Skip to main content
Top
Published in: Surgical and Radiologic Anatomy 3/2020

01-03-2020 | Computed Tomography | Original Article

Growth dynamic of the geniculate ganglion in children: a retrospective computed tomography study

Authors: Orhan Beger, Osman Erdoğan, Engin Kara, Yusuf Vayisoğlu, Onur İsmi, Kemal Görür, Salahi Barış Özgüvenli, Rüya Zereyalp, Vural Hamzaoğlu, Hakan Özalp, Celal Bağdatoğlu, Derya Ümit Talas

Published in: Surgical and Radiologic Anatomy | Issue 3/2020

Login to get access

Abstract

Purpose

The main aim of this retrospective computed tomography (CT) study was to examine the morphometric development of the geniculate ganglion (GG) in children aged between 1 and 18 years for surgical approaches.

Methods

This study was placed on 41 patients (20 females and 21 males) including cochlear implantation cases aged from one to 18 (at mean, 6.44 ± 5.79) years. All the measurements belonging to the length, width and area of GG were performed with a CT scanner.

Results

The morphometric values of GG were not different in terms of sex or side, statistically (p > 0.05). The length (p = 0.155) of GG was not correlated with the increasing ages from one to 18 years; however, its area (p < 0.001) and width (p = 0.003) were found to be increased in the childhood period. Linear functions for the length, width and area of GG were calculated as y = 2.028 + 0.011 × age (years), y = 1.496 + 0.014 × age (years), and y = 3.239 + 0.035 × Age (years), respectively. The dehiscence of GG was found in 22 (26.8%) out of 82 temporal bones.

Conclusion

Our data suggested that the area and width of GG were progressively increasing with age in the childhood period. The calculated formula representing the growth dynamic of GG in children and the incidence of the presence of the dehiscent GG can be useful for radiologists and otologists to estimate its size and to avoid iatrogenic injury during early childhood surgeries.
Literature
1.
go back to reference Ames JA, Levi JR, Johnston DR, Drake CA, Willcox TO, O’Reilly RC (2012) Atypical presentation of geniculate ganglion venous malformation in a child: conductive hearing loss without facial weakness. Int J Pediatr Otorhinolaryngol 76:1214–1216CrossRef Ames JA, Levi JR, Johnston DR, Drake CA, Willcox TO, O’Reilly RC (2012) Atypical presentation of geniculate ganglion venous malformation in a child: conductive hearing loss without facial weakness. Int J Pediatr Otorhinolaryngol 76:1214–1216CrossRef
2.
go back to reference Arístegui M, Martín-Oviedo C, Aristegui I, García-Leal R, Ruiz-Juretschke F (2019) Anatomical variations of the intrapetrous portion of the facial nerve. Anat Rec (Hoboken) 302:588–598CrossRef Arístegui M, Martín-Oviedo C, Aristegui I, García-Leal R, Ruiz-Juretschke F (2019) Anatomical variations of the intrapetrous portion of the facial nerve. Anat Rec (Hoboken) 302:588–598CrossRef
3.
go back to reference Baxter A (1971) Dehiscence of the fallopian canal. An anatomical study. J Laryngol Otol 85:587–594CrossRef Baxter A (1971) Dehiscence of the fallopian canal. An anatomical study. J Laryngol Otol 85:587–594CrossRef
4.
go back to reference Beger O, Erdoğan O, Kara E et al (2019) Morphometric properties of the facial canal in children: a retrospective computed tomography study. Int J Pediatr Otorhinolaryngol 124:59–67CrossRef Beger O, Erdoğan O, Kara E et al (2019) Morphometric properties of the facial canal in children: a retrospective computed tomography study. Int J Pediatr Otorhinolaryngol 124:59–67CrossRef
5.
go back to reference Celik O, Eskiizmir G, Pabuscu Y, Ulkumen B, Toker GT (2017) The role of facial canal diameter in the pathogenesis and grade of Bell’s palsy: a study by high resolution computed tomography. Braz J Otorhinolaryngol 83:261–268CrossRef Celik O, Eskiizmir G, Pabuscu Y, Ulkumen B, Toker GT (2017) The role of facial canal diameter in the pathogenesis and grade of Bell’s palsy: a study by high resolution computed tomography. Braz J Otorhinolaryngol 83:261–268CrossRef
6.
go back to reference Chopra R, Fergie N, Mehta D, Liew L (2003) The middle cranial fossa approach: an anatomical study. Surg Radiol Anat 24:348–353CrossRef Chopra R, Fergie N, Mehta D, Liew L (2003) The middle cranial fossa approach: an anatomical study. Surg Radiol Anat 24:348–353CrossRef
7.
go back to reference da Arriba A, Lassaletta L, Pérez-Mora RM, Gavilán J (2013) A new entity in the differential diagnosis of geniculate ganglion tumours: fibrous connective tissue lesion of the facial nerve. Acta Otorrinolaringol Esp 64:240–242CrossRef da Arriba A, Lassaletta L, Pérez-Mora RM, Gavilán J (2013) A new entity in the differential diagnosis of geniculate ganglion tumours: fibrous connective tissue lesion of the facial nerve. Acta Otorrinolaringol Esp 64:240–242CrossRef
8.
go back to reference Dobozi M (1975) Surgical anatomy of the geniculate ganglion. Acta Otolaryngol 80:116–119CrossRef Dobozi M (1975) Surgical anatomy of the geniculate ganglion. Acta Otolaryngol 80:116–119CrossRef
9.
go back to reference Ge XX, Spector GJ (1981) Labyrinthine segment and geniculate ganglion of facial nerve in fetal and adult human temporal bones. Ann Otol Rhinol Laryngol 90:1–12CrossRef Ge XX, Spector GJ (1981) Labyrinthine segment and geniculate ganglion of facial nerve in fetal and adult human temporal bones. Ann Otol Rhinol Laryngol 90:1–12CrossRef
10.
go back to reference Hall GM, Pulec JL, Rhoton AL Jr (1969) Geniculate ganglion anatomy for the otologist. Arch Otolaryngol 90:568–571CrossRef Hall GM, Pulec JL, Rhoton AL Jr (1969) Geniculate ganglion anatomy for the otologist. Arch Otolaryngol 90:568–571CrossRef
11.
go back to reference House WF, Crabtree JA (1965) Surgical exposure of petrous portion of 7th nerve. Arch Otolaryngol. 81:506–507CrossRef House WF, Crabtree JA (1965) Surgical exposure of petrous portion of 7th nerve. Arch Otolaryngol. 81:506–507CrossRef
12.
go back to reference Isaacson B, Vrabec JT (2007) The radiographic prevalence of geniculate ganglion dehiscence in normal and congenitally thin temporal bones. Otol Neurotol 28:107–110CrossRef Isaacson B, Vrabec JT (2007) The radiographic prevalence of geniculate ganglion dehiscence in normal and congenitally thin temporal bones. Otol Neurotol 28:107–110CrossRef
13.
go back to reference Jufas N, Bance M (2017) Endoscopically-assisted transmastoid approach to the geniculate ganglion and labyrinthine facial nerve. J Otolaryngol Head Neck Surg 46:53CrossRef Jufas N, Bance M (2017) Endoscopically-assisted transmastoid approach to the geniculate ganglion and labyrinthine facial nerve. J Otolaryngol Head Neck Surg 46:53CrossRef
14.
go back to reference Kalcioglu MT, Kilic O, Tuysuz O, Serifler S, Tekin M (2019) Facial canal dehiscence rate: a retrospective analysis of 372 chronic otitis media cases. Eur Arch Otorhinolaryngol 276:79–83CrossRef Kalcioglu MT, Kilic O, Tuysuz O, Serifler S, Tekin M (2019) Facial canal dehiscence rate: a retrospective analysis of 372 chronic otitis media cases. Eur Arch Otorhinolaryngol 276:79–83CrossRef
15.
go back to reference Kansu L, Yilmaz I (2012) Herpes zoster oticus (Ramsay Hunt syndrome) in children: case report and literature review. Int J Pediatr Otorhinolaryngol 76:772–776CrossRef Kansu L, Yilmaz I (2012) Herpes zoster oticus (Ramsay Hunt syndrome) in children: case report and literature review. Int J Pediatr Otorhinolaryngol 76:772–776CrossRef
16.
go back to reference Lee HK, Lee EH, Lee WS, Kim WS (2000) Microsurgical anatomy of the perigeniculate ganglion area as seen from a translabyrinthine approach. Ann Otol Rhinol Laryngol 109:255–257CrossRef Lee HK, Lee EH, Lee WS, Kim WS (2000) Microsurgical anatomy of the perigeniculate ganglion area as seen from a translabyrinthine approach. Ann Otol Rhinol Laryngol 109:255–257CrossRef
17.
go back to reference Lee HK, Lee WS (2003) Microsurgical anatomy of the perigeniculate ganglion area as seen from the middle cranial fossa approach. Ann Otol Rhinol Laryngol 112:531–533CrossRef Lee HK, Lee WS (2003) Microsurgical anatomy of the perigeniculate ganglion area as seen from the middle cranial fossa approach. Ann Otol Rhinol Laryngol 112:531–533CrossRef
18.
go back to reference Lookabaugh S, Kelly HR, Carter MS et al (2015) Radiologic classification of superior canal dehiscence: implications for surgical repair. Otol Neurotol 36:118–125PubMed Lookabaugh S, Kelly HR, Carter MS et al (2015) Radiologic classification of superior canal dehiscence: implications for surgical repair. Otol Neurotol 36:118–125PubMed
19.
go back to reference Migirov L, Bendet E, Kronenberg J (2009) Cholesteatoma invasion into the internal auditory canal. Eur Arch Otorhinolaryngol 266:657–662CrossRef Migirov L, Bendet E, Kronenberg J (2009) Cholesteatoma invasion into the internal auditory canal. Eur Arch Otorhinolaryngol 266:657–662CrossRef
20.
go back to reference Mu X, Quan Y, Shao J, Li J, Wang H, Gong R (2012) Enlarged geniculate ganglion fossa: CT sign of facial nerve canal fracture. Acad Radiol 19:971–976CrossRef Mu X, Quan Y, Shao J, Li J, Wang H, Gong R (2012) Enlarged geniculate ganglion fossa: CT sign of facial nerve canal fracture. Acad Radiol 19:971–976CrossRef
21.
go back to reference Nomiya S, Cureoglu S, Kariya S et al (2011) Histopathological incidence of facial canal dehiscence in otosclerosis. Eur Arch Otorhinolaryngol 268:1267–1271CrossRef Nomiya S, Cureoglu S, Kariya S et al (2011) Histopathological incidence of facial canal dehiscence in otosclerosis. Eur Arch Otorhinolaryngol 268:1267–1271CrossRef
22.
go back to reference Rhoton AL Jr, Pulec JL, Hall GM, Boyd AS Jr (1968) Absence of bone over the geniculate ganglion. J Neurosurg 28:48–53CrossRef Rhoton AL Jr, Pulec JL, Hall GM, Boyd AS Jr (1968) Absence of bone over the geniculate ganglion. J Neurosurg 28:48–53CrossRef
23.
go back to reference Sagardoy T, de Mones E, Bonnard D, Darrouzet V, Franco-Vidal V (2017) Arachnoid cyst of the fallopian canal and geniculate ganglion area: our experience of 9 cases. Clin Otolaryngol 42:461–466CrossRef Sagardoy T, de Mones E, Bonnard D, Darrouzet V, Franco-Vidal V (2017) Arachnoid cyst of the fallopian canal and geniculate ganglion area: our experience of 9 cases. Clin Otolaryngol 42:461–466CrossRef
24.
go back to reference Talas DÜ, Beger O, Koç T et al (2019) Morphometric properties of the facial nerve in fetal temporal bones. Int J Pediatr Otorhinolaryngol 116:7–14CrossRef Talas DÜ, Beger O, Koç T et al (2019) Morphometric properties of the facial nerve in fetal temporal bones. Int J Pediatr Otorhinolaryngol 116:7–14CrossRef
Metadata
Title
Growth dynamic of the geniculate ganglion in children: a retrospective computed tomography study
Authors
Orhan Beger
Osman Erdoğan
Engin Kara
Yusuf Vayisoğlu
Onur İsmi
Kemal Görür
Salahi Barış Özgüvenli
Rüya Zereyalp
Vural Hamzaoğlu
Hakan Özalp
Celal Bağdatoğlu
Derya Ümit Talas
Publication date
01-03-2020
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 3/2020
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-019-02386-6

Other articles of this Issue 3/2020

Surgical and Radiologic Anatomy 3/2020 Go to the issue