Radiologic anatomy of the round window relevant to cochlear implantation and inner ear drug delivery
| Autor: | Peter L. Nguy, Sheela Saidha, Michael Hoa, Ann Jay, H. Jeffrey Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Umbo
RD1-811 Computed tomography Round window 03 medical and health sciences 0302 clinical medicine Temporal bone Carotid canal medicine Inner ear 030223 otorhinolaryngology Cochlear implantation Transtympanic drug delivery medicine.diagnostic_test business.industry Anatomy Facial nerve medicine.anatomical_structure Otorhinolaryngology RF1-547 030220 oncology & carcinogenesis Surgery business Research Paper |
| Zdroj: | World Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 7, Iss 1, Pp 9-16 (2021) World Journal of Otorhinolaryngology-Head and Neck Surgery |
| ISSN: | 2095-8811 |
| Popis: | Objective To determine anatomic relationships and variation of the round window membrane to bony surgical landmarks on computed tomography. Study design Retrospective imaging review. Methods 100 temporal bone images were evaluated. Direct measurements were obtained for membrane position. Vector distances and angulation from umbo and bony annulus were calculated from image viewer software coordinates. Results The angle of round window membrane at junction with cochlear basal turn was (42.1 ± 8.6)°. The membrane's position relative to plane of the facial nerve through facial recess was (14.7 ± 5.2)° posterior from a reference line drawn through facial recess to carotid canal. Regarding transtympanic drug delivery, the round window membrane was directed 4.1 mm superiorly from the inferior annulus and 5.4 mm anteriorly from the posterior annulus. The round window membrane on average was angled superiorly from the inferior annulus (77.1 ± 27.9)° and slightly anteriorly from the posterior annulus (19.1 ± 11.1°). The mean distance of round window membrane from umbo was 4 mm and posteriorly rotated 30° clockwise from a perpendicular drawn from umbo to inferior annulus towards posterior annulus. Together, these measurements approximate the round window membrane in the tympanic membrane's posteroinferior quadrant. Conclusions These radiologic measurements demonstrate normal variations seen in round window anatomy relative to facial recess approach and bony tympanic annulus, providing a baseline to assess round window insertion for cochlear implantation and outlines anatomic factors affecting transtympanic drug delivery. |
| Databáze: | OpenAIRE |
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