A study on modelling cochlear duct mid-scalar length based on high-resolution computed tomography, and its effect on peri-modiolar and mid-scalar implant selection

OBJECTIVE: To determine cochlear duct mid-scalar length in normal cochleae and its role in selecting the correct peri-modiolar and mid-scalar implant length.

METHODS: The study included 40 patients with chronic otitis media who underwent high-resolution computed tomography of the temporal bone. The length and height of the basal turn, mid-modiolar height of the cochlea, mid-scalar and lateral wall length of the cochlear duct, and the 'X' line (the largest distance from mid-point of the round window to the mid-scalar point of the cochlear canal) were measured.

RESULTS: Cochlear duct lateral wall length (28.88 mm) was higher than cochlear duct mid-scalar length (20.08 mm) (p < 0.001). The simple linear regression equation for estimating complete cochlear duct length was: cochlear duct length = 0.2 + 2.85 × X line.

CONCLUSION: Using the mid-scalar point as the reference point (rather than the lateral wall) for measuring cochlear duct mid-scalar length, when deciding on the length of mid-scalar or peri-modiolar electrode, increases measurement accuracy. Mean cochlear duct mid-scalar length was compatible with peri-modiolar and mid-scalar implant lengths. The measurement method described herein may be useful for pre-operative peri-modiolar or mid-scalar implant selection.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:133

Enthalten in:

The Journal of laryngology and otology - 133(2019), 9 vom: 19. Sept., Seite 764-769

Sprache:

Englisch

Beteiligte Personen:

Pamuk, G [VerfasserIn]
Pamuk, A E [VerfasserIn]
Akgöz, A [VerfasserIn]
Öztürk, E [VerfasserIn]
Bajin, M D [VerfasserIn]
Sennaroğlu, L [VerfasserIn]

Links:

Volltext

Themen:

Cochlear Duct
Cochlear Implantation
Electrodes, Implanted
Journal Article
Radiographic Image Interpretation, Computer-Assisted
Tomography, Spiral Computed

Anmerkungen:

Date Revised 16.09.2021

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1017/S0022215119001671

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM300330103