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Posterior Semicircular Canal Dehiscence: A Histopathologic Human Temporal Bone Study.

06:00 EDT 27th July 2010 | BioPortfolio

Summary of "Posterior Semicircular Canal Dehiscence: A Histopathologic Human Temporal Bone Study."


BACKGROUND:
: Posterior semicircular canal dehiscence has been shown to cause ear symptoms.
OBJECTIVE:
: To evaluate the incidence of dehiscence of the posterior semicircular canal, thin bone overlying the posterior semicircular canal, and the normal development of the distance between the posterior semicircular canal and posterior cranial fossa.
METHODS:
: The shortest distance between the posterior semicircular canal and posterior cranial fossa was measured in 1,051 adult human temporal bones (557 cases), and temporal bones with a distance less than 0.1 mm were evaluated. The shortest distance also was measured in 4 fetal temporal bones (2 cases) and 110 temporal bones from children.
RESULTS:
: Of the 1,051 temporal bones, 23 temporal bones (2.2%) had a distance less than 0.1 mm between the posterior semicircular canal and posterior cranial fossa. Two temporal bones (0.2%) had posterior semicircular canal dehiscence, and 2 temporal bones had microfractures in the thin bone; however, related clinical symptoms were not confirmed. In children, the distance between the posterior semicircular canal and the posterior cranial fossa increased with age (rho = 0.68, p < 0.01).
CONCLUSION:
: The histopathologic incidence of posterior semicircular canal dehiscence was lower than the previous radiographic reports. The dehiscence of the posterior semicircular canal may be due to a developmental anomaly. In our study, none of the cases with a distance less than 0.1 mm had apparent symptoms related to canal dehiscence syndrome. Other factors, in addition to thinning of the bone, may be required to cause the clinical manifestations.

Affiliation

*Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota, U.S.A.; daggerDepartment of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan; double

Journal Details

This article was published in the following journal.

Name: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Aca
ISSN: 1537-4505
Pages:

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Medical and Biotech [MESH] Definitions

The compartment containing the anterior extremities and half the inferior surface of the temporal lobes (TEMPORAL LOBE) of the cerebral hemispheres. Lying posterior and inferior to the anterior cranial fossa (CRANIAL FOSSA, ANTERIOR), it is formed by part of the TEMPORAL BONE and SPHENOID BONE. It is separated from the posterior cranial fossa (CRANIAL FOSSA, POSTERIOR) by crests formed by the superior borders of the petrous parts of the temporal bones.

The infratentorial compartment that contains the CEREBELLUM and BRAIN STEM. It is formed by the posterior third of the superior surface of the body of the sphenoid (SPHENOID BONE), by the occipital, the petrous, and mastoid portions of the TEMPORAL BONE, and the posterior inferior angle of the PARIETAL BONE.

A small bony canal linking the vestibule of the inner ear to the posterior part of the internal surface of the petrous TEMPORAL BONE. It transmits the endolymphatic duct and two small blood vessels.

Three long canals (anterior, posterior, and lateral) of the bony labyrinth. They are set at right angles to each other and are situated posterosuperior to the vestibule of the bony labyrinth (VESTIBULAR LABYRINTH). The semicircular canals have five openings into the vestibule with one shared by the anterior and the posterior canals. Within the canals are the SEMICIRCULAR DUCTS.

The posterior part of the temporal bone. It is a projection of the petrous bone.

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