Wysocki J, Skarzyñski H
Department of Human Anatomy, University Medical School Academy of Warsaw, Poland.
Surg Radiol Anat. 1998;20(4):267-71. doi: 10.1007/BF01628488.
A sound knowledge of the topographic anatomy of the cochlea, especially of the distances between it and the adjacent structures, is essential for otosurgery in general, and in surgical procedures for cochlear implantation in particular. One hundred temporal bones of humans aged from one month to 71 years, of either sex, taken from both body sides (but not bilaterally) were studied by dissection under the operating microscope and exposing the cochlea and its neighbourhood. The minimal distances were measured between the cochlear turns and the internal carotid artery, the bulb of the jugular vein, the facial nerve and the floor of the internal acoustic meatus. It was found that in children aged up to 4 years most of the measured distances were significantly smaller than in older individuals. Only the minimal distance between the basal turn of the cochlea and the floor of the internal acoustic meatus was shorter in small children without statistical significance.
全面了解耳蜗的局部解剖结构，尤其是其与相邻结构之间的距离，对于一般的耳外科手术，特别是耳蜗植入手术而言至关重要。选取了100具来自不同性别、年龄从1个月至71岁的人类颞骨（取自身体两侧，但非双侧），在手术显微镜下进行解剖，暴露耳蜗及其周围区域。测量了耳蜗各圈与颈内动脉、颈静脉球、面神经以及内耳道底之间的最小距离。结果发现，4岁及以下儿童的大多数测量距离明显小于年龄较大者。仅耳蜗底圈与内耳道底之间的最小距离在幼儿中较短，但无统计学意义。
