Abstract
Objective
This study investigates the importance of bone density, surface area, and diameter of anatomical structures of the superior semicircular canal (SSC), lateral semicircular canal (LSC), posterior semicircular canal (PSC), utricle, and saccule in patients diagnosed with superior semicircular canal dehiscence (SSCD).
Materials and methods
The bone density, surface area, and diameter of SSC, LSC, PSC, utricle, and saccule were measured and compared between the SSCD group and control group. Fifteen ears in the SSCD group and 60 ears in the control group were evaluated. Additionally, within the SSCD group, the dehiscent and healthy sides were evaluated independently.
Results
SSC’s bone density was significantly lower in the SSCD group compared to the control group (p = 0.008). No significant differences were found in surface area and diameter between the groups (p > 0.05). While most of the anatomical structures showed no significant difference in bone density between dehiscent and healthy ears (p > 0.05), SSC bone density was significantly lower in affected ears (p = 0.000) in SSCD group.
Conclusion
Based on the data obtained in this study, bone density and anatomical structure may be useful in patients diagnosed with SSCD.
Similar content being viewed by others
Data availability
The data that support the findings of this study are available from the corresponding author, [G.B.], upon reasonable request.
References
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
Mau C, Kamal N, Badeti S, Reddy R, Ying YLM, Jyung RW et al (2018) Superior semicircular canal dehiscence: diagnosis and management. J Clin Neurosci Off J Neurosurg Soc Australas 48:58–65
Ward BK, Carey JP, Minor LB (2017) Superior canal dehiscence syndrome: lessons from the first 20 years. Front Neurol 8:177
Blake GM, Fogelman I (2007) The role of DXA bone density scans in the diagnosis and treatment of osteoporosis. Postgrad Med J 83(982):509–517
Grayeli AB, Yrieix CS, Imauchi Y, Cyna-Gorse F, Ferrary E, Sterkers O (2004) Temporal bone density measurements using CT in otosclerosis. Acta Otolaryngol (Stockh) 124(10):1136–1140
Potyagaylo VL, Della Santina CC, Minor LB, Carey JP (2005) Superior canal dehiscence is not due to cephalic displacement of the labyrinth. Ann N Y Acad Sci 1039:498–502
Carey JP, Minor LB, Nager GT (2000) Dehiscence or thinning of bone overlying the superior semicircular canal in a temporal bone survey. Arch Otolaryngol Head Neck Surg 126(2):137–147
Berkiten G, Gürbüz D, Akan O, Tutar B, Tunç MK, Karaketir S et al (2022) Dehiscence or thinning of bone overlying the superior semicircular canal in idiopathic intracranial hypertension. Eur Arch Oto-Rhino-Laryngol 279(6):2899–2904
Lillie EM, Urban JE, Lynch SK, Weaver AA, Stitzel JD (2016) Evaluation of skull cortical thickness changes with age and sex from computed tomography scans. J Bone Miner Res Off J Am Soc Bone Miner Res 31(2):299–307
Takahashi K, Morita Y, Ohshima S, Izumi S, Kubota Y, Horii A (2017) Bone density development of the temporal bone assessed by computed tomography. Otol Neurotol 38(10):1445–1449
de Jong MA, Carpenter DJ, Kaylie DM, Piker EG, Frank-Ito DO (2017) Temporal bone anatomy characteristics in superior semicircular canal dehiscence. J Otol 12(4):185–191
Tikka T, Mohd Slim MA, Ton T, Sheldon A, Clark LJ, Kontorinis G (2023) Investigation of serum calcium and vitamin D levels in superior semicircular canal dehiscence syndrome: a case control study. J Otol 18(1):49–54
Funding
None of the authors have any competing interests. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Contributions
GB: main idea, design, acquisition, analysis, interpretation, data collect, writing; CÇ: analysis, design, statistically analysis, writing; MKT: data collect, literature investigation; DG: data collect, interpretation; HSB: data collect, literature investigation; BT: critics, supervision; EB: writing, literature investigation; YU: critics, supervision.
Corresponding author
Ethics declarations
Conflict of interest
None.
Ethical approval
This study was approved by University of Health Sciences Prof.Dr.Cemil Tascioglu City Hospital Ethic Committee (Protocol. no: 335).
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Berkiten, G., Çelik, C., Tunç, M.K. et al. The importance of bone density and anatomical structure in superior semicircular canal dehiscence. Eur Arch Otorhinolaryngol 281, 2967–2974 (2024). https://doi.org/10.1007/s00405-023-08412-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-023-08412-z