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Radiological evaluation of temporal bone surgical landmarks for a transcanal transpromontorial approach to the internal auditory canal using three-dimensional computed tomography

Published online by Cambridge University Press:  16 August 2022

B C Jun Open the ORCID record for B C Jun [Opens in a new window]  and
S W Song
B C Jun
Affiliation:
Department of Otorhinolaryngology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
S W Song*
Affiliation:
Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
*
Author for correspondence: Dr S W Song, Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 271, Cheonbo-Ro, Uijeongbu-si, Gyeonggi-do 11765, Republic of Korea E-mail: swsong7@catholic.ac.kr
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Abstract

Objective

This study aimed to analyse a three-dimensional transcanal transpromontorial approach to the internal auditory canal using three-dimensional computed tomography.

Method

This study was a retrospective investigation of 48 ears of 24 patients using three-dimensional reconstruction data from normal temporal bone computed tomography. The inner structures of the temporal bone were three-dimensionally reconstructed. Eight points were marked in the three-dimensional object with reference to the axial, coronal and sagittal plane images of the computed tomography scans. Distances and angles to each point were measured from the oval and round windows.

Results

The point of the facial nerve from the internal auditory canal to the labyrinthine segment could be traced between the cochlear apex and the geniculate ganglion based on the oval window.

Conclusion

This technique helps with identifying the locations of important surgical landmarks using three-dimensional reconstructions of pre-operative computed tomography scans and to identify the facial nerve from the internal auditory canal during surgery.

Keywords

Three-DimensionalComputed TomographyApproachTemporal BoneFacial Nerve
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 11 , November 2022 , pp. 1056 - 1061
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr S W Song takes responsibility for the integrity of the content of the paper

References

Komune, N, Matsuo, S, Miki, K, Rhoton, AL Jr. The endoscopic anatomy of the middle ear approach to the fundus of the internal acoustic canal J Neurosurg 2017;126:1974–8310.3171/2016.5.JNS16261CrossRefGoogle Scholar
Marchioni, D, Carner, M, Soloperto, D, Bianconi, L, Sacchetto, A, Sacchetto, L et al. Expanded Transcanal Transpromontorial Approach: A novel surgical technique for cerebellopontine angle vestibular 3 Schwannoma Removal. Otolaryngol Head Neck Surg 2018;158:710–15CrossRefGoogle ScholarPubMed
Marchioni, D, Soloperto, D, Masotto, B, Fabbris, C, Rossi, S, Villari, D et al. Transcanal transpromontorial acoustic neuroma surgery: results and facial nerve outcomes. Otol Neurotol 2018;39:242–9CrossRefGoogle ScholarPubMed
Rubini, A, Bianconi, L, Patel, N, Marchioni, D. Transcanal infrapromontorial approach for internal auditory canal surgery and cochlear implantation. Eur Arch Otorhinolaryngol 2020;277:1053–60CrossRefGoogle ScholarPubMed
Kempflea, JS, Fiorilloa, B, Kanumuria, VV, Barbera, S, Edgea, AS, Cunnanea, M et al. Quantitative imaging analysis of transcanal endoscopic Infracochlear approach to the internal auditory canal. Am J Otolaryngol 2017;38:518–20CrossRefGoogle Scholar
Marchioni, D, Alicandri-Ciufelli, M, Mattioli, F, Nogeira, JF, Tarabichi, M, Villari, D et al. From external to internal auditory canal: surgical anatomy by an exclusive endoscopic approach. Eur Arch Otorhinolaryngol 2013;270:1267–75CrossRefGoogle ScholarPubMed
Yacoub, A, Wimmer, W, Molinari, G, Alicandri-Ciufelli, M, Presutti, L, Caversaccio, M et al. Transcanal Transpromontorial Approach to Lateral Skull Base: Maximal Area of Exposure and Surgical Extensions. World Neurosurg 2020;135:e181–6CrossRefGoogle ScholarPubMed
Marchioni, D, Carner, M, Rubini, A, Nogueira, JF, Masotto, B, Alicandri-Ciufelli, M et al. The fully endoscopic acoustic neuroma surgery. Otolaryngol Clin North Am 2016;49:1227–36CrossRefGoogle ScholarPubMed
Presutti, L, Bonali, M, Marchioni, D, Pavesi, G, Feletti, A, Anschuetz, L et al. Alicandri-Ciufelli M. Expanded transcanal transpromontorial approach to the internal auditory canal and cerebellopontine angle: a cadaveric study. Acta Otorhinolaryngol ital 2017;37:224–30CrossRefGoogle Scholar
Savic, D, Djeric, D. Surgical anatomy of the hypotympanum. J Laryngol Otol 1987;101:419–25CrossRefGoogle ScholarPubMed
Wang, CH, Shi, ZP, Liu, DW, Wang, HW, Huang, BR, Chen, HC. High computed tomographic correlations between carotid canal dehiscence and high jugular bulb in the middle ear. Audiol Neurootol 2011;16:106–12CrossRefGoogle ScholarPubMed
Erixon, E, Högstorp, H, Wadin, K, Rask-Andersen, H. Variational anatomy of the human cochlea: implications for cochlear implantation. Otol Neurotol 2009;30:14–22CrossRefGoogle ScholarPubMed
McManus, LJ, Dawes, PJD, Stringer, MD. Clinical anatomy of the chorda tympani: a systematic review. J Laryngol Otol 2011;125:1101–8CrossRefGoogle ScholarPubMed
Shraddha, J, Gaurkar, S, Deshmukh, PT, Khatri, M, Kalambe, S, Lakhotia, P et al. Applied anatomy of round window and adjacent structures of tympanum related to cochlear implantation. Braz J Otorhinolaryngol 2019;85:436–46Google Scholar