Özdemir Meltem, Kavak Rasime Pelin
University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Radiology, Ankara, Turkey.
J Otol. 2019 Dec;14(4):136-140. doi: 10.1016/j.joto.2019.05.004. Epub 2019 Jun 8.
The aim of the current study was to establish a normative data set for the morphometric parameters of the facial nevre (FN) and cochlear nevre (CN) according to age and sex in the adult population, using 3-dimensional constructive interference in steady state (3D-CISS) sequence on magnetic resonance imaging.
We retrospectively analyzed 157 ears of 102 adults with no hearing impairment, facial palsy or Ménière's disease. The vertical (VD) and horizontal (HD) diameters as well as cross-sectional areas (CSAs) of the FNs and CNs were measured on the parasagittal oblique image created using the axial 3D-CISS sections passing through the internal acoustic canal. We related the measurement results with side, sex and age.
The mean VD, HD and CSA of the FNs were 1.09 ± 0.18 mm, 0.84 ± 0.17 mm, and 0.75 ± 0.27 mm, respectively, whereas those of the CNs were 1.34 ± 0.17 mm, 1 ± 0.15 mm and 1.06 ± 0.3 mm, respectively. There was no statistically significant difference between the morphometric parameters of both the nerves according to side or sex (P > 0.05). However, except for the CSA of the FNs among males, we found a statistically significant decrease in all the morphometric parameters of both the nerves with ageing (P < 0.05).
The normative morphometric data obtained in this study can be beneficial in clinical applications for sensorineural hearing loss, facial palsy and Ménière's disease.
本研究的目的是利用磁共振成像的三维稳态构成干扰(3D-CISS)序列,建立成人群体中面神经(FN)和蜗神经(CN)形态学参数按年龄和性别的正常数据集。
我们回顾性分析了102名无听力障碍、面瘫或梅尼埃病的成年人的157只耳朵。在使用穿过内耳道的轴向3D-CISS切片创建的矢状斜位图像上测量FN和CN的垂直直径(VD)、水平直径(HD)以及横截面积(CSA)。我们将测量结果与患侧、性别和年龄相关联。
FN的平均VD、HD和CSA分别为1.09±0.18mm、0.84±0.17mm和0.75±0.27mm,而CN的平均VD、HD和CSA分别为1.34±0.17mm、1±0.15mm和1.06±0.3mm。根据患侧或性别,两条神经的形态学参数之间无统计学显著差异(P>0.05)。然而,除男性FN的CSA外,我们发现两条神经的所有形态学参数均随年龄增长而有统计学显著下降(P<0.05)。
本研究获得的正常形态学数据可能有助于感音神经性听力损失、面瘫和梅尼埃病的临床应用。