J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (4): 14-16.doi: 10.6040/j.issn.1673-3770.0.2017.538

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Analysis of tympanic sinus CT classification and surgical procedure in management of otitis media

CHEN Tao1, LIU Shanping2, LU Yongtian1   

  1. Department of Medical Imaging, Affiliated Xintai Hospital of Taishan Medical University, Xintai 271200, Shandong, China
  • Received:2017-12-22 Online:2018-07-20 Published:2018-07-20

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Abstract: Objective Retrospective analysis of tympanic sinus computed tomography(CT)classification(the relationship between the tympanic sinus and the facial nerve)in 90 ears with otitis media to explore the indications of endoscopic and microscopic surgery for the treatment of posterior tympanic disease. Methods Preoperative CT examinations of 90 ears with otitis media were retrospectively reviewed and classified. CT classifications were summarized, and the numbers and proportions of each type were analyzed. Results CT examinations of 90 ears with otitis media were classified as follows: type A, 43 ears(47.78%); type B, 45 ears(50%); and type C, two ears(2.22%). Conclusion Tympanic sinuses of types A and B are predominant; thus, endoscopic middle ear surgery is suitable for most cases of otitis media. However, microscopic surgery remains the best approach for tympanic sinuses of type C.

Key words: Facial nerve, X-ray computed tomography, Sinus tympani

CLC Number: 

  • R764
[1] Glikson E, Yousovich R, Mansour J, et al. Transcanal endoscopic ear surgery for middle ear cholesteatoma[J]. Otol Neurotol, 2017, 38(5):41-45.
[2] Marchioni D, Mattioli F, Alicandri-Ciufelli M, et al. Transcanal endoscopic approach to the sinus tympani: a clinical report[J]. Otol Neurotol, 2009, 30(6):758-765.
[3] Bonali M, Anschuetz L, Fermi M, et al. The variants of the retro- and hypotympanum: an endoscopic anatomical study[J]. Eur Arch Otorhinolaryngol, 2017, 274(5):2141-2148.
[4] Tarabichi M, Kapadia M. Principles of endoscopic ear surgery[J]. Curr Opin Otolaryngol Head Neck Surg, 2016, 24(5):382-387.
[5] Bennett ML, Zhang D, Labadie RF, et al. Comparison of middle ear visualization with endoscopy and microscopy[J]. Otol Neurotol, 2016, 37(4):362-366.
[6] Marchioni D, Molteni G, Presutti L. Endoscopic anatomy of the middle ear[J]. Indian J Otolaryngol Head Neck Surg, 2011, 63(2):101-113.
[7] Proctor B. Surgical anatomy of the posterior tympanum[J]. Ann Otol Rhinol Laryngol, 1969, 78(5):1026-1040.
[8] 陈合新,虞春堂,钟世镇.颞骨内部结构CT三维重建的研究[J].中华耳鼻咽喉头颈外科杂志,2000,35(5):377.
[9] Marchioni D, Valerini S, Mattioli F, et al. Radiological assessment of the sinus tympani: temporal bone HRCT analyses and surgically related findings[J]. Surg Radiol Anat, 2014, 37(4):385-392.
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