Hostname: page-component-5c6d5d7d68-wp2c8 Total loading time: 0 Render date: 2024-08-23T15:41:32.594Z Has data issue: false hasContentIssue false
  • English
  • Français

Radiological parameters and audiometric findings in otosclerosis: is there any relationship?

Published online by Cambridge University Press:  26 November 2021

L R L Mangia Open the ORCID record for L R L Mangia [Opens in a new window] ,
G L O Salvador ,
N T Amadeu ,
G A Marroni ,
H Coifman  and
R Hamerschmidt
L R L Mangia*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Federal University of Paraná, Curitiba, Brazil
G L O Salvador
Affiliation:
Department of Radiology, Federal University of Paraná, Curitiba, Brazil
N T Amadeu
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Federal University of Paraná, Curitiba, Brazil
G A Marroni
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Federal University of Paraná, Curitiba, Brazil
H Coifman
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Federal University of Paraná, Curitiba, Brazil
R Hamerschmidt
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Federal University of Paraná, Curitiba, Brazil
*
Author for correspondence: Dr L R L Mangia, Hospital de Clínicas da Universidade Federal do Paraná, General Carneiro St, 181, Curitiba 80060-900, Brazil E-mail: lucas.mangia@hc.ufpr.br
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

The role of high-resolution computed tomography scans in otosclerosis remains uncertain. There is a debate over the relationship between radiological and audiometric findings among patients.

Method

Pre-operative audiometry and high-resolution computed tomography findings from 40 ears with surgically confirmed otosclerosis were compared. High-resolution computed tomography scan data regarding the characteristics of the disease foci, the endosteal extension and the occurrence of internal auditory canal diverticula were obtained. The influence of each radiological variable on the simple pure tone average, the high-frequency pure tone average and the bone-conduction pure tone average were investigated.

Results

Cases with endosteal extension (p = 0.047) and a higher number of affected sites within the otic capsule had a worse bone-conduction pure tone average, although it was only significant for the latter (p = 0.006). Those without concomitant retrofenestral disease (p = 0.019) had better simple pure tone average.

Conclusion

The number of sites of involvement and concomitant retrofenestral disease seem to significantly impact audiometric findings in otosclerosis.

Keywords

OtosclerosisTomographyX-Ray ComputedDiagnostic ImagingPrognosis
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 1 , January 2023 , pp. 68 - 75
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr L R L Mangia takes responsibility for the integrity of the content of the paper

References

Lee, TC, Aviv, RI, Chen, JM, Nedzelski, JM, Fox, AJ, Symons, SP. CT Grading of otosclerosis. Am J Neuroradiol 2009;30:1435–9CrossRefGoogle ScholarPubMed
Vicente, ADO, Yamashita, HK, Luiz, P, Albernaz, M, Penido, NDO, Paulo, S. Computed tomography in the diagnosis of otosclerosis. Head Neck Surg 2006;134:685–92CrossRefGoogle ScholarPubMed
Min, J, Chung, W, Young, W, Sun, Y, Hwa, S, Jin, H et al. Otosclerosis: incidence of positive findings on temporal bone computed tomography (TBCT) and audiometric correlation in Korean patients. Auris Nasus Larynx 2010;37:23–8CrossRefGoogle ScholarPubMed
Wolfovitz, A, Luntz, M. Impact of imaging in management of otosclerosis. Otolaryngol Clin North Am 2018;51:343–55CrossRefGoogle ScholarPubMed
Silman, S, Silverman, CA. Auditory Diagnosis: Principles and Applications. San Diego: Singular Publishing Group, 1997;44–52Google Scholar
Swartz, JD, Faerber, EN, Wolfson, RJ, Marlowe, FI. Fenestral otosclerosis: significance of preoperative CT evaluation. Radiology 1984;151:703–7CrossRefGoogle ScholarPubMed
Valvassori, GE. Imaging of the otosclerosis. Otolaryngol Clin North Am 1993;26:359– 71CrossRefGoogle ScholarPubMed
Causse, J, Uriel, J, Berges, J, Shambaug, GJ, Bretlau, P, Causse, J. The enzymatic mechanism of the otospongiotic disease and NaF action on the enzymatic balance. Am J Otol 1982;3:297–314Google ScholarPubMed
Kiyomizu, K, Tono, T, Yang, D, Haruta, A, Kodama, T, Komune, S. Correlation of CT analysis and audiometry in Japanese otosclerosis. Auris Nasus Larynx 2004;31:125–9CrossRefGoogle ScholarPubMed
Karosi, T, Csomor, P, Sziklai, I. The value of HRCT in stapes fixations corresponding to hearing thresholds and histologic findings. Otol Neurotol 2012;33:1300–7CrossRefGoogle ScholarPubMed
Marx, M, Lagleyre, S, Escudé, B, Demeslay, J, Elhadi, T, Deguine, O et al. Correlations between CT scan findings and hearing thresholds in otosclerosis. Acta Otolaryngol 2011;131:351–7CrossRefGoogle ScholarPubMed
Naumann, IC, Porcellini, B, Fisch, U. Otosclerosis: incidence of positive findings on high-resolution computed tomography and their correlation to audiological test data. Ann Otol Rhinol Laryngol 2005;114:709–16CrossRefGoogle ScholarPubMed
Shin, Y, Fraysse, B, Deguine, O, Cognard, C, Charlet, J, Sévely, A. Sensorineural hearing loss and otosclerosis: a clinical and radiologic survey of 437 cases. Acta Otolaryngol 2001;121:200–4Google ScholarPubMed
Kwok, O, Nadol, J. Jr Correlation of otosclerotic foci and degenerative changes in the organ of Corti and spiral ganglion. Am J Otolaryngol 1989;10:1–12CrossRefGoogle ScholarPubMed
Parahy, C, Linthicum, FJ. Otosclerosis: relationship of spiral ligament hyalinization to sensorineural hearing loss. Laryngoscope 1983;93:717–20CrossRefGoogle ScholarPubMed
Schuknecht, H, Barber, W. Histologic variants in otosclerosis. Laryngoscope 1985;95:1307–17CrossRefGoogle ScholarPubMed
Elonka, D, Applebaum, E. Otosclerotic involvement of the cochlea: a histologic and audiologic study. Otolaryngol Head Neck Surg 1981;89:343–51CrossRefGoogle ScholarPubMed
Dudau, C, Salim, F, Jiang, D, Connor, SEJ. Diagnostic efficacy and therapeutic impact of computed tomography in the evaluation of clinically suspected otosclerosis. Eur Radiol 2017;27:1195–201CrossRefGoogle ScholarPubMed
Chole, RA, McKenna, MJ. Pathophysiology of otosclerosis. Otol Neurotol 2001;22:249–57CrossRefGoogle ScholarPubMed
Sziklai, I, Batta, TJ, Karosi, T. Otosclerosis: an organ-specific inflammatory disease with sensorineural hearing loss. Eur Arch Otorhinolaryngol 2009;266:1711–8CrossRefGoogle ScholarPubMed
Wang, F, Yoshida, T, Shimono, M, Sugimoto, S, Teranishi, M, Naganawa, S et al. Significance of internal auditory canal diverticula in ears with otosclerosis. Acta Otolaryngol 2018;138:1066–9CrossRefGoogle ScholarPubMed
Puac, P, Rodríguez, A, Lin, HC, Onofrj, V, Lin, FC, Hung, SC et al. Cavitary plaques in otospongiosis: CT findings and clinical implications. Am J Neuroradiol 2018;39:1135– 9CrossRefGoogle ScholarPubMed
Marshall, AH, Fanning, N, Symons, S, Shipp, D, Chen, JM, Nedzelski, JM. Cochlear implantation in cochlear otosclerosis. Laryngoscope 2005;115:1728–33CrossRefGoogle ScholarPubMed
Iyer, P V, Gristwood, RE. Histopathology of the stapes in otosclerosis. Pathology 1984;16:30–8CrossRefGoogle ScholarPubMed