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Kulakova L.A.

Kafedra bolezneĭ ukha, gorla i nosa Pervogo MGMU im. I.M. Sechenova Minzdravsotsrazvitiia Rossii, Moskva

Bodrova I.V.

Kafedra luchevoĭ diagnostiki i terapii GBOU VPO "Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova"

Lopatin A.S.

Polyclinic No 1, General Management Department of the Presidential Administration, Moscow, Russia

Ternovoy S.K.

FGBU National medical research cardiology center of Russia, Moscow, Russia

The potential of multislice computed tomography for the detection of specific anatomic and topographic features of the facial nerve canal prior to stapedoplasty

Authors:

Kulakova L.A., Bodrova I.V., Lopatin A.S., Ternovoy S.K.

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Journal: Russian Bulletin of Otorhinolaryngology. 2012;77(2): 18‑22

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To cite this article:

Kulakova LA, Bodrova IV, Lopatin AS, Ternovoy SK. The potential of multislice computed tomography for the detection of specific anatomic and topographic features of the facial nerve canal prior to stapedoplasty. Russian Bulletin of Otorhinolaryngology. 2012;77(2):18‑22. (In Russ.)

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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The objective of the present study was to estimate the potential of multislice computed tomography (MSCT) for the detection of specific anatomic and topographic features in the structure of the middle ear and the oval window region prior to stapedoplasty. We analysed the results of MSCT of the temporal bones in 20 patients presenting with otosclerosis (40 observations). All these patients underwent stapedoplasty, and the intraoperative findings were compared with the MSCT data. Specificity and sensitivity of MSCT for the detection of structural abnormalities in the middle ear were estimated at 91.3% and 84.6% respectively. It is concluded that the preoperative MSCT examination of the temporal bones yields the data that allow for the more accurate planning of the succeeding surgical intervention as well as for choosing its optimal strategy and extent, proper instruments, the type and length of the implant (prosthesis), and thereby for avoiding the possible complications and improving the prognosis of the treatment

Keywords:

otosclerosis
temporal bone
facial nerve
stapedoplasty
multislice computed tomography

Authors:

Kulakova L.A.

Kafedra bolezneĭ ukha, gorla i nosa Pervogo MGMU im. I.M. Sechenova Minzdravsotsrazvitiia Rossii, Moskva

Bodrova I.V.

Kafedra luchevoĭ diagnostiki i terapii GBOU VPO "Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova"

Lopatin A.S.

Polyclinic No 1, General Management Department of the Presidential Administration, Moscow, Russia

Ternovoy S.K.

FGBU National medical research cardiology center of Russia, Moscow, Russia

List of references:

  1. Hildmann H., Sudhoff H. Middle Ear Surgery. Germany: Springer 2006; 214.
  2. Kolomiichenko A.I., Gukovich V.A., Kharshak E.M., Yashan I.A. Operatsii na stremeni pri otoskleroze. Kiev: Gosmedizdat 1962; 5-23.
  3. Gaevskii V.A. Varianty stapedoplastiki u bol'nykh otosklerozom pri "navisanii" litsevogo nerva v nishe okna preddveriya. Tezisy trudov VII s''ezda otorinolaringologov USSR. Kiev 1989.
  4. Fedoseev V.I., Dmitriev N.S. Platinotomiya - vazhnyi etap khirurgii stremeni. Materialy Rossiiskoi nauch.-prakt. konf. "Problemy i vozmozhnosti mikrokhirurgii ukha". Orenburg 2002; 130-131.
  5. Yanov Yu.K., Sitnikov V.P., Ryazantsev S.V. i dr. Titanovye implantaty v rekonstruktivnoi khirurgii srednego ukha. Materialy Rossiiskoi nauch.-prakt. konf. "Problemy i vozmozhnosti mikrokhirurgii ukha". Orenburg 2002; 162-165.
  6. Svatko L.G., Nesterova L.D. Mery profilaktiki i lechenie oslozhnenii pri operatsiyakh na stremeni po povodu otoskleroza. Sbornik trudov "Patogenez, klinika i lechenie negnoinykh i gnoinykh zabolevanii ukha". Kazan' 1974; 104-113.
  7. Boyraz E., Erdoğan N., Boyraz I., Kazιkdaş C., Etit D., Uluç E. The importance of computed tomography examination of temporal bone in detecting tympanosclerosis. Kulak Burun Bogaz Ihtis Derg 2009; 19: 6: 294-298.

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