Skip to main content
Log in

Prevalence of otic capsule dehiscence in temporal bone computed tomography scan

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

To investigate the radiologic prevalence of otic capsule dehiscence in temporal bone computed tomography (CT) scan.

Methods

This was a cross-sectional study. The temporal bone CT scans of the patients presenting to a tertiary center were evaluated for possible dehiscence in any part of the otic capsule; then, all of the dehiscence were confirmed by a trained academic radiologist. For each type of otic capsule dehiscence, at least three planes were used with a specific type of reconstruction. When a dehiscence was present in at least two consecutive images in all planes, it was considered as a true dehiscence.

Results

Six hundred patients (mean age: 40 ± 18.1 years) were enrolled. The prevalence of superior and posterior semicircular canal dehiscence was 6.0% and 2.7%, respectively. The prevalence of cochlear-facial dehiscence, cochlear-internal auditory canal dehiscence, and cochlear-carotid dehiscence was 6.3%, 0.7%, and 0.7%, respectively. The prevalence of vestibular aqueduct-jugular bulb dehiscence was 6.3% and the prevalence of posterior semicircular canal-jugular bulb dehiscence was 0.2%.

Conclusions

Considering different types of otic capsule dehiscence described, care should be taken in patients with vestibular and auditory signs and symptoms to diagnose these dehiscences.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Minor LB, Solomon D, Zinreich JS, Zee DS (1998) Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 124(3):249–258

    Article  CAS  Google Scholar 

  2. Erdogan N, Songu M, Akay E, Mete BD, Uluc E, Onal K, Oyar O (2011) Posterior semicircular canal dehiscence in asymptomatic ears. Acta Otolaryngol 131(1):4–8. https://doi.org/10.3109/00016489.2010.502184

    Article  Google Scholar 

  3. Krombach GA, DiMartino E, Schmitz-Rode T, Prescher A, Haage P, Kinzel S, Gunther RW (2003) Posterior semicircular canal dehiscence: a morphologic cause of vertigo similar to superior semicircular canal dehiscence. Eur Radiol 13(6):1444–1450. https://doi.org/10.1007/s00330-003-1828-5

    Article  CAS  Google Scholar 

  4. Kim HH, Wilson DF (2006) A third mobile window at the cochlear apex. Otolaryngol Head Neck Surg 135(6):965–966. https://doi.org/10.1016/j.otohns.2005.04.006

    Article  Google Scholar 

  5. Modugno GC, Brandolini C, Cappello I, Pirodda A (2004) Bilateral dehiscence of the bony cochlear basal turn. Arch Otolaryngol Head Neck Surg 130(12):1427–1429. https://doi.org/10.1001/archotol.130.12.1427

    Article  Google Scholar 

  6. Neyt P, Govaere F, Forton GE (2011) Simultaneous true stapes fixation and bilateral bony dehiscence between the internal carotid artery and the apex of the cochlea: the ultimate pitfall. Otol Neurotol 32(6):909–913. https://doi.org/10.1097/MAO.0b013e318225573f

    Article  Google Scholar 

  7. Garaycochea O, Dominguez PD, Manrique M, Manrique-Huarte R (2018) Cochlear-internal canal and cochlear-facial dehiscence: a novel entity. J Int Adv Otol 14(2):334–336. https://doi.org/10.5152/iao.2018.5089

    Article  Google Scholar 

  8. Manzari L, Scagnelli P (2013) Large bilateral internal auditory meatus associated with bilateral superior semicircular canal dehiscence. Ear Nose Throat J 92(1):25–33. https://doi.org/10.1177/014556131309200109

    Article  Google Scholar 

  9. Blake DM, Tomovic S, Vazquez A, Lee HJ, Jyung RW (2014) Cochlear-facial dehiscence—a newly described entity. Laryngoscope 124(1):283–289. https://doi.org/10.1002/lary.24223

    Article  Google Scholar 

  10. Fang CH, Chung SY, Blake DM, Vazquez A, Li C, Carey JP, Francis HW, Jyung RW (2016) Prevalence of cochlear-facial dehiscence in a study of 1,020 temporal bone specimens. Otol Neurotol 37(7):967–972. https://doi.org/10.1097/MAO.0000000000001057

    Article  Google Scholar 

  11. Gopen Q, Zhou G, Poe D, Kenna M, Jones D (2010) Posterior semicircular canal dehiscence: first reported case series. Otol Neurotol 31(2):339–344. https://doi.org/10.1097/MAO.0b013e3181be65a4

    Article  Google Scholar 

  12. Gubbels SP, Zhang Q, Lenkowski PW, Hansen MR (2013) Repair of posterior semicircular canal dehiscence from a high jugular bulb. Ann Otol Rhinol Laryngol 122(4):269–272. https://doi.org/10.1177/000348941312200409

    Article  Google Scholar 

  13. Schutt CA, Kveton JF (2016) Posterior semicircular canal dehiscence secondary to jugular enlargement. Am J Otolaryngol 37(3):173–174. https://doi.org/10.1016/j.amjoto.2015.10.008

    Article  Google Scholar 

  14. Hourani R, Carey J, Yousem DM (2005) Dehiscence of the jugular bulb and vestibular aqueduct: findings on 200 consecutive temporal bone computed tomography scans. J Comput Assist Tomogr 29(5):657–662. https://doi.org/10.1097/01.rct.0000175499.34213.5d

    Article  Google Scholar 

  15. Kupfer RA, Hoesli RC, Green GE, Thorne MC (2012) The relationship between jugular bulb-vestibular aqueduct dehiscence and hearing loss in pediatric patients. Otolaryngol Head Neck Surg 146(3):473–477. https://doi.org/10.1177/0194599811430045

    Article  Google Scholar 

  16. Li S, Shen N, Cheng Y, Sha Y, Wang Z (2015) The effect of jugular bulb-vestibular aqueduct dehiscence on hearing and balance. Acta Otolaryngol 135(11):1103–1107. https://doi.org/10.3109/00016489.2015.1062141

    Article  Google Scholar 

  17. Tanrivermis Sayit A, Elmali M, Kemal O, Terzi Y (2017) Radiological, clinical and audiological evaluation of jugular bulb-vestibular aqueduct dehiscence. Acta Otolaryngol 137(12):1221–1225. https://doi.org/10.1080/00016489.2017.1360516

    Article  Google Scholar 

  18. Berning AW, Arani K, Branstetter BFT (2019) Prevalence of superior semicircular canal dehiscence on high-resolution CT imaging in patients without vestibular or auditory abnormalities. AJNR Am J Neuroradiol 40(4):709–712. https://doi.org/10.3174/ajnr.A5999

    Article  CAS  Google Scholar 

  19. Cloutier JF, Belair M, Saliba I (2008) Superior semicircular canal dehiscence: positive predictive value of high-resolution CT scanning. Eur Arch Otorhinolaryngol 265(12):1455–1460. https://doi.org/10.1007/s00405-008-0672-2

    Article  Google Scholar 

  20. Masaki Y (2011) The prevalence of superior canal dehiscence syndrome as assessed by temporal bone computed tomography imaging. Acta Otolaryngol 131(3):258–262. https://doi.org/10.3109/00016489.2010.526145

    Article  Google Scholar 

  21. Williamson RA, Vrabec JT, Coker NJ, Sandlin M (2003) Coronal computed tomography prevalence of superior semicircular canal dehiscence. Otolaryngol Head Neck Surg 129(5):481–489. https://doi.org/10.1016/S0194-59980301391-3

    Article  Google Scholar 

  22. Ceylan N, Bayraktaroglu S, Alper H, Savas R, Bilgen C, Kirazli T, Guzelmansur I, Erturk SM (2010) CT imaging of superior semicircular canal dehiscence: added value of reformatted images. Acta Otolaryngol 130(9):996–1001. https://doi.org/10.3109/00016481003602108

    Article  Google Scholar 

  23. Russo JE, Crowson MG, DeAngelo EJ, Belden CJ, Saunders JE (2014) Posterior semicircular canal dehiscence: CT prevalence and clinical symptoms. Otol Neurotol 35(2):310–314. https://doi.org/10.1097/MAO.0000000000000183

    Article  Google Scholar 

  24. Saxby AJ, Gowdy C, Fandino M, Chadha NK, Kozak FK, Sargent MA, Lea J (2015) Radiological prevalence of superior and posterior semicircular canal dehiscence in children. Int J Pediatr Otorhinolaryngol 79(3):411–418. https://doi.org/10.1016/j.ijporl.2015.01.001

    Article  Google Scholar 

  25. Cho YW, Shim BS, Kim JW, Kim TS, Ahn JH, Chung JW, Lee KS, Yoon TH, Park HJ (2014) Prevalence of radiologic superior canal dehiscence in normal ears and ears with chronic otitis media. Laryngoscope 124(3):746–750. https://doi.org/10.1002/lary.24281

    Article  Google Scholar 

Download references

Acknowledgements

The research was fully sponsored by the Otorhinolaryngology Research Center of the Tehran

University of Medical Sciences.

Funding

This study received no funding.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Behrooz Amirzargar.

Ethics declarations

Conflict of interest

The authors declare no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Motasaddi Zarandy, M., Kouhi, A., Emami, H. et al. Prevalence of otic capsule dehiscence in temporal bone computed tomography scan. Eur Arch Otorhinolaryngol 280, 125–130 (2023). https://doi.org/10.1007/s00405-022-07464-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-022-07464-x

Keywords

Navigation