Morphometric evaluation of middle ear anatomical structures using full volume (12 × 9) CBCT scans: A retrospective study in Navi Mumbai

Introduction: The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent research emphasizes the use of CBCT for the anatomic study of the temporal bone. The information about middle ear anatomy on CBCT scans is m...

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Published inNational journal of maxillofacial surgery Vol. 15; no. 3; pp. 489 - 493
Main Authors Verma, Simran N., Patil, Bhakti S., Das, Deepa A.
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer - Medknow 01.09.2024
Medknow Publications and Media Pvt. Ltd
Edition2
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ISSN0975-5950
2229-3418
DOI10.4103/njms.njms_10_23

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Abstract Introduction: The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent research emphasizes the use of CBCT for the anatomic study of the temporal bone. The information about middle ear anatomy on CBCT scans is meager; hence, this retrospective study was conducted to identify and determine the various morphometrical parameters of the malleus using CBCT which can be helpful during reconstructive procedures for the otologic surgeon. Materials and Methods: The retrospective study was performed on 200 subjects (101 M and 99 F) in the Department of Oral and Maxillofacial Radiology. CBCT images of 200 subjects were studied in all planes to identify ossicular chain and the malleus to investigate the morphometric parameters in Indian Subjects. Result: The average of morphometric parameters shows that the mean length of the malleus is 7.2 mm, the mean width of the head of the malleus is 3.02 mm, length of superior semicircular canal is 4.90 mm, and length of external auditory canal is 19.15 mm in Navi Mumbai population. Conclusion: The obtained morphometric data of the malleus through our study will help the prosthesis maker in the formation of various implants and grafts required to treat various ear diseases.
AbstractList The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent research emphasizes the use of CBCT for the anatomic study of the temporal bone. The information about middle ear anatomy on CBCT scans is meager; hence, this retrospective study was conducted to identify and determine the various morphometrical parameters of the malleus using CBCT which can be helpful during reconstructive procedures for the otologic surgeon. The retrospective study was performed on 200 subjects (101 M and 99 F) in the Department of Oral and Maxillofacial Radiology. CBCT images of 200 subjects were studied in all planes to identify ossicular chain and the malleus to investigate the morphometric parameters in Indian Subjects. The average of morphometric parameters shows that the mean length of the malleus is 7.2 mm, the mean width of the head of the malleus is 3.02 mm, length of superior semicircular canal is 4.90 mm, and length of external auditory canal is 19.15 mm in Navi Mumbai population. The obtained morphometric data of the malleus through our study will help the prosthesis maker in the formation of various implants and grafts required to treat various ear diseases.
Introduction: The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent research emphasizes the use of CBCT for the anatomic study of the temporal bone. The information about middle ear anatomy on CBCT scans is meager; hence, this retrospective study was conducted to identify and determine the various morphometrical parameters of the malleus using CBCT which can be helpful during reconstructive procedures for the otologic surgeon. Materials and Methods: The retrospective study was performed on 200 subjects (101 M and 99 F) in the Department of Oral and Maxillofacial Radiology. CBCT images of 200 subjects were studied in all planes to identify ossicular chain and the malleus to investigate the morphometric parameters in Indian Subjects. Result: The average of morphometric parameters shows that the mean length of the malleus is 7.2 mm, the mean width of the head of the malleus is 3.02 mm, length of superior semicircular canal is 4.90 mm, and length of external auditory canal is 19.15 mm in Navi Mumbai population. Conclusion: The obtained morphometric data of the malleus through our study will help the prosthesis maker in the formation of various implants and grafts required to treat various ear diseases. Keywords: Anatomy ear, cone-beam-computed tomography, ear ossicles, malleus, stapes, superior semicircular canal
The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent research emphasizes the use of CBCT for the anatomic study of the temporal bone. The information about middle ear anatomy on CBCT scans is meager; hence, this retrospective study was conducted to identify and determine the various morphometrical parameters of the malleus using CBCT which can be helpful during reconstructive procedures for the otologic surgeon.IntroductionThe tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent research emphasizes the use of CBCT for the anatomic study of the temporal bone. The information about middle ear anatomy on CBCT scans is meager; hence, this retrospective study was conducted to identify and determine the various morphometrical parameters of the malleus using CBCT which can be helpful during reconstructive procedures for the otologic surgeon.The retrospective study was performed on 200 subjects (101 M and 99 F) in the Department of Oral and Maxillofacial Radiology. CBCT images of 200 subjects were studied in all planes to identify ossicular chain and the malleus to investigate the morphometric parameters in Indian Subjects.Materials and MethodsThe retrospective study was performed on 200 subjects (101 M and 99 F) in the Department of Oral and Maxillofacial Radiology. CBCT images of 200 subjects were studied in all planes to identify ossicular chain and the malleus to investigate the morphometric parameters in Indian Subjects.The average of morphometric parameters shows that the mean length of the malleus is 7.2 mm, the mean width of the head of the malleus is 3.02 mm, length of superior semicircular canal is 4.90 mm, and length of external auditory canal is 19.15 mm in Navi Mumbai population.ResultThe average of morphometric parameters shows that the mean length of the malleus is 7.2 mm, the mean width of the head of the malleus is 3.02 mm, length of superior semicircular canal is 4.90 mm, and length of external auditory canal is 19.15 mm in Navi Mumbai population.The obtained morphometric data of the malleus through our study will help the prosthesis maker in the formation of various implants and grafts required to treat various ear diseases.ConclusionThe obtained morphometric data of the malleus through our study will help the prosthesis maker in the formation of various implants and grafts required to treat various ear diseases.
Introduction: The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent research emphasizes the use of CBCT for the anatomic study of the temporal bone. The information about middle ear anatomy on CBCT scans is meager; hence, this retrospective study was conducted to identify and determine the various morphometrical parameters of the malleus using CBCT which can be helpful during reconstructive procedures for the otologic surgeon. Materials and Methods: The retrospective study was performed on 200 subjects (101 M and 99 F) in the Department of Oral and Maxillofacial Radiology. CBCT images of 200 subjects were studied in all planes to identify ossicular chain and the malleus to investigate the morphometric parameters in Indian Subjects. Result: The average of morphometric parameters shows that the mean length of the malleus is 7.2 mm, the mean width of the head of the malleus is 3.02 mm, length of superior semicircular canal is 4.90 mm, and length of external auditory canal is 19.15 mm in Navi Mumbai population. Conclusion: The obtained morphometric data of the malleus through our study will help the prosthesis maker in the formation of various implants and grafts required to treat various ear diseases.
The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent research emphasizes the use of CBCT for the anatomic study of the temporal bone. The information about middle ear anatomy on CBCT scans is meager; hence, this retrospective study was conducted to identify and determine the various morphometrical parameters of the malleus using CBCT which can be helpful during reconstructive procedures for the otologic surgeon. The retrospective study was performed on 200 subjects (101 M and 99 F) in the Department of Oral and Maxillofacial Radiology. CBCT images of 200 subjects were studied in all planes to identify ossicular chain and the malleus to investigate the morphometric parameters in Indian Subjects. The average of morphometric parameters shows that the mean length of the malleus is 7.2 mm, the mean width of the head of the malleus is 3.02 mm, length of superior semicircular canal is 4.90 mm, and length of external auditory canal is 19.15 mm in Navi Mumbai population. The obtained morphometric data of the malleus through our study will help the prosthesis maker in the formation of various implants and grafts required to treat various ear diseases.
Audience Academic
Author Patil, Bhakti S.
Verma, Simran N.
Das, Deepa A.
AuthorAffiliation Department of Oral Medicine and Maxillofacial Radiology, Dr. G. D. Pol Foundations YMT Dental College and Hospital, Navi Mumbai, Maharashtra, India
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Cites_doi 10.1007/s00405-016-4345-2
10.1007/s00405-005-0995-1
10.1080/02841850601080465
10.1055/s-0038-1661360
10.1136/bcr-2021-245752
10.1007/BF02991177
10.4103/jasi.jasi_67_21
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Keywords superior semicircular canal
ear ossicles
Anatomy ear
stapes
cone-beam-computed tomography
malleus
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References Harneja (R9-20241118) 1973; 25
Vedpathak (R2-20241118) 2020; 9
Gupta (R5-20241118) 2004; 25
Juliano (R1-20241118) 2013; 269
Zahara (R11-20241118) 2019; 23
Joshi (R13-20241118) 2021; 14
Christian (R3-20241118) 2017; 274
Mudhol (R8-20241118) 2022; 71
Gaillard (R14-20241118)
Peltonen (R4-20241118) 2016; 48
Dalchow (R6-20241118) 2006; 263
Mogra (R7-20241118) 2014; 2
References_xml – volume: 274
  start-page: 737
  year: 2017
  ident: R3-20241118
  article-title: Visualization of anatomy in normal and pathologic middle ears by cone beam CT
  publication-title: Eur Arch Otorhinolaryngol
  doi: 10.1007/s00405-016-4345-2
– volume: 2
  start-page: 186
  year: 2014
  ident: R7-20241118
  article-title: Morphological and morphometrical variations of malleus in human cadavers
  publication-title: Int J Healthc Biomed Res
– ident: R14-20241118
  article-title: Cholesteatoma
  publication-title: Reference article, Radiopaedia.org
– volume: 9
  start-page: 1132
  year: 2020
  ident: R2-20241118
  article-title: Morphometric study of malleus by computerised tomography
  publication-title: Int J Sci Res
– volume: 263
  start-page: 92
  year: 2006
  ident: R6-20241118
  article-title: Value of digital volume tomography in patients with conductive hearing loss
  publication-title: Eur Arch Otorhinolaryngol
  doi: 10.1007/s00405-005-0995-1
– volume: 48
  start-page: 207
  year: 2016
  ident: R4-20241118
  article-title: Limited cone beam computed tomography imaging of the middle ear: A comparison with multislice helical computed tomography
  publication-title: Acta Radiologica
  doi: 10.1080/02841850601080465
– volume: 23
  start-page: 184
  year: 2019
  ident: R11-20241118
  article-title: Variations in cochlear size of cochlear implant candidates
  publication-title: Int Arch Otorhinolaryngol
  doi: 10.1055/s-0038-1661360
– volume: 14
  start-page: e245752
  year: 2021
  ident: R13-20241118
  article-title: ‘Headless Mermaid’: A helpful normal appearance to evaluate medial wall of middle ear on coronal high resolution CT scan of temporal bone
  publication-title: BMJ Case Reports CP
  doi: 10.1136/bcr-2021-245752
– volume: 269
  start-page: 17
  year: 2013
  ident: R1-20241118
  article-title: Imaging review of the temporal bone: Part I
  publication-title: Anatomy and inflammatory and neoplastic processes Radiology
– volume: 25
  start-page: 1417
  year: 2004
  ident: R5-20241118
  article-title: Experimental flat-panel high-spatial-resolution volume CT of the temporal bone
  publication-title: AJNR Am J Neuroradiol
– volume: 25
  start-page: 154
  year: 1973
  ident: R9-20241118
  article-title: A study of the human ear ossicles
  publication-title: Indian J Otolaryngol
  doi: 10.1007/BF02991177
– volume: 71
  start-page: 88
  year: 2022
  ident: R8-20241118
  article-title: Morphological and anthropometrical features of human ear ossicles: A 1-year cadaveric observational study
  publication-title: J Anat Soc India
  doi: 10.4103/jasi.jasi_67_21
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Snippet Introduction: The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent...
The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent research...
Introduction: The tympanic cavity contains three tiny bones, the malleus, incus, and stapes, which have a fundamental role in the transmission of sound. Recent...
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SubjectTerms CT imaging
Diagnostic imaging
Implants, Artificial
Original
Original Article
Prosthesis
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Title Morphometric evaluation of middle ear anatomical structures using full volume (12 × 9) CBCT scans: A retrospective study in Navi Mumbai
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