Hostname: page-component-6766d58669-bkrcr Total loading time: 0 Render date: 2026-05-19T06:35:35.548Z Has data issue: false hasContentIssue false
  • English
  • Français

High-resolution computed tomography and pure-tone audiometry in patients with otosclerosis in the spongiotic phase

Published online by Cambridge University Press:  04 July 2022

O P L Zanini Open the ORCID record for O P L Zanini [Opens in a new window] ,
L O Coelho ,
R Hamerschmidt ,
M Buschle  and
J E F Matias
O P L Zanini*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Federal University of Paraná Curitiba, Paraná, Brazil
L O Coelho
Affiliation:
Center for Advanced Diagnostic Imaging – DAPI, Paraná, Brazil
R Hamerschmidt
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Federal University of Paraná Curitiba, Paraná, Brazil
M Buschle
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Federal University of Paraná Curitiba, Paraná, Brazil
J E F Matias
Affiliation:
Department of Surgery, Federal University of Paraná Curitiba, Paraná, Brazil
*
Author for correspondence: Dr Otávio Pereira Lima Zanini, Avenida Iguaçu, 3233, Curitiba, Brazil, CEP 80240-031 E-mail: otaviozanini@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

There is no consensus in the literature regarding the relationship between high-resolution computed tomography findings and hearing thresholds in pure-tone audiometry in otosclerosis. This study evaluated the association between high-resolution computed tomography findings and pure-tone audiometry in otosclerosis in the spongiotic phase.

Methods

A cross-sectional study was conducted of 57 ears with surgically confirmed stapes fixation and tomographic findings. Air conduction and bone conduction thresholds on audiometry, and air–bone gap, were analysed.

Results

There were no correlations between sites affected by otospongiosis and air conduction threshold, bone conduction threshold or air–bone gap in the analysed tomographic images, but the diameter of the otospongiotic focus was greater in the presence of extension of the otospongiotic foci to the cochlear endosteum.

Conclusion

There were no relevant associations between high-resolution computed tomography findings and pure-tone audiometric measurements. However, the diameter of the otospongiotic focus was greater in the presence of extension of the otospongiotic foci to the cochlear endosteum.

Keywords

OtosclerosisStapes SurgeryTomographyAudiometry, Pure-ToneEar, Inner

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 5 , May 2023 , pp. 490 - 495
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Dr O Zanini takes responsibility for the integrity of the content of the paper

References

Vicente, AO, Penido, NO, Yamashita, HK, Albernaz, PLM. Computed tomography in the diagnosis of fenestral otosclerosis [in Portuguese]. Rev Bras Otorrinolaringol 2004;70:66–73CrossRefGoogle Scholar
Amaro, CE, Montemor, R, Nascimento, S, Ribeiro, S, Baptista, SV, Barros, E. Otosclerosis. Clinical and imaging correlation [in Portuguese]. Port J ORL 2010;48:1–7Google Scholar
Berrettini, S, Ravecca, F, Volterrani, D, Neri, E, Forli, F. Imaging evaluation in otosclerosis: single photon emission computed tomography and computed tomography. Ann Otol Rhinol Laryngol 2010;119:215–24CrossRefGoogle ScholarPubMed
Kawase, S, Naganawa, S, Sone, M, Ikeda, M, Ishigaki, T. Relationship between CT densitometry with a slice thickness of 0.5 mm and audiometry in otosclerosis. Eur Radiol 2006;16:1367–73CrossRefGoogle ScholarPubMed
Wycherly, BJ, Berkowitz, F, Noone, A-M, Kim, HF. Computed tomography and otosclerosis: a practical method to correlate the sites affected to hearing loss. Ann Otol Rhinol Laryngol 2010;119:789–94CrossRefGoogle ScholarPubMed
Schuknecht, HF. Cochlear otosclerosis. A continuing fantasy. Arch Otorhinolaryngol 1979;222:79–84CrossRefGoogle ScholarPubMed
Elonka, DR, Applebaum, EL. Otosclerotic involvement of the cochlea: a histologic and audiologic study. Otolaryngol Head Neck Surg 1981;89:343–51CrossRefGoogle ScholarPubMed
Grayeli, AB, Yrieix, CS, Imauchi, Y, Cyna-Gorse, F, Sterkers, O. Temporal bone density measurements using CT in otosclerosis. Acta Otolaryngol 2004;124:1136–40CrossRefGoogle ScholarPubMed
Naumann, IC, Porcellini, B, Fisch, U. Otosclerosis: incidence of positive findings on high-resolution computed tomography and their correlation to audiological test data. Ann Otol Rhinol Laryngol 2005;114:709–16CrossRefGoogle ScholarPubMed
Zhu, M-M, Sha, Y, Zhuang, P-Y, Olszewski, AE, Jiang, J-Q, Xu, J-H et al. Relationship between high-resolution computed tomography densitometry and audiometry in otosclerosis. Auris Nasus Larynx 2010;37:669–75CrossRefGoogle ScholarPubMed
Parahy, C, Linthicum, FH Jr. Otosclerosis: relationship of spiral ligament hyalinization to sensorineural hearing loss. Laryngoscope 1983;93:717–20CrossRefGoogle ScholarPubMed
Damsma, H, Groot, JA, Zonneveld, FW, Waes, PF, Huizing, EH. CT of cochlear otosclerosis (otospongiosis). Radiol Clin North Am 1984;22:37–43CrossRefGoogle ScholarPubMed
Valvassori, GE, Dobben, GD. CT densitometry of the cochlear capsule in otosclerosis. AJNR Am J Neuroradiol 1985;6:661–7Google ScholarPubMed
Swartz, JD, Mandell, DW, Berman, SE, Wolfson, RJ, Marlowe, FI, Popky, GL. Cochlear otosclerosis (otospongiosis): CT analysis with audiometric correlation. Radiology 1985;155:147–50CrossRefGoogle ScholarPubMed
De Groot, JA, Huizing, EH. Densitometry of the cochlear capsule and correlation between bone density loss and bone conduction hearing loss in otosclerosis. Acta Otolaryngol 1987;103:464–8Google Scholar
Hueb, MM, Goycoolea, MV, Paparella, MM, Oliveira, JA. Otosclerosis: the University of Minnesota temporal bone collection. Otolaryngol Head Neck Surg 1991;105:396–405CrossRefGoogle ScholarPubMed
Güneri, EA, Ada, E, Ceryan, K, Güneri, A. High-resolution computed tomographic evaluation of the cochlear capsule in otosclerosis: relationship between densitometry and sensorineural hearing loss. Ann Otol Rhinol Laryngol 1996;105:659–64CrossRefGoogle ScholarPubMed
Shin, YJ, Fraysse, B, Deguine, O, Cognard, C, Charlet, JP, Sévely, A. Sensorineural hearing loss and otosclerosis: a clinical and radiologic survey of 437 cases. Acta Otolaryngol 2001;121:200–4Google ScholarPubMed
Kiyomizu, K, Tono, T, Yang, D, Haruta, A. Correlation of CT analysis and audiometry in Japanese otosclerosis. Auris Nasus Larynx 2004;31:125–9CrossRefGoogle ScholarPubMed
Fraysse, B. Why do we include CT scanning in the evaluation of otosclerosis patients? ORL J Otorhinolaryngol Relat Spec 2010;72:168–9CrossRefGoogle ScholarPubMed
Marx, M, Lagleyre, S, Escudé, B, Demeslay, J, Elhadi, T, Deguine, O et al. Correlations between CT scan findings and hearing thresholds in otosclerosis. Acta Otolaryngol 2011;131:351–7CrossRefGoogle ScholarPubMed
Png, LH, Pang, J-Y, Karandikar, A, Goh, JP, Yeo, SB, Yuen, HW. Otosclerosis in a nonendemic population: utility of CT scan and correlation with audiometry and surgical outcome. Ear Nose Throat J 2018;97:156–62CrossRefGoogle Scholar
Quesnel, AM, Moonis, G, Appel, J, O'Malley, JT, McKenna, MJ, Curtin, HD et al. Correlation of computed tomography with histopathology in otosclerosis. Otol Neurotol 2013;34:22–8CrossRefGoogle ScholarPubMed
Declau, F, Spaendonck, MV, Timmersmans, JP, Michaels, L, Liang, J, Qiu, JP et al. Prevalence of otosclerosis in an unselected series of temporal bones. Otol Neurotol 2001;22:596–602CrossRefGoogle Scholar
Crompton, M, Cadge, BA, Ziff, JL, Mowat, AJ, Nash, R, Lavy, JA et al. The epidemiology of otosclerosis in a British cohort. Otol Neurotol 2019;40:22–30CrossRefGoogle Scholar
Vincent, R, Sperling, NM, Oates, J, Jindal, M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology-neurotology database. Otol Neurotol 2006;27:S25–47CrossRefGoogle ScholarPubMed
Virk, JS, Singh, A, Lingam, RK. The role of imaging in the diagnosis and management of otosclerosis. Otol Neurotol 2013;34:e55–60CrossRefGoogle ScholarPubMed
Lagleyre, S, Sorrentino, T, Calmels, M-N, Shin, Y-J, Escudé, B, Deguine, O et al. Reliability of high-resolution CT scan in diagnosis of otosclerosis. Otol Neurotol 2009;30:1152–9CrossRefGoogle ScholarPubMed
Wolfovitz, A, Luntz, M. Impact of imaging in management of otosclerosis. Otolaryngol Clin North Am 2018;51:343–55CrossRefGoogle ScholarPubMed
Gaiotti, JO, Gomes, ND, Costa, AMD, Laurita, C, Villela, BC, Moreira, W et al. Tomographic diagnosis and relevant aspects of otosclerosis [in Portuguese]. Radiol Bras 2013;46:307–12CrossRefGoogle Scholar
Vartiainen, E, Saari, T. Value of computed tomography (CT) in the diagnosis of cochlear otosclerosis. Clin Otolaryngol Allied Sci 1993;18:462–4CrossRefGoogle ScholarPubMed
Min, J-Y, Chung, W-H, Lee, WY, Cho, YS, Hong, SH, Kim, HJ et al. Otosclerosis: incidence of positive findings on temporal bone computed tomography (TBCT) and audiometric correlation in Korean patients. Auris Nasus Larynx 2010;37:23–8CrossRefGoogle ScholarPubMed
Karosi, T, Csomor, P, Sziklai, I. The value of HRCT in stapes fixations corresponding to hearing thresholds and histologic findings. Otol Neurotol 2012;33:1300–7CrossRefGoogle ScholarPubMed
Mauricio, JC, Biscoito, L, Branco, G, Medina, P. CT (high-resolution) in 60 cases of stapediovestibular otosclerosis with surgical indications [in Portuguese]. Acta Med Port 1995;8:335–40Google ScholarPubMed
Dudau, C, Salim, F, Jiang, D, Connor, SEJ. Diagnostic efficacy and therapeutic impact of computed tomography in the evaluation of clinically suspected otosclerosis. Eur Radiol 2017;27:1195–201CrossRefGoogle ScholarPubMed