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上半规管裂患者与正常患者之间颞骨岩部以外颞骨厚度的分析。

Analysis of temporal bone thickness outside of the petrous temporal bone between superior semicircular canal dehiscence and normal patients.

作者信息

Miao Tyler, Johanis Michael, Kaur Taranjit, Duong Courtney, De Jong Russell, Willis Shelby, Hong Michelle, Romiyo Prasanth, Hwang Leslie, McArthur David, Yang Isaac, Gopen Quinton

机构信息

Department of Head and Neck Surgery, Ronald Reagan UCLA Medical Center, Los Angeles, CA, United States.

Department of Head and Neck Surgery, Ronald Reagan UCLA Medical Center, Los Angeles, CA, United States.

出版信息

J Clin Neurosci. 2021 Feb;84:23-28. doi: 10.1016/j.jocn.2020.12.011. Epub 2020 Dec 28.

Abstract

BACKGROUND

SSCD is a rare inner ear disorder. This study aims to compare the thickness of the temporal bone beyond the petrous portion between healthy subjects and those with SSCD to determine whether the etiopathology of SSCD is localized to the petrous temporal bone or generalized to other parts of the temporal bone.

METHODS

A retrospective chart review of electronic medical records from September 2011 to February 2018 was conducted at a single-institution study at the University of California, Los Angeles. Participants were divided into two groups: Group 1 had a confirmed diagnosis of SSCD, while Group 2 had no known ear or temporal bone pathology. Participants' high-resolution coronal and axial temporal bone computed tomography scans were analyzed. Regions within the temporal bone were measured and compared between the two groups.

RESULTS

A total of 262 scans were included. Group 1 consisted of 103 scans, while Group 2 consisted of 159 scans. There was no statistically significant difference in the thickness of temporal bones between patients diagnosed with SSCD and patients without otologic disease.

CONCLUSION

The results suggest that the etiology of SSCD is limited to the petrous portion of the temporal bone. SSCD may be unrelated to a larger process of global temporal bone degeneration. Additional clinical screening for regions outside the petrous temporal bone is not warranted unless SSCD patients present with symptoms characteristic of other temporal bone pathologies.

摘要

背景

上半规管裂综合征(SSCD)是一种罕见的内耳疾病。本研究旨在比较健康受试者与SSCD患者颞骨岩部以外区域的厚度,以确定SSCD的病因是局限于颞骨岩部还是累及颞骨的其他部位。

方法

在加利福尼亚大学洛杉矶分校的一项单机构研究中,对2011年9月至2018年2月的电子病历进行回顾性图表审查。参与者分为两组:第1组确诊为SSCD,第2组无已知耳部或颞骨病变。分析参与者的颞骨高分辨率冠状位和轴位计算机断层扫描。测量并比较两组颞骨内的区域。

结果

共纳入262次扫描。第1组包括103次扫描,第2组包括159次扫描。诊断为SSCD的患者与无耳科疾病的患者在颞骨厚度上无统计学显著差异。

结论

结果表明,SSCD的病因局限于颞骨岩部。SSCD可能与颞骨整体退变的更大过程无关。除非SSCD患者出现其他颞骨病变的特征性症状,否则无需对颞骨岩部以外的区域进行额外的临床筛查。

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