Abstract
Purpose
This study sought to assess the relationships between a morphological characteristic of the superior semicircular canal (SSC) and both the roof thickness of the glenoid fossa (GF) and bone changes of the temporomandibular joint (TMJ) on three-dimensional images.
Methods
Cone-beam computed tomography (CBCT) images of 200 individuals (105 females and 95 males; 400 temporal bone regions) were examined by two different observers. The correlations between the bone thickness overlying the SSC and the thickness of the roof of the GF with TMJ’s bone pathologies were analyzed.
Results
The superior semicircular canal dehiscence (SSCD) was significantly associated with dehiscence of the roof of the GF. The relationship between the dehiscence of the SSC and the roof thickness of the GF was found to be strongly correlated (p < 0.05). There were no statistically significant differences between the bone changes of TMJ and the presence or absence of the SSCD.
Conclusions
A correlation between the bone thickness overlying the SSC and the roof thickness of the GF was found. However, there was no relationship between the bone thickness overlying the SSC and bone changes of TMJ.
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References
Kurt H, Orhan K, Aksoy S, Kursun S, Akbulut N, Bilecenoglu B (2014) Evaluation of the superior semicircular canal morphology using cone beam computed tomography: a possible correlation for temporomandibular joint symptoms. Oral Surg Oral Med Oral Pathol Oral Radiol 117:e280–e288
Whyte J, Tejedor MT, Fraile JJ, Cisneros A, Crovetto R, Monteagudo LV et al (2016) Association between tegmen tympani status and superior semicircular canal pattern. Otol Neurotol 37:66–69
Chilvers G, McKay-Davies I (2015) Recent advances in superior semicircular canal dehiscence syndrome. J Laryngol Otol 129:217–225
Crovetto-Martínez R, Vargas C, Lecumberri I, Bilbao A, Crovetto-De la Torre M, Whyte-Orozco J (2018) Radiologic correlation between the thickness of the roof of the glenoid fossa and that of the bony covering of the superior semicircular canal. Oral Surg Oral Med Oral Pathol Oral Radiol 125:358–363
Mahulu EN, Fan X, Ding S, Jasmine Ouaye P, Mohamedi Mambo A, Machunde Mafuru M, Xu A (2019) The variation of superior semicircular canal bone thickness in relation to age and gender. Acta Otolaryngol 139:473–478
Bremke M, Luers JC, Anagiotos A et al (2015) Comparison of digital volume tomography and high-resolution computed tomography in detecting superior semicircular canal dehiscence—a temporal bone study. Acta Otolaryngol 135:901–906
Pinto OF (1962) A new structure related to the temporomandibular joint and middle ear. J Prosthet Dent 12:95–103
Toledo Filho JL, Luiz Zorzetto N, Caldas Navarro JA (1985) Structures and relationships of the temporomandibular joint. J Oral Maxillofac Surg 43:565–569
Mondina M, Bonnard D, Barreau X, Darrouzet V, Franco-Vidal V (2013) Anatomo-radiological study of the superior semicircular canal dehiscence of 37 cadaver temporal bones. Surg Radiol Anat 35:55–59
Carey JP, Minor LB, Nager GT (2000) Dehiscence or thinning of bone overlying the superior semicircular canal in a temporal bone survey. Arch Otolaryngol Head Neck Surg 126:137–147
Tavassolie TS, Penninger RT, Zuniga MG, Minor LB, Carey JP (2012) Multislice computed tomography in the diagnosis of superior canal dehiscence: how much error, and how to minimize it? Otol Neurotol 33:215–222
Masaki Y (2011) The prevalence of superior canal dehiscence syndrome as assessed by temporal bone computed tomography imaging. Int J Pediatr Otorhinolaryngol 131:258–262
Cloutier JF, Belair M, Saliba I (2008) Superior semicircular canal dehiscence: positive predictive value of high-resolution CT scanning. Eur Arch Otorhinolaryngol 265:1455–1460
Dalchow CV, Knecht R, Grzyska U, Muenscher A (2013) Radiographic examination of patients with dehiscence of semicircular canals with digital volume tomography. Eur Arch Otorhinolaryngol 270:511–519
Eibenberger K, Carey J, Ehtiati T, Trevino C, Dolberg J, Haslwanter T (2014) A novel method of 3D image analysis of high-resolution cone beam CT and multi-slice CT for the detection of semicircular canal dehiscence. Otol Neurotol 35:329–337
Cisneros AI, Whyte J, Martínez C, Obón J, Whyte A, Crovetto R, Crovetto MÁ (2013) Radiological patterns of the bony roof of the superior semicircular canal. Surg Radiol Anat 35:61–65
Minor LB, Solomon D, Zinreich JSS, Zee DS (1998) Sound-and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 124:249–258
Loke SC, Goh JP (2009) Incidence of semicircular canal dehiscence in Singapore. Br J Radiol 82:371–373
Ceylan N, Bayraktaroglu S, Alper H, Savaş R, Bilgen C, Kirazli T et al (2010) CT imaging of superior semicircular canal dehiscence: added value of reformatted images. Acta Otolaryngol 130:996–1001
Allen KP, Perez CL, Isaacson B, Roland PS, Duong TT, Kutz JW (2012) Superior semicircular canal dehiscence in patients with spontaneous cerebrospinal fluid otorrhea. Otolaryngol Head Neck Surg 147:1120–1124
Nadgir RN, Ozonoff A, Devaiah AK, Halderman AA, Sakai O (2011) Superior semicircular canal dehiscence: congenital or acquired condition? AJNR Am J Neuroradiol 32:947–949
Takahashi N, Tsunoda A, Shirakura S, Kitamura K (2012) Anatomical feature of the middle cranial fossa in fetal periods: possible etiology of superior canal dehiscence syndrome. Acta Otolaryngol 132:385–390
El Hadi T, Sorrentino T, Calmels MN, Fraysse B, Deguine O, Marx M (2012) Spontaneous tegmen defect and semicircular canal dehiscence: same etiopathogenic entity? Otol Neurotol 33:591–595
Stevens SM, Lambert PR, Rizk H, Mcilwain WR, Nguyen SA, Meyer TA (2015) Novel radiographic measurement algorithm demonstrating a link between obesity and lateral skull base attenuation. Otolaryngol Head Neck Surg 152:172–179
Fraile Rodrigo JJ, Cisneros AI, Obón J, Yus C, Crovetto R, Crovetto MA, Whyte J (2016) Ontogenetic explanation for tegmen tympani dehiscence and superior semicircular canal dehiscence association. Acta Otorrinolaringol Esp 67:226–232
Davey S, Kelly-Morland C, Phillips JS, Nunney I, Pawaroo D (2015) Assessment of superior semicircular canal thickness with advancing age. Laryngoscope 125:1940–1945
Hagiwara M, Shaikh JA, Fang Y, Fatterpekar G, Roehm PC (2012) Prevalence of radiographic semicircular canal dehiscence in very young children: an evaluation using high-resolution computed tomography of the temporal bones. Pediatr Radiol 42:1456–1464
Karimnejad K, Czerny MS, Lookabaugh S, Lee DJ, Mikulec AA (2016) Gender and laterality in semicircular canal dehiscence syndrome. J Laryngol Otol 130:712–716
Crovetto MA, Whyte J, Rodriguez OM, Lecumberri I, Martinez C, Fernandez C et al (2012) Influence of aging and menopause in the origin of the superior semicircular canal dehiscence. Otol Neurotol 33:681–684
Yu A, Teich DL, Moonis G, Wong ET (2012) Superior semicircular canal dehiscence in East Asian women with osteoporosis. BMC Ear Nose Throat Disord 12:8
Gianoli GJ (2001) Deficiency of the superior semicircular canal. Curr Opin Otolaryngol Head Neck Surg 9:336–341
Isaacson B, Vrabec JT (2007) The radiographic prevalence of geniculate ganglion dehiscence in normal and congenitally thin temporal bones. Otol Neurotol 28:107–110
Mahendran S, Sunkaraneni VS, Baguley DM, Axon PR (2007) Superior semicircular canal dehiscence with a large tegmental defect. J Laryngol Otol 121:189–191
Park JH, Kang SI, Choi HS, Lee SY, Kim JS, Koo JW (2015) Thickness of the bony otic capsule: etiopathogenetic perspectives on superior canal dehiscence syndrome. Audiol Neurootol 20:243–250
Suryanarayanan R, Lesser TH (2010) ‘‘Honeycomb’’ tegmen: multiple tegmen defects associated with superior semicircular canal dehiscence. J Laryngol Otol 124:560–563
Rizk HG, Hatch JL, Stevens SM, Lampert PR, Meyer TA (2016) Lateral skull base attenuation in superior semicircular canal dehiscence and spontaneous cerebrospinal fluid otorrhea. Otolaryngol Head Neck Surg 155:641–648
Crovetto M, Whyte J, Rodríguez OM, Lecumberri I, Martínez C, Eléxpuru J (2010) Anatomo-radiological study of the superior semicircular canal dehiscence radiological considerations of superior and posterior semicircular canals. Eur J Radiol 76:162–172
Nadaraja GS, Gurgel RK, Fischbein NJ, Anglemyer A, Monfared A, Jackler RK, Blevins NH (2012) Radiographic evaluation of the tegmen in patients with superior semicircular canal dehiscence. Otol Neurotol 33:1245–1250
Schutt CA, Neubauer P, Samy RN, Pensak ML, Kuhn JJ, Herschovitch M, Kveton JF (2015) The correlation between obesity, obstructive sleep apnea, and superior semicircular canal dehiscence: a new explanation for an increasingly common problem. Otol Neurotol 36:551–554
Cho YW, Shim BS, Kim JW, Kim TS, Ahn JH, Chung JW et al (2014) Prevalence of radiologic superior canal dehiscence in normal ears and ears with chronic otitis media. Laryngoscope 124:746–750
Honda K, Kawashima S, Kashima M, Sawada K, Shinoda K, Sugisaki M (2005) Relationship between sex, age, and the minimum thickness of the roof of the glenoid fossa in normal temporomandibular joints. Clin Anat 18:23–26
Ejima K, Schulze D, Stippig A, Matsumoto K, Rottke D, Honda K (2013) Relationship between the thickness of the roof of glenoid fossa, condyle morphology and remaining teeth in asymptomatic European patients based on cone beam CT data sets. Dentomaxillofac Radiol 42:90929410
Kai Y, Matsumoto K, Ejima K, Araki M, Yonehara Y, Honda K (2011) Evaluation of the usefulness of magnetic resonance imaging in the assessment of the thickness of the roof of the glenoid fossa of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:508–514
Kijima N, Honda K, Kuroki Y, Sakabe J, Ejima K, Nakajima I (2007) Relationship between patient characteristics, mandibular head morphology and thickness of the roof of the glenoid fossa in symptomatic temporomandibular joints. Dentomaxillofac Radiol 36:277–281
Gil C, Santos KC, Dutra ME, Kodaira SK, Oliveira JX (2012) MRI analysis of the relationship between bone changes in the temporomandibular joint and articular disc position in symptomatic patients. Dentomaxillofac Radiol 41:367–372
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The study protocol was approved by the Ethical Committee of Gazi University (2019–055). 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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Akay, G., Karataş, M.S., Karadağ, Ö. et al. Examination of the possible relation of the superior semicircular canal morphology with the roof thickness of the glenoid fossa and bone changes of the temporomandibular joint. Eur Arch Otorhinolaryngol 277, 3423–3430 (2020). https://doi.org/10.1007/s00405-020-06063-y
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DOI: https://doi.org/10.1007/s00405-020-06063-y