Top

European Archives of Oto-Rhino-Laryngology

Published in:

01-02-2006 | Otology

Value of digital volume tomography in patients with conductive hearing loss

Authors: C. V. Dalchow, A. L. Weber, S. Bien, N. Yanagihara, J. A. Werner

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2006

Abstract

Digital volume tomography (DVT) is an extension of panoramic tomography. With this diagnostic technique, characterized by high resolution, a narrow section width (0.125 mm) and three-dimensional display, small pathological processes can be well visualized. Twenty-five patients with the history of a progressive hearing loss were examined with DVT (Accu-I-tomo, Morita, Japan). The results were compared with pre- and intraoperative findings to evaluate the diagnostic value of DVT in cases of erosion of the ossicular chain. With high resolution and artifact-free demonstration of the middle ear and the ossicular chain, it was possible to define its continuity preoperatively by DVT in all 25 cases. An intact ossicular chain was found by DVT in 13 cases and was later confirmed by surgery. The predicted erosion of the ossicles was verified in 12 patients, and a tympanoplasty type III was performed. Digital volume tomography is an excellent technique to examine the middle ear cleft and inner ear, and expands the application of diagnostic possibilities in the lateral skull base. Therefore, improvement in preoperative diagnosis is achieved along with more accurate planning of the surgical procedure. Digital volume tomography delivers a small radiation dose with a high resolution and a low purchase price for the equipment.

Swartz JD, Harnsberger HR (1998) Imaging of the temporal bone, 3rd edn. Thieme, New York

Zinreich SJ, Mattox DE, Kennedy DW, Johns ME, Price JC, Holliday MJ, Quinn CB, Kashima HK (1988) 3-D CT for cranial facial and laryngeal surgery. Laryngoscope 98:1212–1219PubMed

Reisser C, Schubert O, Weidauer H (1995) Die dreidimensionale Darstellung von Felsenbeinstrukturen mittels Spiral-CT. Erste Ergebnisse bei normaler Felsenbeinanatomie. HNO 43:596–600PubMed

Greess H, Baum U, Romer W, Tomandl B, Bautz W (2002) CT und MRT des Felsenbeins. HNO 50:906–919CrossRefPubMed

Hermans R, Feenstra L, Marchal G, Baert Al (1995) Three-dimensional CT-imaging of the ossicular chain. Clin Otolaryngol 20:475–478PubMed

Fisch U (1994) Tympanoplasty, mastoidectomy and stapes surgery. Thieme, New York, 44–117

Himi T, Sakata M, Shintani T, Mitsuzawa H, Kamagata M, Satoh J, Sugimoto H (2000) Middle ear imaging using virtual endoscopy and its application in patients with ossicular chain anomaly. ORL J Otorhinolaryngol Relat Spec 62:316–320PubMed

Swartz JD, Berger AS, Zwillenberg S, Popky GL (1987) Ossicular erosions in the dry ear: CT diagnosis. Radiology 163:763–765PubMed

Lemmerling M, Dhooge I, Mollet P, Mortier G, Van Cauwenberge P, Kunnen M (1998) CT of the temporal bone in the CHARGE association. Neuroradiology 40:462–465CrossRefPubMed

10.

Valavanis A, Schubiger O, Stuckmann G, Antonucci F (1986) CT-Diagnostik traumatischer Läsionen des Felsenbeines. Radiologe 26:85–90PubMed

11.

Zimmerman RA, Bilaniuk LT, Hackney DB, Goldberg HI, Grossmann RI (1987) Magnetic resonance imaging in temporal bone fracture. Neuroradiology 29:246–251CrossRefPubMed

12.

O’Donoghue GM, Bates GJ, Anslow P, Rothera MP (1987) The predictive value of high resolution computerized tomography in chronic suppurative ear disease. Clin Otolaryngol 12:89–96PubMed

13.

Swartz JD, Wolfson RJ, Marlowe FI, Popky GL (1985) Postinflammatory ossicular fixation: CT analysis with surgical correlation. Radiology 154:697–700PubMed

14.

Jakse K, Jakse R (2002) Diagnose und Therapie bei Stapesfrakturen und -luxationen. Laryngorhinootologie 81:87–92CrossRefPubMed

15.

Fuse T, Aoyagi M, Koike Y, Sugai Y (1992) Diagnosis of the ossicular chain in the middle ear by high-resolution CT. ORL J Otorhinolaryngol Relat Spec 54:251–254PubMed

16.

Chakfres DW (1984) Clinical significance of the partial volume averaging of the temporal bone. AJNR 5:297–302PubMed

17.

Fuhrmann A, Schulze D, Rother U, Vesper M (2003) Digital transversal slice imaging in dental-maxillofacial radiology: from pantomography to digital volume tomography. Int J Comput Dent 6:129–140PubMed

18.

Ziegler CM, Woertche R, Brief J, Hassfeld S (2002) Clinical Indications for digital volume tomography in oral and maxillofacial surgery. Dentomaxillofac Radiol 31:126–130CrossRefPubMed

19.

Cavalcanti MG, Ruprecht A, Vannier MW (2002) 3D volume rendering using multislice CT for dental implants. Dentomaxillofac Radiol 31:218–223CrossRefPubMed

20.

Kim KD, Ruprecht A, Jeon KJ, Park CS (2003) Personal computer-based three-dimensional computed tomography images of the teeth for evaluating supernumerary or ectopical teeth. Angle Orthod 73:614–621PubMed

21.

Yoshinori A, Kazuya H, Kazuo I, Koji S (2001) Practical model ‘’3DX’’ of limited cone-beam X-ray CT for dental use. International Congress Series 1230:712–718

22.

Manolidis S, Williamson B, Chan LL, Taber KH, Hayman LA (2003) Use of reconstructed, non-orthogonal plane, high-resolution computed tomography of the temporal bone in the planning of temporal bone surgery. ORL J Otorhinolaryngol Relat Spec 65:71–75PubMed

23.

Sorensen MS, Dobrzeniecki AB, Larsen P, Frisch T, Sporring J, Darvann TA (2002) The visible ear: a digital image library of the temporal bone. ORL J Otorhinolaryngol Relat Spec 64:378–381PubMed

24.

Kalender WA, Polacin A, Suss C (1994) A comparison of conventional and spiral CT: an experimental study on the detection of spherical lesions. J Comp Assist Tomogr 18:167–176

25.

Morra A, Tirelli G, Rimondini A, Cioffi V, Russolo M, Giacomarra V, Pozzi-Mucelli R (2002) Usefulness of virtual endoscopic three-dimensional reconstructions of the middle ear. Acta Otolaryngol 122:382–385CrossRefPubMed

26.

Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K (1999) Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol 28:245–248CrossRefPubMed

27.

Arai Y, Hasimoto K, Iwai K, Shinoda K (2000) Fundamental efficiency of limited cone-beam X-ray CT (3DX multi image micro CT) for practical use. Jpn Dental Radiol 40:145–154

28.

Iwai K, Arai Y, Hashimoto K, Nishizawa K (2001) Estimation of effective dose from limited cone beam X-ray CT examination. Jpn Dent Radiol 40:251–259

29.

Valavanis A, Kubik S, Schubiger O (1983) High-resolution CT of the normal and abnormal fallopian canal. AM J Neuroradiol 4:748–751PubMed

30.

Takegoshi H, Kaga K, Kikuchi S, Ito K (2002) Facial canal anatomy in patients with microtia: evaluatin of the temporal bones with thin-section CT. Radiology 225:360–367

31.

Casselman JW, Offeciers EF, De Foer B, Govaerts O, Kuhweide R, Somer T (2001) CT and MR imaging of congenital abnormalities of the inner ear and internal auditory canal. Eur J Radiol 40:94–104CrossRefPubMed

Title: Value of digital volume tomography in patients with conductive hearing loss
Authors: C. V. Dalchow
A. L. Weber
S. Bien
N. Yanagihara
J. A. Werner
Publication date: 01-02-2006
Publisher: Springer-Verlag
Published in: European Archives of Oto-Rhino-Laryngology / Issue 2/2006
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-005-0995-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Value of digital volume tomography in patients with conductive hearing loss

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2006

Differential gene expression in a paclitaxel-resistant clone of a head and neck cancer cell line

Hyperfractionated radiotherapy for T2 glottic cancer for preservation of the larynx

Osteopathia striata with cranial sclerosis and hearing loss

Effects of adenoidectomy in children with symptoms of adenoidal hypertrophy

How I do it—the Kotecha technique for laser palatoplasty

Perceptual evaluation of substitution voices: development and evaluation of the (I)INFVo rating scale