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A cadaveric temporal bone study of the anatomical landmarks for middle turn cochleostomy

Published online by Cambridge University Press:  23 January 2023

H Samuel Open the ORCID record for H Samuel [Opens in a new window] ,
A Lepcha ,
A Philip ,
M John  and
A Augustine
H Samuel*
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
A Lepcha
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
A Philip
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
M John
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
A Augustine
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
*
Author for correspondence: Dr H Samuel, ENT-4 Office, Rm 304, Op block, CMC Hospital, Ida Scudder Road, Vellore, Tamilnadu 632004, India E-mail: [email protected]
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Abstract

Objective

This study aimed to determine anatomical landmarks for accurate and safe middle turn cochleostomy on cadaveric temporal bones.

Methods

In 17 cadaveric wet adult temporal bones, cortical mastoidectomy was performed, followed by extended posterior tympanotomy through which a middle turn opening was created anterior to the stapes footplate. Micro-measurements of various lengths were taken from the cochleostomy to normal middle-ear anatomical landmarks using a digital microscope.

Results

The mean length from the middle turn cochleostomy to the processus cochleariformis was 1.8 ± 0.3 mm and to the tympanic segment of the facial nerve was 2.2 ± 0.3 mm. The mean shortest length from the oval window to the osseous spiral lamina was 2.4 ± 0.3 mm and to the internal carotid artery was 5.0 ± 0.6 mm. The mean shortest length from the round window to the internal carotid artery was 4.3 ± 0.6 mm.

Conclusion

A middle turn cochleostomy can be safely drilled by using the measured lengths in difficult cases.

Keywords

Cochlear ImplantScala TympaniLabyrinthitis
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 7 , July 2023 , pp. 769 - 774
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr H Samuel takes responsibility for the integrity of the content of the paper

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