Histology of Sheep Temporal Bone
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Temporal Bone Trauma Effects on Auditory Anatomical Structures in Mastoid Obliteration
European Archives of Oto-Rhino-Laryngology (2019) 276:513–520 https://doi.org/10.1007/s00405-018-5227-6 HEAD & NECK Temporal bone trauma effects on auditory anatomical structures in mastoid obliteration Aranka Ilea1 · Anca Butnaru2 · Silviu Andrei Sfrângeu2 · Mihaela Hedeșiu3 · Cristian Mircea Dudescu4 · Bianca Adina Boșca5 · Veronica Elena Trombitaș6 · Radu Septimiu Câmpian7 · Silviu Albu6 Received: 8 August 2018 / Accepted: 28 November 2018 / Published online: 3 December 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 Abstract Purpose The risk of temporal bone fractures in head trauma is not negligible, as injuries also depend on the resistance and integrity of head structures. The capacity of mastoid cells to absorb part of the impact kinetic energy of the temporal bone is diminished after open cavity mastoidectomy, even if the surgical procedure is followed by mastoid obliteration. The aim of our study was to evaluate the severity of lesions in auditory anatomical structures after a lateral impact on cadaveric tem- poral bones in which open cavity mastoidectomy followed by mastoid obliteration was performed, compared to cadaveric temporal bones with preserved mastoids. Methods The study was carried out on 20 cadaveric temporal bones, which were randomly assigned to two groups. In the study group, open cavity mastoidectomy followed by mastoid obliteration with heterologous materials was performed. All temporal bones were impacted laterally under the same conditions. Temporal bone fractures were evaluated by CT scan. Results External auditory canal fractures were six times more seen in the study group. Tympanic bone fractures were present in 80% of the samples in the study group and 10% in the control group (p = .005). -
Aberrant Hyperpneumatization from Mastoid Cells to Skull Cervicalarea
Acta Medica Mediterranea, 2007, 23: 43 ABERRANT HYPERPNEUMATIZATION FROM MASTOID CELLS TO SKULL CERVICALAREA AGOSTINO SERRA - CALOGERO GRILLO - RITA CHIARAMONTE - CATERINA GRILLO - LUIGI MAIOLINO Università degli Studi di Catania - Dipartimento di Specialità Medico Chirurgiche - Sezione di Otorinolaringoiatria (Direttore: A. Serra) [Iperpneumatizzazione aberrante delle celle mastoidee alla regione cranio-cervicale] SUMMARY RIASSUNTO Authors report the observation of a patient who has Gli autori riportano l’osservazione di un paziente sotto - u n d e rgone an encephalon’s C.A.T. examination for ingrave- posto ad esame TC encefalo per cefalea ingravescente e verti - scent headache and dizziness. gini. The C.A.T. examination of the skull highlighted a L’esame TC del cranio evidenziò una marcata pneuma - marked pneumatization of mastoid cell and temporal bone pre- tizzazione delle celle mastoidee e dell’osso temporale prevalen - valently on the right side, and also pneumatization of the right temente a destra, ed altresì pneumatizzazione della parte squa - pars squamosa ossis occipitalis that spreads also to the condilo mosa destra dell’osso occipitale che si estendeva anche al con - and the lateral atlantis mass. dilo ed alla massa laterale dell’atlante. Authors sustain that the abnormal pneumatization origi- Gli autori ritengono che l’abnorme pneumatizzazione nated from normal cellular bands, deriving from the primary originatasi dalle normali strie cellulari derivante dall’asse pneumatic axis, then probably spreaded with a valve mechani- pneumatico primario si siano poi estese mediante un possibile sm. meccanismo a valvola. Key words: Mastoid hyperpneumatization, dizziness, TC Parole chiave: Iperpneumatizzazione mastoidea, vertigine, TC Introduction We have also highlighted a bleb of enphysema inside the spino-canalis lateral to the dens axis. -
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J Babol Univ Med Sci Original Article Vol 20, Issu 2; Feb 2018. P:27-32 Relationship between Severity of Nasal Septum Deviation and Pneumatization of Mastoid Cells and Chronic Otitis Media E. Shobeiri (MD)1, M. Gharib Salehi (MD)* 1, A. Jalalvandian (MD) 1 1.Department of Radiology, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, I.R.Iran J Babol Univ Med Sci; 20(2); Feb 2018; PP: 27-32 Received: Oct 15th 2017, Revised: Jan 23th 2018, Accepted: Mar 3rd 2018. ABSTRACT BACKGROUND AND OBJECTIVE: Nasal septum deviation (NSD) is one of the leading causes of chronic otitis media and pneumatization of mastoid air cells. In this study, the effect of NSD on pneumatization of mastoid cells and the relationship between NSD and chronic otitis media were investigated using CT scan. METHODS: In this cross-sectional study, 75 paranasal sinus CT scans with NSD and mastoid view were investigated. Patients were divided into three groups based on the severity of NSD: mild (deviation less than 9 degrees, 25 patients), moderate (deviation from 9 to 15 degrees, 25 patients) and severe (deviation equal to or greater than 15 degrees, 25 patients). Chronic otitis media is defined as the presence of bone destruction or sclerosis accompanied by mass fluid or structural changes in temporal bone air cells. The pneumatization of mastoid cells was determined visually and as formation of mastoid air cells. FINDINGS: There was no significant difference in the frequency of pneumatization of mastoid cells between mild (25 patients, 100%), moderate (25 patients, 100%) and severe (23 patients, 92%) nasal septum deviation (p = 0.128). -
Morfofunctional Structure of the Skull
N.L. Svintsytska V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 Ministry of Public Health of Ukraine Public Institution «Central Methodological Office for Higher Medical Education of MPH of Ukraine» Higher State Educational Establishment of Ukraine «Ukranian Medical Stomatological Academy» N.L. Svintsytska, V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 2 LBC 28.706 UDC 611.714/716 S 24 «Recommended by the Ministry of Health of Ukraine as textbook for English- speaking students of higher educational institutions of the MPH of Ukraine» (minutes of the meeting of the Commission for the organization of training and methodical literature for the persons enrolled in higher medical (pharmaceutical) educational establishments of postgraduate education MPH of Ukraine, from 02.06.2016 №2). Letter of the MPH of Ukraine of 11.07.2016 № 08.01-30/17321 Composed by: N.L. Svintsytska, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor V.H. Hryn, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor This textbook is intended for undergraduate, postgraduate students and continuing education of health care professionals in a variety of clinical disciplines (medicine, pediatrics, dentistry) as it includes the basic concepts of human anatomy of the skull in adults and newborns. Rewiewed by: O.M. Slobodian, Head of the Department of Anatomy, Topographic Anatomy and Operative Surgery of Higher State Educational Establishment of Ukraine «Bukovinian State Medical University», Doctor of Medical Sciences, Professor M.V. -
Radiographic Mastoid and Middle Ear Effusions in Intensive Care Unit Subjects
Radiographic Mastoid and Middle Ear Effusions in Intensive Care Unit Subjects Phillip Huyett MD, Yael Raz MD, Barry E Hirsch MD, and Andrew A McCall MD BACKGROUND: This study was conducted to determine the incidence of and risk factors associ- ated with the development of radiographic mastoid and middle ear effusions (ME/MEE) in ICU patients. METHODS: Head computed tomography or magnetic resonance images of 300 subjects admitted to the University of Pittsburgh Medical Center neurologic ICU from April 2013 through April 2014 were retrospectively reviewed. Images were reviewed for absent, partial, or complete opacification of the mastoid air cells and middle ear space. Exclusion criteria were temporal bone or facial fractures, transmastoid surgery, prior sinus or skull base surgery, history of sinonasal malignancy, ICU admission < 3 days or inadequate imaging. RESULTS: At the time of admission, of subjects subsequently (31 ؍ of subjects had radiographic evidence of ME/MEE; 10.3% (n 3.7% developed new or worsening ME/MEE during their ICU stay. ME/MEE was a late finding and was found to be most prevalent in subjects with a prolonged stay (P < .001). Variables associated with ME/MEE included younger age, the use of antibiotics, and development of radiographic sinus opacification. The proportion of subjects with ME/MEE was significantly higher in the presence of an endotracheal tube (22.7% vs 0.6%, P < .001) or a nasogastric tube (21.4% vs 0.6%, P < .001). CONCLUSIONS: Radiographic ME/MEE was identified in 10.3% of ICU subjects and should be considered especially in patients with prolonged stay, presence of an endotracheal tube or naso- gastric tube, and concomitant sinusitis. -
Mastoid Air Cell System: Hounsfield Case Series Density by Multislice Computed Radiology Section Tomography Short Communication
Review Article Clinician’s corner Images in Medicine Experimental Research Case Report Miscellaneous Letter to Editor DOI: 10.7860/JCDR/2018/34463.11366 Original Article Postgraduate Education Mastoid Air Cell System: Hounsfield Case Series Density by Multislice Computed Radiology Section Tomography Short Communication LUCIANA MUNHOZ1, CHRISTYAN HIROSHI IIDA2, REINALDO ABDALA JÚNIOR3, RONALDO ABDALA4, EMIKO SAITO ARITA5 ABSTRACT Statistics 17, SPSS®, Inc, Chicago, IL. Linear regression was Introduction: Multislice Computed Tomography (MCT) is the used to determine the relationship between age and HU; main radiographic examination to evaluate mastoid air cell Non-parametric tests were performed to evaluate differences system. Hounsfield Unit density (HU), determined by MCT is between right and left sides, as well as between genders. useful to evaluate mastoid pneumatization, but HU values Results: No statistical significant differences was observed in different genders, right/left mastoid sides, as well as their between left and right sides HU values (p-value=0.676) nor association with age have not been studied yet. between male and female (p-value=0.155), according to Aim: To evaluate the difference in Hounsfield density values Mann-Whitney test. Age was not correlated with HU values between genders as well as between right and left sides, and (p-value=0.06). also to correlate HU with age. Conclusion: Within the limitations of the present investigation, Materials and Methods: A total of 102 skull MCT examinations we concluded that the Mastoid Air Cells System (MACS) HU that included mastoid process of temporal bone were evaluated values do not vary among male and female individuals and (47 from male and 55 from female patients). -
A 'Clear View of the N,Eglected Mastoid Aditus
1380 S.A. MEDICAL JOURNAL 11 December 1971 A 'Clear View of the N,eglected Mastoid Aditus G. C. C. BURGER, M.MED. (RAD.D.), Department of Diagnostic Radiology, H. F. Verwoerd Hospital, Pretoria SUMMARY By placing the head with the aditus vertical to the casette an X-ray tomographic cross-section of the aditus The aditus is the central link between the attic and the can be produced, which also allows the integrity of the mastoid antrum. Its patency determines the course of middle fossa floor to be judged with more accuracy than middle ear infections. has been possible in the past. S. Afr. Med. J., 45, 1380 (971). It is possible to make a transverse tomographic 'cut' through the aditus of the ear and at the same time to Fig. 1. Tomographic cross-section of the skull, labelled Fig. 3. Tomographic cross-section of the tympanic cavity with a wire coil insert in a dry skull. with incus in position in a dry skull. Fig. 2. Tomographic cross-section of the aditus in a dry Fig. 4. Tomographic cross-section of aditus in a patient. skull. -Date received: 16 November 1970. 11 Desember 1971 S.-A. MEDIESE TYDSKRIF 1381 demonstrate the thin bony layer which separates it from middle cranial fossa without the advantage of ever seeing the middle cranial fossa (Figs. 1 - 4). its floor in true tangent. One would hesitate to add yet another one to the lono list of radiographic views of the mastoid, but the aditus i;' after all, the passage which controls the course and out ANATOMY come of every inflammatory assault on the middle ear and mastoid. -
Topographical Anatomy and Morphometry of the Temporal Bone of the Macaque
Folia Morphol. Vol. 68, No. 1, pp. 13–22 Copyright © 2009 Via Medica O R I G I N A L A R T I C L E ISSN 0015–5659 www.fm.viamedica.pl Topographical anatomy and morphometry of the temporal bone of the macaque J. Wysocki 1Clinic of Otolaryngology and Rehabilitation, II Medical Faculty, Warsaw Medical University, Poland, Kajetany, Nadarzyn, Poland 2Laboratory of Clinical Anatomy of the Head and Neck, Institute of Physiology and Pathology of Hearing, Poland, Kajetany, Nadarzyn, Poland [Received 7 July 2008; Accepted 10 October 2008] Based on the dissections of 24 bones of 12 macaques (Macaca mulatta), a systematic anatomical description was made and measurements of the cho- sen size parameters of the temporal bone as well as the skull were taken. Although there is a small mastoid process, the general arrangement of the macaque’s temporal bone structures is very close to that which is observed in humans. The main differences are a different model of pneumatisation and the presence of subarcuate fossa, which possesses considerable dimensions. The main air space in the middle ear is the mesotympanum, but there are also additional air cells: the epitympanic recess containing the head of malleus and body of incus, the mastoid cavity, and several air spaces on the floor of the tympanic cavity. The vicinity of the carotid canal is also very well pneuma- tised and the walls of the canal are very thin. The semicircular canals are relatively small, very regular in shape, and characterized by almost the same dimensions. The bony walls of the labyrinth are relatively thin. -
Absence of Both Stapedius Tendon and Muscle
Case Reports Absence of both stapedius tendon and muscle Cem Kopuz, PhD, Suat Turgut, MD, Aysin Kale, MD, Mennan E. Aydin, MD. ABSTRACT During surgery for otosclerosis, it is common for the surgeon to cut the stapedius tendon. The absence of the stapedius muscle with its tendon is uncommon. In this study, we present a case of the absence of the unilateral stapedius tendon and muscle. During dissections of adult temporal bones, the absence of the stapedius tendon and muscle was found in one case. The tympanic cavity was explored with the help of a surgical microscope. The pyramidal process was not developed. A possible ontogenetic explanation was provided. In the presented case, the cause of the anomaly may be failure of the embryological development of the muscle. Awareness of the variations or anomalies of the stapedius muscle and tendon are important for surgeons who operate upon the tympanic cavity, especially during surgery for otosclerosis. Neurosciences 2006; Vol. 11 (2): 112-114 he congenital ear anomalies, which have many muscular unit may be absent,6-8 and its tendon may different types, may be divided into major and ossificate.8 The middle ear variations have a reported minorT anomalies.1,2 The major congenital anomalies incidence of approximately 5.6%.6 The incidence involve the malformations of the middle ear, external of the absence of the tendon of stapedius is 0.5%.9 meatus and the auricle, while the minor congenital There are limited literature reports on the absence of anomalies are restricted to the middle ear. It has been the stapedius muscular unit,8,10 and so, the absence stated that congenital malformations of the middle ear of this muscular unit can be confused with the other have been described in association with various head anomalies or pathological conditions. -
Characteristic Anatomical Structures of Rat Temporal Bone
HOSTED BY Available online at www.sciencedirect.com ScienceDirect Journal of Otology 10 (2015) 118e124 www.journals.elsevier.com/journal-of-otology/ Characteristic anatomical structures of rat temporal bone Peng Li a,b, Kelei Gao b,c, Dalian Ding a,b,c,*, Richard Salvi b,c a Department of Otolaryngology, Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510630, China b Center for Hearing and Deafness, State University of New York at Buffalo, Buffalo, NY 14214, USA c Department of Otolaryngology, Head and Neck Surgery, Xiangya Hospital, Central South University, Hunan 410013, China Abstract As most gene sequences and functional structures of internal organs in rats have been well studied, rat models are widely used in experi- mental medical studies. A large number of descriptions and atlas of the rat temporal bone have been published, but some detailed anatomy of its surface and inside structures remains to be studied. By focusing on some unique characteristics of the rat temporal bone, the current paper aims to provide more accurate and detailed information on rat temporal bone anatomy in an attempt to complete missing or unclear areas in the existed knowledge. We also hope this paper can lay a solid foundation for experimental rat temporal bone surgeries, and promote information exchange among colleagues, as well as providing useful guidance for novice researchers in the field of hearing research involving rats. Copyright © 2015 The Authors. Production & hosting by Elsevier (Singapore) Pte Ltd On behalf of PLA General Hospital Department of Otolaryngology Head and Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/ by-nc-nd/4.0/). -
MASTOIDECTOMY & EPITYMPANECTOMY Tashneem Harris & Thomas Linder
OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY MASTOIDECTOMY & EPITYMPANECTOMY Tashneem Harris & Thomas Linder Chronic otitis media, with or without cho- to describe the different types of mastoid- lesteatoma, is one of the more common ectomy as summarized in Table 1. indications for performing a mastoidecto- my. Mastoidectomy permits access to re- Table 1: Types of mastoidectomy move cholesteatoma matrix or diseased air cells in chronic otitis media. Mastoidec- Canal wall up Canal wall down tomy is one of the key steps in placing a mastoidectomy mastoidectomy cochlear implant. Here a mastoidectomy Combined approach Radical mastoidectomy allows the surgeon access to the middle ear Intact canal wall Modified radical through the facial recess. A complete mastoidectomy mastoidectomy mastoidectomy is not necessary; therefore, Closed technique Open technique the term anterior mastoidectomy is often Front-to-back mastoidectomy used (anterior to the sigmoid sinus). A Atticoantrostomy mastoidectomy is often an initial step in Open mastoidoepitympanec- lateral skull base surgery for tumours tomy involving the lateral skull base, including vestibular schwannomas, meningiomas, One of the problems is that the termino- temporal bone paragangliomas (glomus logy does not in fact entail specific infor- tumours), and epidermoids or repair of mation about what was done either to the CSF leaks arising from the temporal bone. middle ear or the mastoid. It is the authors’ preference to use the terms open/closed Definition of Cholesteatoma mastoidoepitympanectomy and to state separately whether a tympanoplasty or Cholesteatoma is a chronic middle ear in- ossiculoplasty was done e.g. left open fection with squamous epithelium and mastoidoepitympanectomy and tympano- retention of keratin in the middle ear and/ plasty type III. -
Pyramidal Eminence and Subpyramidal Space: an Endoscopic Anatomical Study
The Laryngoscope VC 2009 The American Laryngological, Rhinological and Otological Society, Inc. Pyramidal Eminence and Subpyramidal Space: An Endoscopic Anatomical Study Daniele Marchioni, MD; Matteo Alicandri-Ciufelli, MD; Alberto Grammatica, MD; Francesco Mattioli, MD; Livio Presutti, MD bordered superiorly by the ponticulus and inferiorly by Objectives/Hypothesis: To describe retrotym- 1 panic endoscopic anatomy, especially the pyramidal the subiculum. It is separated by the posterolateral por- eminence and contiguous spaces. tion of the ponticulus from the posterior tympanic sinus Study Design: This was an anatomical study on (PTS), and the subiculum separates it from the hypotym- a prospective case series. panum.2 The anatomy of this posterior space is very Methods: The anatomy of the retrotympanum variable and the degree of posterior extension is mainly was studied by endoscopy in nine patients affected by related to the overall status of pneumatization of the cholesteatoma who underwent tympanomastoid sur- temporal bone.3 gery and in six temporal bone dissections. Surgeons have proposed a number of surgical tech- Results: Pneumatization of the sinus tympani niques to remove disease in this region, many involving and posterior tympanic sinus or both, noted in 12 a microscope,4–7 but it is very difficult to completely ears out of 15, may give rise to a recess beneath the pyramidal eminence, which we have called the sub- expose some areas of the posterior tympanum with a pyramidal space. This space can manifest with a vari- microscope, for example, in the case of a deep sinus tym- 8 able degree of depth, shape, or extent depending on pani or under an incomplete ponticulus, where residual the shape and dimensions of the pyramidal eminence.