The Role of Computed Tomography in the Diagnosis of Congenital Sensorineural Hearing Loss.

Autor: Buschle M; Universidade Federal do Paraná, Curitiba, PR, Brazil.; Hospital Iguaçu, Curitiba, PR, Brazil., Hamerschmidt R; Universidade Federal do Paraná, Curitiba, PR, Brazil., Matias JEF; Universidade Federal do Paraná, Curitiba, PR, Brazil., Zanini OPL; Universidade Federal do Paraná, Curitiba, PR, Brazil.; Hospital Iguaçu, Curitiba, PR, Brazil., Coelho LOM; Diagnóstico Avançado por Imagem - DAPI, Curitiba, PR, Brazil., Polanski JF; Universidade Federal do Paraná, Curitiba, PR, Brazil.; Faculdade Evangélica Mackenzie do Paraná, Curitiba, PR, Brazil.
Jazyk: angličtina
Zdroj: International archives of otorhinolaryngology [Int Arch Otorhinolaryngol] 2024 Jun 07; Vol. 28 (3), pp. e387-e393. Date of Electronic Publication: 2024 Jun 07 (Print Publication: 2024).
DOI: 10.1055/s-0044-1786827
Abstrakt: Introduction  One of the paths in the investigation of congenital sensorineural hearing loss (CSNHL) is to try to characterize its etiology through the inner ear evaluation using high resolution computer tomography (CT) scans. With minor malformation, it is not always possible for a simple visual inspection to recognize if the structure in the inner ear is normal or not. Objective  To verify if measurements of the inner ear are predictive of sensorineural hearing loss (SNHL) and suggest cutoff points of size limits. Methods  Retrospective cross-sectional study of inner ear CT scan measurements of 214 patients, 50 with congenital SNHL (CSNHL) and 164 acquired SNHL (ASNHL) (control group). Results  In the CSNHL group, central bony island (CBI) were 0.48 mm smaller ( p  < 0.001), cochlear nerve aperture was (CNA) 0.10 mm smaller ( p  < 0.001), and cochlea height was (CH) 0.15 mm smaller ( p  < 0.001). Vestibular aqueduct (VA) and cochlea width (CW) were similar between groups (0.70 vs 0.72, p  = 0.19, and 7.20 vs 7.15 p  = 0.23). The predictive cutoff points for CSNHL were CBI = 3.6 mm, CAN = 1.4 mm, CH = 3.4 mm, CW = 7.0 mm, and VA = 0.9 mm. Conclusion  Congenital sensorineural hearing loss determined a decrease in CBI, opening of the cochlear nerve (OCN), and CW. Thus, these measures, at the cutoff points indicated, should make us aware of the diagnosis of congenital hearing loss.
Competing Interests: Conflict of Interests The authors have no conflict of interests to declare.
(The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ( https://creativecommons.org/licenses/by/4.0/ ).)
Databáze: MEDLINE
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