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Malformations of the lateral semicircular canal correlated with data from the audiogram

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objectives

Lateral semicircular canal (LSCC) malformations  are one of the most common inner ear malformations. The purpose of this study is to analyze the prevalence and type of hearing losses associated with LSCC malformations, compared to a control group.

Materials and methods

We retrospectively included 109 patients (166 ears) presenting with a CT-confirmed LSCC malformation, compared to a control group (24 patients). The bony island surface and the width of the inner portion of the LSCC were measured to confirm the malformation. There results were correlated to audiogram data: sensorineural (SHNL), mixed (MHL) or conductive hearing loss (CHL) by an otologist.

Results

In the LSCC group, 60.9% of patients presented with an audiogram-confirmed hearing loss, especially SNHL (39.2%, n = 65) and MHL (12.7%, n = 21). Hearing was normal in 39.2% (n = 65) of the cases. Bilateral LSCC malformations (n = 57) were frequently associated with hearing loss (80.7%), SNHL in most of the cases (33.3%). Unilateral LSCC malformations were associated with hearing alterations (51.9%, n = 27), but we also observed a high rate (81%, n = 42) of contralateral abnormalities of the audiogram.

Conclusion

LSCC malformations are commonly associated with hearing loss (61%), especially SHNL (39%). The high rate (81%) of contralateral hearing disturbances in unilateral LSCC malformations should be taken into account in the patient’s daily life to avoid triggering or exacerbating any hearing loss. Otologists and radiologists must cooperate to ensure that all malformations are correctly described on CT, especially to improve the patient’s education regarding hearing preservation.

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Authors and Affiliations

  1. Service de Radiologie 1, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 avenue Molière, 67098, Strasbourg CEDEX, France

    Aina Venkatasamy, Daphné Le Foll & Francis Veillon

  2. Service de chirurgie ORL, Hôpitaux Universitaires de Strasbourg, 1 avenue Molière, Strasbourg CEDEX, 67098, France

    Carine Eyermann, Hella Vuong, Dominique Rohmer & Anne Charpiot

  3. Université de Strasbourg, INSERM IRFAC UMR_S1113, Laboratory Stress Response and Innovative Therapy “Streinth”, Strasbourg, 67200, France

    Aina Venkatasamy

Authors
  1. Aina Venkatasamy
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  2. Daphné Le Foll
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  3. Carine Eyermann
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  4. Hella Vuong
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  5. Dominique Rohmer
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  6. Anne Charpiot
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  7. Francis Veillon
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Correspondence to Aina Venkatasamy.

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The authors have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all participants included in the study.

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Venkatasamy, A., Foll, D.L., Eyermann, C. et al. Malformations of the lateral semicircular canal correlated with data from the audiogram. Eur Arch Otorhinolaryngol 276, 1029–1034 (2019). https://doi.org/10.1007/s00405-019-05294-y

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  • DOI: https://doi.org/10.1007/s00405-019-05294-y

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