Koento Trimartani, Sari Anita Amalia, Reksodiputro Mirta Hediyati, Priyono Harim, Zizlavsky Semiramis, Yunus Reyhan Eddy, Prihartono Joedo, Yosia Mikhael
Fakultas Kedokteran Universitas Indonesia, Departemen Ilmu Kesehatan Telinga Hidung Tenggorok - Bedah Kepala Leher, Jakarta, Indonesia.
Fakultas Kedokteran Universitas Indonesia, Departemen Ilmu Kesehatan Telinga Hidung Tenggorok - Bedah Kepala Leher, Jakarta, Indonesia.
Braz J Otorhinolaryngol. 2025 Jan-Feb;91(1):101501. doi: 10.1016/j.bjorl.2024.101501. Epub 2024 Sep 4.
The aim of this study is to evaluate mastoid volume and dimensions in patients with unilateral microtia using High-Resolution Computed Tomography (HRCT) to enhance the precision of reconstructive surgical planning.
A retrospective analysis of HRCT mastoid scans from patients with unilateral microtia was carried out at Cipto Mangunkusumo General Hospital between May 2020 and August 2022. Parameters such as mastoid volume, height, and surface area were measured at the ear canal, Superior Semicircular Canal (SCC), and lateral SCC levels.
The analysis revealed statistically significant decreases in median mastoid air cell volume and mastoid bone volume in the affected ears compared to contralateral ears (p = 0.0312 and p = 0.02, respectively). Additionally, decreased mastoid height and surface areas at the ear canal and superior SCC levels were identified in affected ears (p < 0.05).
Patients with unilateral microtia have diminished mastoid bone volumetric parameters and dimensions on the affected side. These findings offer critical data for surgeons in preoperative planning, enabling the selection of appropriate reconstructive techniques and providing comprehensive patient counselling.
Level 4.
本研究旨在利用高分辨率计算机断层扫描(HRCT)评估单侧小耳畸形患者的乳突体积和尺寸,以提高重建手术规划的精确性。
于2020年5月至2022年8月期间在西托·曼古库苏莫综合医院对单侧小耳畸形患者的HRCT乳突扫描进行回顾性分析。在耳道、上半规管(SCC)和外侧SCC水平测量乳突体积、高度和表面积等参数。
分析显示,与对侧耳朵相比,患侧耳朵的乳突气房体积中位数和乳突骨体积有统计学意义的下降(分别为p = 0.0312和p = 0.02)。此外,在患侧耳朵中发现耳道和上半规管水平的乳突高度和表面积降低(p < 0.05)。
单侧小耳畸形患者患侧的乳突骨体积参数和尺寸减小。这些发现为外科医生进行术前规划提供了关键数据,有助于选择合适的重建技术并为患者提供全面的咨询。
4级。