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Published in: Pediatric Radiology 10/2006

01-10-2006 | Original Article

Can a fixed measure serve as a pertinent diagnostic criterion for large vestibular aqueduct in children?

Authors: Marc Legeais, Ken Haguenoer, Jean Philippe Cottier, Dominique Sirinelli

Published in: Pediatric Radiology | Issue 10/2006

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Abstract

Background

A vestibular aqueduct midpoint width greater than 1.50 mm is currently considered to be pathognomonic for a large vestibular aqueduct syndrome.

Objective

To analyse the diameter of the vestibular aqueduct in children as a function of age and consequently to determine if a fixed measure could serve as a pertinent diagnostic criterion.

Materials and methods

This was a retrospective study of 200 high-resolution CT scans of the ear in 100 patients aged 0–16 years and from various paediatric medical departments. On each CT scan, the lateral semicircular canal diameter, the vestibular aqueduct midpoint width between the external aperture and common crus, and the vestibular aqueduct external aperture diameter were measured. Spearman’s rank test and the Mann-Whitney correlation test were used for an integrated statistical analysis.

Results

There was no statistically significant variability in vestibular aqueduct diameter as a function of age or sex of patients.

Conclusion

A CT scan threshold value, fixed and independent of age and sex, is thus legitimate for the diagnosis of vestibular aqueduct dilatation.
Literature
1.
go back to reference Veillon F (1991) Imagerie de l’oreille. Flammarion, Médecine-Science, Paris, pp 221–227 Veillon F (1991) Imagerie de l’oreille. Flammarion, Médecine-Science, Paris, pp 221–227
2.
go back to reference Becker TS, Vignaud J, Sultan A, et al (1983) The vestibular aqueduct in congenital deafness: evaluation by the axial projection. Radiology 149(3):741–744PubMed Becker TS, Vignaud J, Sultan A, et al (1983) The vestibular aqueduct in congenital deafness: evaluation by the axial projection. Radiology 149(3):741–744PubMed
3.
go back to reference Fujita S, Sando I (1994) Postnatal development of the vestibular aqueduct in relation to the internal auditory canal: computer-aided three-dimensional reconstruction and measurement study. Ann Otol Rhinol Laryngol 103(9):719–722PubMed Fujita S, Sando I (1994) Postnatal development of the vestibular aqueduct in relation to the internal auditory canal: computer-aided three-dimensional reconstruction and measurement study. Ann Otol Rhinol Laryngol 103(9):719–722PubMed
4.
go back to reference Kodama A, Sando I (1982) Dimensional anatomy of the vestibular aqueduct and the endolymphatic sac (rugose portion) in human temporal bones: statistical analysis of 79 bones. Ann Otol Rhinol Laryngol Suppl 96:13–20PubMed Kodama A, Sando I (1982) Dimensional anatomy of the vestibular aqueduct and the endolymphatic sac (rugose portion) in human temporal bones: statistical analysis of 79 bones. Ann Otol Rhinol Laryngol Suppl 96:13–20PubMed
5.
go back to reference Kodama A, Sando I (1982) Postnatal development of the vestibular aqueduct and the endolymphatic sac. Ann Otol Rhinol Laryngol Suppl 96:3–12PubMed Kodama A, Sando I (1982) Postnatal development of the vestibular aqueduct and the endolymphatic sac. Ann Otol Rhinol Laryngol Suppl 96:3–12PubMed
6.
go back to reference Beal DD, Davey PR, Lindsay JR (1967) Inner ear pathology of congenital deafness. Arch Otolaryngol 85(2):134–142PubMed Beal DD, Davey PR, Lindsay JR (1967) Inner ear pathology of congenital deafness. Arch Otolaryngol 85(2):134–142PubMed
7.
go back to reference Valvassori GE, Naunton RF, Lindsay JR (1969) Inner ear anomalies: clinical and histopathological considerations. Ann Otol Rhinol Laryngol 78(5):929–938PubMed Valvassori GE, Naunton RF, Lindsay JR (1969) Inner ear anomalies: clinical and histopathological considerations. Ann Otol Rhinol Laryngol 78(5):929–938PubMed
8.
go back to reference Sekhar HK, Sachs M (1976) Mondini defect in association with multiple congenital anomalies. Laryngoscope 86(1):117–125PubMedCrossRef Sekhar HK, Sachs M (1976) Mondini defect in association with multiple congenital anomalies. Laryngoscope 86(1):117–125PubMedCrossRef
9.
go back to reference Schuknecht HF (1980) Mondini dysplasia; a clinical and pathological study. Ann Otol Rhinol Laryngol Suppl 89(1 Pt 2):1–23PubMed Schuknecht HF (1980) Mondini dysplasia; a clinical and pathological study. Ann Otol Rhinol Laryngol Suppl 89(1 Pt 2):1–23PubMed
10.
go back to reference Paparella MM (1980) Mondini's deafness. A review of histopathology. Ann Otol Rhinol Laryngol Suppl 89(2 Pt 3):1–10PubMed Paparella MM (1980) Mondini's deafness. A review of histopathology. Ann Otol Rhinol Laryngol Suppl 89(2 Pt 3):1–10PubMed
11.
go back to reference Shi SR (1985) Temporal bone findings in a case of otopalatodigital syndrome. Arch Otolaryngol 111(2):119–121PubMed Shi SR (1985) Temporal bone findings in a case of otopalatodigital syndrome. Arch Otolaryngol 111(2):119–121PubMed
12.
go back to reference Valvassori GE, Clemis JD (1978) The large vestibular aqueduct syndrome. Laryngoscope 88(5):723–728PubMed Valvassori GE, Clemis JD (1978) The large vestibular aqueduct syndrome. Laryngoscope 88(5):723–728PubMed
13.
go back to reference Okumura T, Takahashi H, Honjo I, et al (1995) Sensorineural hearing loss in patients with large vestibular aqueduct. Laryngoscope 105(3 Pt 1):289–293; discussion 293–294PubMedCrossRef Okumura T, Takahashi H, Honjo I, et al (1995) Sensorineural hearing loss in patients with large vestibular aqueduct. Laryngoscope 105(3 Pt 1):289–293; discussion 293–294PubMedCrossRef
14.
go back to reference Arcand P, Desrosiers M, Dube J, et al (1991) The large vestibular aqueduct syndrome and sensorineural hearing loss in the paediatric population. J Otolaryngol 20(4):247–250PubMed Arcand P, Desrosiers M, Dube J, et al (1991) The large vestibular aqueduct syndrome and sensorineural hearing loss in the paediatric population. J Otolaryngol 20(4):247–250PubMed
15.
go back to reference Mafee MF, Selis JE Yannias DA, et al (1984) Congenital sensory hearing loss. Radiology 150(2):427–434PubMed Mafee MF, Selis JE Yannias DA, et al (1984) Congenital sensory hearing loss. Radiology 150(2):427–434PubMed
16.
go back to reference Mafee MF, Charletta D, Kumar A, et al (1992) Large vestibular aqueduct and congenital sensorineural hearing loss. AJNR 13(2):805–819PubMed Mafee MF, Charletta D, Kumar A, et al (1992) Large vestibular aqueduct and congenital sensorineural hearing loss. AJNR 13(2):805–819PubMed
17.
go back to reference Talbot JM, Wilson DF (1994) Computed tomographic diagnosis of X-linked congenital mixed deafness, fixation of the stapedial footplate, and perilymphatic gusher. Am J Otol 15(2):177–182PubMed Talbot JM, Wilson DF (1994) Computed tomographic diagnosis of X-linked congenital mixed deafness, fixation of the stapedial footplate, and perilymphatic gusher. Am J Otol 15(2):177–182PubMed
18.
go back to reference Levenson MJ, Parisier SC, Jacobs M, et al (1989) The large vestibular aqueduct syndrome in children. A review of 12 cases and the description of a new clinical entity. Arch Otolaryngol Head Neck Surg 115(1):54–58PubMed Levenson MJ, Parisier SC, Jacobs M, et al (1989) The large vestibular aqueduct syndrome in children. A review of 12 cases and the description of a new clinical entity. Arch Otolaryngol Head Neck Surg 115(1):54–58PubMed
19.
go back to reference Mafee MF, Valvassori GE, Becker M (2005) Imaging of the head and neck, 2nd edn. Thieme Stuttgart New York, pp 56–57 Mafee MF, Valvassori GE, Becker M (2005) Imaging of the head and neck, 2nd edn. Thieme Stuttgart New York, pp 56–57
20.
go back to reference Pyle GM (2000) Embryological development and large vestibular aqueduct syndrome. Laryngoscope 110(11):1837–1842PubMedCrossRef Pyle GM (2000) Embryological development and large vestibular aqueduct syndrome. Laryngoscope 110(11):1837–1842PubMedCrossRef
21.
go back to reference Nemzek WR, Brodie HA, Hecht ST, et al (2000) MR, CT, and plain film imaging of the developing skull base in fetal specimens. AJNR 21:1699–1706PubMed Nemzek WR, Brodie HA, Hecht ST, et al (2000) MR, CT, and plain film imaging of the developing skull base in fetal specimens. AJNR 21:1699–1706PubMed
Metadata
Title
Can a fixed measure serve as a pertinent diagnostic criterion for large vestibular aqueduct in children?
Authors
Marc Legeais
Ken Haguenoer
Jean Philippe Cottier
Dominique Sirinelli
Publication date
01-10-2006
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 10/2006
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-006-0263-6

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