The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Garov E.V.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Zelikovich E.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Kurilenkov G.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Moseykina L.A.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Zelenkova V.N.

Research Clinical Institute of Otorinolaryngology named after. L.I. Sverzhevsky

Mishchenko V.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Omarova M.M.

Russian Medical Academy of Postgraduate Education

A case of obliteration of a round window in otosclerosis

Authors:

Garov E.V., Kryukov A.I., Zelikovich E.I., Kurilenkov G.V., Moseykina L.A., Zelenkova V.N., Mishchenko V.V., Omarova M.M.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2021;86(5): 75‑81

DOI: 10.17116/otorino20218605175

Read: 3516 times

Download PDF (RU)
Contact the author
Table of contents

A CASE OF OBLITERATION OF A ROUND WINDOW IN OTOSCLEROSIS
A CASE OF OBLITERATION OF A ROUND WINDOW IN OTOSCLEROSIS

To cite this article:

Garov EV, Kryukov AI, Zelikovich EI, et al. . A case of obliteration of a round window in otosclerosis. Russian Bulletin of Otorhinolaryngology. 2021;86(5):75‑81. (In Russ.)
https://doi.org/10.17116/otorino20218605175

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Abstract:

The article presents a brief review of the literature on the anatomy and physiology of the round window (RW) niche, the causes of occlusion, the diagnosis of this pathology, the features of auditory disorders and tactics when it is detected in patients with otosclerosis (OS). A clinical case of diagnosis and effective surgical treatment for obliteration of RW in a patient with advanced OS, which occurred in 2019 in 0.7% of cases, is described. Removal of RW niche obliteration was carried out with a curette and microcresis by smoothing the canopy over RW until partial visualization of the secondary membrane. It was this stage of the operation that made it possible to restore the normal hydrodynamics of the inner ear fluids and contributed to a functional result. Thus, the diagnosis of RW obliteration in patients with OS is difficult, but possible when using computed tomography of the temporal bones and assessing the mobility of the RW membrane or analyzing changes in hearing at the end of the operation, if it is performed under local anesthesia. The simultaneous performance of stapedoplasty and the removal of bone obliteration of RW makes it possible to safely achieve functional rehabilitation in patients with OS.

Keywords:

otosclerosis
round window niche
stapedoplasty
inner ear

Authors:

Garov E.V.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Zelikovich E.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Kurilenkov G.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Moseykina L.A.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Zelenkova V.N.

Research Clinical Institute of Otorinolaryngology named after. L.I. Sverzhevsky

Mishchenko V.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Omarova M.M.

Russian Medical Academy of Postgraduate Education

Received:

25.11.2020

Accepted:

08.07.2021

Close metadata

References:

  1. Békésy G. The mechanical properties of the ear. In: Experimental Psychology. M.: Izdatel’stvo inostrannoj literatury; 1963. (In Russ.).
  2. Kosyagina EB. Individual variability of the snail window and its niche. Vestnik otorinolaringologii. 1969;4:84-88. (In Russ).
  3. Werner C. Das Gehororgan der Wirbeltiere und des Menschen. Leipsig; 1960.
  4. Omulecki M. Okienko okragle. Otolaryngologia Polska. 1963;2:179-187. 
  5. Paparella MM, Oda M, Hiraide F, Brady D. Pathology of sensorineural hearing loss in otitis media. The Annals of Otology, Rhinology, and Laryngology. 1972;81(5):632-647.  https://doi.org/10.1177/000348947208100503
  6. Veillon F, Riehm S, Emachescu B, Haba D, Roedlich MN, Greget M, Tongio J. Imaging of the windows of the temporal bone. Seminars in Ultrasound, CT, and MR. 2001;22(3):271-280.  https://doi.org/10.1016/s0887-2171(01)90011-3
  7. Fujita T, Shin JE, Cunnane M, Fujita K, Henein S, Psaltis D, Stankovic KM. Surgical Anatomy of the Human Round Window Region: Implication for Cochlear Endoscopy Through the External Auditory Canal. Otology and Neurotology. 2016;37(8):1189-1194. https://doi.org/10.1097/MAO.0000000000001074
  8. Li PM, Wang H, Northrop C, Merchant SN, Nadol JB Jr. Anatomy of the round window and hook region of the cochlea with implications for cochlear implantation and other endocochlear surgical procedures. Otology and Neurotology. 2007;28(5):641-648.  https://doi.org/10.1097/mao.0b013e3180577949
  9. Mansour S, Nicolas K, Ahmad HH. Round window otosclerosis: radiologic classification and clinical correlations. Otology and Neurotology. 2011;32(3):384-392.  https://doi.org/10.1097/MAO.0b013e3182096e80
  10. Proctor B. Surgical anatomy of the ear and temporal bone. New York: Thieme Medical; 1989.
  11. Atturo F, Barbara M, Rask-Andersen H. Is the human round window really round? An anatomic study with surgical implications. Otology and Neurotology. 2014;35(8):1354-1360. https://doi.org/10.1097/MAO.0000000000000332
  12. Canzi P, Avato I, Manfrin M, Simoncelli AM, Magnetto M, Rebecchi E, Tinelli C, Neri M, Beltrame MA, Benazzo M. Anatomic variations of the round window niche: radiological study and related endoscopic anatomy. Surgical and Radiologic Anatomy: SRA. 2019;41(7):853-857.  https://doi.org/10.1007/s00276-019-02225-8
  13. Goycoolea MV. Clinical aspects of round window membrane permeability under normal and pathological conditions. Acta Oto-Laryngologica. 2001;121(4):437-447.  https://doi.org/10.1080/000164801300366552
  14. Kobrak GG. Srednee ukho. M.: Medgiz; 1963. (In Russ.).
  15. Clifford A, Gibson W. Anatomy of the round window with respect to cochlear implant surgery. Annals of Otology, Rhinology, and Laryngology. 1984;96:17-19. 
  16. Franz BK, Clark GM, Bloom DM. Surgical anatomy of the round window with special reference to cochlear implantation. The Journal of Laryngology and Otology. 1987;101(2):97-102.  https://doi.org/10.1017/s0022215100101343
  17. Kosyagina EB. Variants of shapes, sizes and weights of human stapes. Vestnik otorinolaringologii. 1966;3:22-32. (In Russ.).
  18. Mansour S, Magnan J, Haidar H, Nicolas K, Louryan S. Comprehensive and Clinical Anatomy of the Middle Ear. Berlin Heidelberg: Springer-Verlag; 2013.
  19. Yakushkin EA. Anatomicheskie i mekhanicheskie aspekty stroeniya barabannoj polosti primenitel’no k slukhouluchshayushchim operatsiyam pri otoskleroze: diss. ... dokt. med. nauk. Smolensk; 1971. (In Russ.).
  20. Carpenter AM, Muchow D, Goycoolea MV. Ultrastructural studies of the human round window membrane. Archives of Otolaryngology. 1989;115(5):585-590.  https://doi.org/10.1001/archotol.1989.01860290043012
  21. Goycoolea M, Lundman L. Round window membrane: structure function and permeability — a review. Microscopy Research and Technique. 1997;36(3):201-211. https://doi.org/10.1002/(SICI)1097-0029(19970201)36:3<201::AID-JEMT8>3.0.CO;2-R "> 3.0.CO;2-R" target="_blank">https://doi.org/10.1002/(SICI)1097-0029(19970201)36:3<201::AID-JEMT8>3.0.CO;2-R
  22. Sahni RS, Paparella MM, Schachern PA, Goycoolea MV, Le CT. Thickness of the human round window membrane in different forms of otitis media. Archives of Otolaryngology — Head and Neck Surgery. 1987;113(6):630-634.  https://doi.org/10.1001/archotol.1987.01860060056015
  23. Plontke SK, Wood AW, Salt AN. Analysis of gentamicin kinetics in fluids of the inner ear with round window administration. Otology and Neurotology. 2002;23(6):967-974.  https://doi.org/10.1097/00129492-200211000-00026
  24. Merchant S, Rosowski J. Conductive hearing loss caused by third-window lesions of the inner ear. Otology and Neurotology. 2008;29(3):282-289.  https://doi.org/10.1097/mao.0b013e318161ab24
  25. Igarashi M, Ohashi K, Ishii M. Morphometric comparison of endolymphatic and perilymphatic space in human temporal bones. Acta Oto-Laryngologica. 1986;101(3-4):161-164.  https://doi.org/10.3109/00016488609132823
  26. Stenfelt S, Goode R. Bone-conducted sound: physiological and clinical aspects. Otology and Neurotology. 2005;26(6):1245-1261. https://doi.org/10.1097/01.mao.0000187236.10842.d5
  27. Fedorova OV. Travmy vnutrennego i srednego ukha (diagnostika i lechenie): diss. ... kand. med. nauk. M. 1999. (In Russ.).
  28. Kryukov AI, Kunelskaya NL, Garov EV, Zelikovich EI, Fedorova OV, Krasnikova DI. Vestnik otorinolaringologii. 2012;5:8-13. (In Russ.).
  29. Al Felasi M, Pierre G, Mondain M, Uziel A, Venail F. Perilymphatic fistula of the round window. European Annals of Otorhinolaryngology, Head and Neck Diseases. 2011;128(3):139-141.  https://doi.org/10.1016/j.anorl.2010.12.004
  30. Curtin HD. Imaging of Conductive Hearing Loss With a Normal Tympanic Membrane. AJR. American Journal of Roentgenology. 2016;206(1):49-56.  https://doi.org/10.2214/AJR.15.15060
  31. Linder TE, Ma F, Huber A. Round window atresia and its effect on sound transmission. Otology and Neurotology. 2003;24(2):259-263.  https://doi.org/10.1097/00129492-200303000-00021
  32. Borrmann A, Arnold W. Non-syndromal round window atresia: an autosomal dominant genetic disorder with variable penetrance? European Archives of Oto-Rhino-Laryngology. 2007;264(9):1103-1108. https://doi.org/10.1007/s00405-007-0305-1
  33. Alkadhi H, Rissmann D, Kollias SS. Osteogenesis imperfecta of the temporal bone: CT and MR imaging in Van der Hoeve-de Kleyn syndrome. American Journal of Neuroradiology. 2004;25(6): 1106-1109.
  34. Ogungbemi A, Dudau C, Morley S, Beale T. Computed tomography features of luetic osteitis (otosyphilis) of the temporal bone. The Journal of Laryngology and Otology. 2014;128(2):185-188.  https://doi.org/10.1017/S0022215113003575
  35. Andreu-Arasa VC, Sung EK, Fujita A, Saito N, Sakai O. Otosclerosis and Dysplasias of the Temporal Bone. Neuroimaging Clinics of North America. 2019;29(1):29-47.  https://doi.org/10.1016/j.nic.2018.09.004
  36. Kaya S, Paparella MM, Cureoglu S. Pathologic Findings of the Cochlea in Labyrinthitis Ossificans Associated with the Round Window Membrane. Otolaryngology — Head and Neck Surgery. 2016;155(4):635-640.  https://doi.org/10.1177/0194599816651245
  37. Kuhn MA, Friedmann DR, Winata LS, Eubig J, Pramanik BK, Kveton J, Kohan D, Merchant SN, Lalwani AK. Large jugular bulb abnormalities involving the middle ear. Otology and Neurotology. 2012;33(7):1201-1206. https://doi.org/10.1097/MAO.0b013e31825d97fa
  38. Noguchi Y, Takahashi M, Momiyama N, Sugimoto T, Kitamura K. Intralabyrinthine schwannoma extending into the round window niche and internal auditory canal. Nihon Jibiinkoka Gakkai Kaiho. 2012;115(7):687-692. (In Japanese). https://doi.org/10.3950/jibiinkoka.115.687
  39. Carlson ML, Sweeney AD, Pelosi S, Wanna GB, Glasscock ME 3rd, Haynes DS. Glomus tympanicum: a review of 115 cases over 4 decades. Otolaryngology — Head and Neck Surgery. 2015; 152(1):136-142.  https://doi.org/10.1177/0194599814555849
  40. Roland PS, Wright CG, Isaacson B. Cochlear implant electrode insertion: the round window revisited. The Laryngoscope. 2007;117(8):1397-1402. https://doi.org/10.1097/MLG.0b013e318064e891
  41. Benson JC, Diehn F, Passe T, Guerin J, Silvera VM, Carlson ML, Lane J. The Forgotten Second Window: A Pictorial Review of Round Window Pathologies. American Journal of Neuroradiology. 2020;41(2):192-199.  https://doi.org/10.3174/ajnr.A6356
  42. Vicente Ade O, Yamashita HK, Albernaz PL, Penido Nde O. Computed tomography in the diagnosis of otosclerosis. Otolaryngology — Head and Neck Surgery. 2006;134(4):685-692.  https://doi.org/10.1016/j.otohns.2005.11.030
  43. Whetstone J, Nguyen A, Nguyen-Huynh A, Hamilton BE. Surgical and clinical confirmation of temporal bone CT findings in patients with otosclerosis with failed stapes surgery. American Journal of Neuroradiology. 2014;35(6):1195-1201. https://doi.org/10.3174/ajnr.A3829
  44. Gredilla Molinero J, Mancheño Losa M, Santamaría Guinea N, Arévalo Galeano N, Grande Bárez M. Update on the imaging diagnosis of otosclerosis. Radiologia. 2016;58(4):246-256.  https://doi.org/10.1016/j.rx.2016.04.008
  45. Kryukov AI, Kunelskaya NL, Garov EV, Zelikovich EI, Sidorina NG, Zagorskaya EE, Fedorova OV, Zelenkova VN, Kurilenkov GV, Kiselyus VE. Modern diagnostics of patients with otosclerosis. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2019;25(2):29-43. (In Russ.). https://doi.org/10.33848/foliorl23103825-2019-25-2-29-43
  46. Bloch SL, Sørensen MS. The spatial distribution of otosclerosis: a quantitative study using design-based stereology. Acta Oto-Laryngologica. 2010;130(5):532-539.  https://doi.org/10.3109/00016480903317465
  47. Lagleyre S, Sorrentino T, Calmels MN, Shin YJ, Escudé B, Deguine O, Fraysse B. Reliability of high-resolution CT scan in diagnosis of otosclerosis. Otology and Neurotology. 2009;30(8):1152-1159. https://doi.org/10.1097/MAO.0b013e3181c2a084
  48. Meranger A, David A, Beigner BM, Charpiot A, Tavernier L. Audiometric Results of Stapedotomy Surgery for Otoscelorsis: Influence of the Radiological Stage. Otology and Neurotology. 2019;40(2):75-81.  https://doi.org/10.1097/MAO.0000000000002109
  49. Bae YJ, Shim YJ, Choi BS, Kim JH, Koo JW, Song JJ. “Third Window” and “Single Window” Effects Impede Surgical Success: Analysis of Retrofenestral Otosclerosis Involving the Internal Auditory Canal or Round Window. Journal of Clinical Medicine. 2019;8(8):1182. https://doi.org/10.3390/jcm8081182
  50. Sato T, Morita N, Cureoglu S, Terao K, Joglekar SS, Deroee AF, Ishikawa K, Paparella MM. Cochlear otosclerosis adjacent to round window and oval window: a histopathological temporal bone study. Otology and Neurotology. 2010;31(4):574-579.  https://doi.org/10.1097/MAO.0b013e3181d8d73b
  51. Preobrazhensky NA, Patyakina OK. Stapedektomiya i stapedoplastika pri otoskleroze. M.: Meditsina; 1973. (In Russ.).
  52. Gulya A, Minor L, Poe D. Glasscock-Shambaugh Surgery of the Ear. People’s Medical Publishing House-USA; 2010.
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.