Temporal bone histopathology: Residents' quiz

Ms, Marion; Jd, Green; Hinojosa, Raäl

doi:10.1016/0196-0709(90)90091-9

Cited by 2 publications

(1 citation statement)

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“…Abnormal development of the superior part of the ossicles may result in fusion of the head of the malleus with the body of the incus, fixation of the head of the malleus to the epitympanic wall, and fixation of the short process of the incus to the incudal fossa [14,[19][20][21][22]. This fixation is missed during stapes surgery.…”

Section: Discussionmentioning

confidence: 99%

Middle Ear Imaging Using Virtual Endoscopy and Its Application in Patients with Ossicular Chain Anomaly

Himi¹,

Sakata

Shintani³

et al. 2000

ORL

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Virtual endoscopy (VE) is a recently developed technique to provide a realistic surface rendering of various organs, which can be applied to the use of three-dimensional (3D) studies of several lesions. However, its advantages in otological disease have not been well investigated. In this study, we evaluated the application of VE in patients with ossicular chain anomalies. Virtual middle ear endoscopy was a time-saving method, however, we needed the appropriate technical procedures of algorithm and reconstruction spacing to generate accurate 3D images of ossicles. We obtained virtual surgical views of middle ear structures and related anomalies, and confirmed by intraoperative findings that these images were mostly compatible with the actual lesions of ossicles. VE allowed an identification of the anatomy of the ossicles and adjacent structures simultaneously. The elements of the stapedial crura were clearly visualized with VE images in 93.3% of normal ears. Pathological ossicular chain findings such as malleus or incus fixation, dislocation and disruption, except footplate fixation were investigated successfully. One possible procedure, using alterable CT value in the obtained VE images on the monitor, is proposed for further detection of fine lesions of the ossicles. These observations suggest that virtual middle ear simulations accurately represent major intraoperative findings. This technique may have an important role in preoperative planning, surgical training, and/or postoperative evaluation in otology.

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Section: Discussionmentioning

confidence: 99%