJ, et al. The Petrosquamous Stalactite. Otolaryngol Head Neck Surg. 2017; 156(3): 549–553, doi: 10.1177/0194599816679943, indexed in Pubmed: 28140829.
  • 14. Shulman A, Rock EH. Korner’s (petrosquamous) septum in otology. Report of five cases. Arch Otolaryngol. 1972; 96(2): 124–129, doi: 10.1001/archotol.1972.00770090198006, indexed in Pubmed: 5081916.
  • 15. Toros SZ, Karaca CT, Habeşoğlu TE, et al. Is there a relation between mastoid aeration and Körner’s septum? Eur Arch Otorhinolaryngol. 2010; 267(10): 1523–1526, doi: 10.1007/s00405-010-1277-0, indexed in Pubmed: 20480369.
  • 16. Virapongse C, Kirchner JC, Sasaki C, et al. Computed tomography of Körner’s septum and petrosquamosal suture. Arch Otolaryngol Head Neck Surg. 1986; 112(1): 81–87, doi: 10.1001/archotol.1986.03780010083016, indexed in Pubmed: 3940517.
  • 17. Virapongse C, Rothman SL, Kier EL, et al. Computed tomographic anatomy of the temporal bone. Am J Roentgenol. 1982; 139(4): 739–749, doi: 10.2214/ajr.139.4.739, indexed in Pubmed: 6981936.
  • 18. Virapongse C, Sarwar M, Bhimani S, et al. Computed tomography of temporal bone pneumatization: 2. Petrosquamosal suture and septum. Am J Neuroradiol. 1985; 6(4): 561–568, indexed in Pubmed: 3927672.
  • 19. Wojciechowski T, Skadorwa T, Drożdż A, et al. The radioanatomical assessment of the Körner’s septum. Surg Radiol Anat. 2019; 41(6): 669–673, doi: 10.1007/s00276-018-2149-3, indexed in Pubmed: 30539206.

Typ dokumentu

Bibliografia

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