Abstract
Purpose
The present study aims to evaluate the superior semicircular canal (SSC) bone thickness and radiological patterns in relation to age and gender in a Turkish population using cone beam computed tomography (CBCT).
Methods
A total of 450 temporal bones were evaluated in the study by two examiners. The radiological patterns of SSC were categorized as follows: dehiscent, papyraceous, normal, thick and pneumatised patterns. The bone thickness of SSCs were measured.
Results
The mean bone thickness of the SSC for females was 1.079 ± 0.8 mm. For males, the mean bone thickness was 0.952 ± 0.6 mm. There was no significant difference between males and females for the mean bone thickness of the SSC. (p > 0.05) The normal pattern was found in 258 temporal bones (57.3%). Seventy-two cases (16%) were defined as “papyraceous pattern”; 23 cases (5.1%) were defined as “thick pattern” and 42 cases (9.3%) were defined as “pneumatised pattern”. SSC dehiscence was determined in 55 cases (12.2%). There was no significant difference between radiological patterns for age groups and gender (p > 0.05).
Conclusion
There was no significant relationship between SSC bone thickness with age and gender. The radiological patterns of SSC were not associated with age and gender. Radiologists evaluating the head and neck region for various reasons should be aware of these structures and report not only the SSC dehiscence but also the papyraceous pattern.
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References
Akay G, Karataş MS, Karadağ Ö, Üçok CÖ, Güngör K (2020) Examination of the possible relation of the superior semicircular canal morphology with the roof thickness of the glenoid fossa and bone changes of the temporomandibular joint. Eur Arch Otorhinolaryngol 277:3423–3430
Allen KP, Perez CL, Isaacson B, Roland PS, Duong TT, Kutz JW (2012) Superior semicircular canal dehiscence in patients with spontaneous cerebrospinal fluid otorrhea. Otolaryngol Head Neck Surg 147:1120–1124
Bremke M, Luers J-C, Anagiotos A, Gostian A-O, Dorn F, Kabbasch C, Unkel C, Höllering J, Beutner D (2015) Comparison of digital volume tomography and high-resolution computed tomography in detecting superior semicircular canal dehiscence–a temporal bone study. Acta Otolaryngol 135:901–906
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 126:137–147
Ceylan N, Bayraktaroglu S, Alper H, Savaş R, Bilgen C, Kirazli T, Güzelmansur İ, Ertürk ŞM (2010) CT imaging of superior semicircular canal dehiscence: added value of reformatted images. Acta Otolaryngol 130:996–1001
Cisneros AI, Whyte J, Martínez C, Obón J, Whyte A, Crovetto R, Crovetto MÁ (2013) Radiological patterns of the bony roof of the superior semicircular canal. Surg Radiol Anat 35:61–65
Cloutier J-F, Bélair M, Saliba I (2008) Superior semicircular canal dehiscence: positive predictive value of high-resolution CT scanning. Eur Arch Otorhinolaryngol 265:1455–1460
Crovetto MA, Whyte J, Rodriguez OM, Lecumberri I, Martinez C, Fernandez C, Crovetto R, Municio A, Vrotsou K (2012) Influence of aging and menopause in the origin of the superior semicircular canal dehiscence. Otol Neurotol 33:681–684
Davey S, Kelly-Morland C, Phillips JS, Nunney I, Pawaroo D (2015) Assessment of superior semicircular canal thickness with advancing age. Laryngoscope 125:1940–1945
Eibenberger K, Carey J, Ehtiati T, Trevino C, Dolberg J, Haslwanter T (2014) A novel method of 3D image analysis of high-resolution cone beam CT and multi slice CT for the detection of semicircular canal dehiscence. Otol Neurotol 35:329–337
Hagiwara M, Shaikh JA, Fang Y, Fatterpekar G, Roehm PC (2012) Prevalence of radiographic semicircular canal dehiscence in very young children: an evaluation using high-resolution computed tomography of the temporal bones. Pediatr Radiol 42:1456–1464
Kurt H, Orhan K, Aksoy S, Kursun S, Akbulut N, Bilecenoglu B (2014) Evaluation of the superior semicircular canal morphology using cone beam computed tomography: a possible correlation for temporomandibular joint symptoms. Oral Surg Oral Med Oral Pathol Oral Radiol 117:e280–e288
Mahulu EN, Fan X, Ding S, Jasmine Ouaye P, Mohamedi Mambo A, Machunde Mafuru M, Xu A (2019) The variation of superior semicircular canal bone thickness in relation to age and gender. Acta Otolaryngol 139:473–478
Masaki Y (2011) The prevalence of superior canal dehiscence syndrome as assessed by temporal bone computed tomography imaging. Acta Otolaryngol 131:258–262
Minor LB (2005) Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope 115:1717–1727
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 124:249–258
Mondina M, Bonnard D, Barreau X, Darrouzet V, Franco-Vidal V (2013) Anatomo-radiological study of the superior semicircular canal dehiscence of 37 cadaver temporal bones. Surg Radiol Anat 35:55–59
Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IB (1998) A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 8:1558–1564
Nadgir RN, Ozonoff A, Devaiah A, Halderman A, Sakai O (2011) Superior semicircular canal dehiscence: congenital or acquired condition? AJNR Am J Neuroradiol 32:947–949
Sequeira SM, Whiting BR, Shimony JS, Vo KD, Hullar TE (2011) Accuracy of computed tomography detection of superior canal dehiscence. Otol Neurotol 32:1500–1505
Tavassolie TS, Penninger RT, Zuñiga MG, Minor LB, Carey JP (2012) Multislice computed tomography in the diagnosis of superior canal dehiscence: how much error, and how to minimize it? Otol Neurotol 33:215–222
Watters KF, Rosowski JJ, Sauter T, Lee DJ (2006) Superior semicircular canal dehiscence presenting as postpartum vertigo. Otol Neurotol 27:756–768
Whyte J, Cisneros AI, Fraile JJ, Whyte A, Crovetto R, Monteagudo LV, Crovetto MA, Tejedor MT (2020) Interaction effect of tegmen tympani and superior semicircular canal statuses on the thickness of the roof of the glenoid fossa: a cross-sectional descriptive study. Surg Radiol Anat 42:75–80
Whyte J, Tejedor MT, Fraile JJ, Cisneros A, Crovetto R, Monteagudo LV, Whyte A, Crovetto MA (2016) Association between tegmen tympani status and superior semicircular canal pattern. Otol Neurotol 37:66–69
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BE: project development, manuscript writing, data collection, and image analysis; DSÇ: manuscript writing, data collection, and image analysis; HD: data collection and data analysis.
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This retrospective study was independently reviewed and approved by Çukurova University Ethics Committee (year 2021; decision number 42). All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.
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Evlice, B., Çabuk, D.S. & Duyan, H. The evaluation of superior semicircular canal bone thickness and radiological patterns in relation to age and gender. Surg Radiol Anat 43, 1839–1844 (2021). https://doi.org/10.1007/s00276-021-02797-4
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DOI: https://doi.org/10.1007/s00276-021-02797-4