Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-22T18:07:48.911Z Has data issue: false hasContentIssue false

Is there a relationship between mastoid pneumatisation and facial canal dimensions?

Published online by Cambridge University Press:  23 May 2019

M Inal
Affiliation:
Radiology Department, Faculty of Medicine, Kirikkale University, Turkey
N Bayar Muluk*
Affiliation:
ENT Department, Faculty of Medicine, Kirikkale University, Turkey
N Asal
Affiliation:
Radiology Department, Faculty of Medicine, Kirikkale University, Turkey
M H Şahan
Affiliation:
Radiology Department, Faculty of Medicine, Kirikkale University, Turkey
G Şimşek
Affiliation:
ENT Department, Faculty of Medicine, Kirikkale University, Turkey
O K Arikan
Affiliation:
VM Mersin Medical Park Hospital, ENT Department, Mersin, Turkey
*
Author for correspondence: Dr Nuray Bayar Muluk, Birlik Mahallesi, Zirvekent 2, Etap Sitesi, C-3 blok, no: 6-3/43, 06610 Çankaya, Ankara, Turkey E-mail: [email protected] Fax: +90 312 496 4073

Abstract

Objective

To evaluate mastoid pneumatisation and facial canal dimensions.

Method

In this retrospective study, 169 multidetector computed tomography scans of temporal bone were reviewed. Facial canal dimensions were evaluated at the labyrinthine, tympanic and mastoid segments using axial and coronal multidetector computed tomography scans of temporal bone. Mastoid pneumatisation and facial canal dehiscence were evaluated. Facial canal dehiscence was measured if it was found to be present.

Results

This study showed that facial canal dimensions decreased in pneumatised mastoids. Facial canal dimensions in females were smaller than in males. Facial canal dehiscence was detected in 5.9 per cent and 6.5 per cent of the patients on the right and left sides, respectively. No correlations were found between facial canal dehiscence and mastoid pneumatisation. The length of dehiscence was 1.92 ± 0.44 mm (range, 0.86–2.51 mm) on the left side. In older subjects, left facial canal dehiscence was detected more, and the length of the dehiscence increased.

Conclusion

This study concluded that during surgery, facial canal dehiscence should be kept in mind in order to avoid complications.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr N Bayar Muluk takes responsibility for the integrity of the content of the paper

References

1Ho, ML, Juliano, A, Eisenberg, RL, Moonis, G. Anatomy and pathology of the facial nerve. AJR Am J Roentgenol 2015;204:W61219Google Scholar
2Virapongse, C, Rothman, SL, Kier, EL, Sarwar, M. Computed tomographic anatomy of the temporal bone. AJR Am J Roentgenol 1982;139:739–49Google Scholar
3Juliano, AF, Ginat, DT, Moonis, G. Imaging review of the temporal bone: part I. anatomy and inflammatory and neoplastic processes. Radiology 2013;269:1733Google Scholar
4Gupta, S, Mends, F, Hagiwara, M, Fatterpekar, G, Roehm, PC. Imaging the facial nerve: a contemporary review. Radiol Res Pract 2013;2013:248039Google Scholar
5Inal, M, Bayar Muluk, N, Dağ, E, Arıkan, OK, Kara, SA. The pitfalls and important distances in temporal bone HRCT of the subjects with high jugular bulbs - preliminary report. Adv Clin Exp Med 2015;24:315–24Google Scholar
6Jin, A, Xu, P, Qu, F. Variations in the labyrinthine segment of facial nerve canal revealed by high-resolution computed tomography. Auris Nasus Larynx 2018;45:261–4Google Scholar
7Komori, M, Yamada, K, Hinohira, Y, Aritomo, H, Yanagihara, N. Width of the normal facial canal measured by high-resolution cone-beam computed tomography. Acta Otolaryngol 2013;133:1227–32Google Scholar
8Shambaug, GH, Glasscock, MF. Surgery of the Ear. Philadelphia: W.B. Saunders Co., 1980Google Scholar
9Wysocki, J. Minimal distances between temporal bone structures and their mutual correlations. Med Sci Monit 2002;8:BR803Google Scholar
10Lan, MY, Shiao, JY, Hung, HC. Measurements of normal inner ear on computed tomography in children with congenital sensorineural hearing loss. Eur Arch Otorhinolaryngol 2009;266:1361–4Google Scholar
11Purcell, DD, Fischbein, N, Lalwani, AK. Identification of previously “undetectable” abnormalities of the bony labyrinth with computed tomography measurement. Laryngoscope 2003;113:1908–11Google Scholar
12Anson, BJ. Critical distances in the middle and inner ear and in the posterior cranial fossa. Trans Am Acad Opthalmol Otolaryngol 1972;76:108–29Google Scholar
13Purcell, D, Johnson, J, Fischbein, N, Lalwani, AK. Establishment of normative cochlear and vestibular measurements to aid in the diagnosis of inner ear malformations. Otolaryngol Head Neck Surg 2003;128:7887Google Scholar
14Inal, M, Bayar Muluk, N, Ozveren, MF, Çelebi, UO, Şimşek, G, Burulday, V et al. The presence of clival foramen through multidetector computed tomography of the skull base. J Craniofac Surg 2015;26:e5802Google Scholar
15Tos, M. Manual of Middle Ear Surgery. New York: Thieme Medical Publisher: 1995Google Scholar
16Ilea, A, Butnaru, A, Sfrângeu, SA, Hedeşiu, M, Dudescu, CM, Berce, P et al. Role of mastoid pneumatization in temporal bone fractures. AJNR Am J Neuroradiol 2014;35:1398–404Google Scholar
17Virapongse, C, Sarwar, M, Bhimani, S, Sasaki, C, Shapiro, R. Computed tomography of temporal bone pneumatization: normal pattern and morphology. AJR Am J Roentgenol 1985;145:473–81Google Scholar
18Sadé, J, Ar, A. Middle ear and auditory tube: middle ear clearance, gas exchange, and pressure regulation. Otolaryngol Head Neck Surg 1997;116:499524Google Scholar
19Gupta, V, Gupta, M, Singh, S. Facial nerve in relation to temporal bone pneumatization – a cadaveric study. IJBAMR 2018;7:350–5Google Scholar
20Wadin, K, Wilbrand, H. The labyrinthine portion of the facial canal. A comparative radioanatomic investigation. Acta Radiol 1987;28:1723Google Scholar
21Ogawa, A, Sando, I. Spatial occupancy of vessels and facial nerve in the facial canal. Ann Otol Rhinol Laryngol 1982;91:14–9Google Scholar
22Murai, A, Kariya, S, Tamura, K, Doi, A, Kozakura, K, Okano, M et al. The facial nerve canal in patients with Bell's palsy: an investigation by high-resolution computed tomography with multiplanar reconstruction. Eur Arch Otorhinolaryngol 2013;270:2035–8Google Scholar
23Lim, HK, Lee, JH, Hyun, D, Park, JW, Kim, JL, Lee, Hy et al. MR diagnosis of facial neuritis: diagnostic performance of contrast-enhanced 3D-FLAIR technique compared with contrast-enhanced 3D-T1-fast-field echo with fat suppression. AJNR Am J Neuroradiol 2012;33:779–83Google Scholar
24Kinoshita, T, Ishii, K, Okitsu, T, Okudera, T, Ogawa, T. Facial nerve palsy: evaluation by contrast enhanced MR imaging. Clin Radiol 2001;56:926–32.Google Scholar
25Gebarski, SS, Telian, SA, Niparko, JK. Enhancement along the normal facial nerve in the facial canal: MR imaging and anatomic correlation. Radiology 1992;183:391–4Google Scholar
26Hong, HS, Yi, BH, Cha, JG, Park, SJ, Kim, DH, Lee, HK et al. Enhancement pattern of the normal facial nerve at 3.0 T temporal MRI. Br J Radiol 2010;83:118–21Google Scholar
27Sadé, J, Fuchs, C. Secretory otitis media in adults: I. The role of mastoid pneumatization as a risk factor. Ann Otol Rhinol Laryngol 1996;105:643–7Google Scholar
28Han, SJ, Song, MH, Kim, J, Lee, WS, Lee, HK. Classification of temporal bone pneumatization based on sigmoid sinus using computed tomography. Clin Radiol 2007;62:1110–18Google Scholar
29Dimopoulos, PA, Muren, C, Smedby, O, Wadin, K. Anatomical variations of the tympanic and mastoid portions of the facial nerve canal. A radioanatomical investigation. Acta Radiol Suppl 1996;403:4959Google Scholar
30Beddard, D, Saunders, WH. Congenital defects in the fallopian tube. Laryngoscope 1962;72:112–5Google Scholar
31Mollica, V. Anatomo-clinical and pathogenetic considerations on abnormalities of the aquaeductus fallopii [in Italian]. Minerva Otorinolaringol 1962;12:230–3Google Scholar