The Significant Correlation Between the Density of the Cochlea Otic Capsule and Spine in Hearing Loss Patients

  • Yuyun YueniwatiEmail author
  • Rosa
Original Article


Osteoporosis and osteopenia are systemic disorders that affect all bones. Osteoporosis in the ear bone and cochlea otic capsule contribute to the occurrence of conduction and sensorineural deaf. The osteoporosis prevalence in RSSA is 38%; meanwhile hearing interference in osteoporosis patients is 66.67%. The femur and spine DXA are the golden standard to calculate the bone mineral density. The temporal bone density can be measured with CT scan using the Hounsfield Unit units. There is a hypothesis that the femur bone mass density can illustrate the temporal bone density. This study aimed to analyzes the correlation between the density of the cochlea otic capsule and the ear bone towards the femur and spine density in patients with reduction in bone density. This was a cross-sectional observational type analytic retrospective study analyzing 30 samples of patients with a reduction in bone density that have HRCT Mastoid examination results during 2017 at RSSA Malang’s osteoporosis polyclinic. From 30 samples, most were female with an age range of 51–60 years old. The average femur, spine, ear bone and cochlea otic capsule of the osteoporosis group was lower than the osteopenia group. The spine density was significantly correlated with the otic capsule density. There was a positive significant correlation between the spine density towards the otic capsule density. The lower the spine density, the lower the otic capsule became.


Cochlear otic capsule Spine HRCT Mastoid Osteopenia Osteoporosis 



This work was supported by grants from Faculty of Medicine, Universitas Brawijaya Malang, Indonesia

Compliance with Ethical Standards

Conflict of interest

The authors declare that there is no conflict of interest regarding the publication of this paper.

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.

Informed Consent

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


  1. 1.
    Babich M, Hoffineister D, Doughty A (2009) Osteoporosis and conductive hearing loss: a novel model of clinical correlation. Article Number 148Google Scholar
  2. 2.
    Bhavya M, Shashi Kumar Y, Deena Priya B, Rakesh CV, Ahmed W (2016) Audiological profile in osteoporosis. Int J Public Heal 3:25–32Google Scholar
  3. 3.
    Soesanto H (2017) Perbedaan Densitas Kapsul Otik Koklea, Densitas Tulang Pendengaran, dan Ambang Dengar Antara Penderita Osteoporosis dan Non Osteoporosis. ThesisGoogle Scholar
  4. 4.
    Drylli A (2016) How osteoporosis in postmenopausal women is related to hearing loss? Int J Adv Res 4:607–609Google Scholar
  5. 5.
    Barwick A, Tessier J, Mirow J, De Jonge XJ, Chuter V (2017) Computed tomography derived bone density measurement in the diabetic foot. J Foot Ankle Res 10:9–13CrossRefGoogle Scholar
  6. 6.
    Fatih Erkoc M, Bulut S, Imamoglu H, Cesur G, Mansur K (2013) CT Assessment of bone remodeling in the otic capsule in chronic renal failure: association with hearing loss. AJR 200:396–399CrossRefGoogle Scholar
  7. 7.
    Yeh M, Weng S, Shen Y, Chou C (2015) Increased risk of sudden sensorineural hearing loss in patients with osteoporosis: a population-based. J Clin Endocrinol Metab 100:2413–2419CrossRefGoogle Scholar
  8. 8.
    Choe HS, Lee JH, Min DK, Shin SH (2016) Comparison of vertebral and femoral bone mineral density in adult females. J Phys Ther Sci 28:1928–1931CrossRefGoogle Scholar
  9. 9.
    Setiyohadi B (2015) Anamnesis. In. Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S (eds) Buku Ajar Ilmu Penyakit Dalam. Interna Publishing, pp. 2385-2401Google Scholar
  10. 10.
    Kawiyana IK (2009) Osteoporosis patogenesis diagnosis dan penanganan. J Peny Dalam 10:157–169Google Scholar
  11. 11.
    Garg M, Kharb S (2014) Review article dual energy X-ray absorptiometry: pitfalls in measurement and interpretation of bone mineral density. Indian J Endocrinol Metab 17:203–210CrossRefGoogle Scholar
  12. 12.
    Del Rio LM, Winzenrieth R, Digregorio S (2012) Is bone microarchitecture status of the lumbar spine assessed by TBS related to femoral neck fracture? A Spanish case-control study. Osteoporos Int. Google Scholar
  13. 13.
    Looker A, Melton L, Borrud L, Shepherd J (2012) Lumbar spine bone mineral density in US adults: demographic patterns and relationship with femur neck skeletal status. Osteoporos Int 23:1351–1360CrossRefGoogle Scholar
  14. 14.
    Schneider DL, Bettencourt R, Barrett-connor E (2006) The clinical utility of spine bone density in elderly women. J Clin Densitom 9:255–260CrossRefGoogle Scholar
  15. 15.
    Salamat MR, Rostampour N, Shanehsazzadeh S, Tavakoli MB, Siavash M, Almasi T (2008) Assessment of bone mineral density with dual energy X-ray absorptiometry in pre- and post-menopausal women. J Radiat Res 6(2):103–107Google Scholar
  16. 16.
    Tenne M, McGuigan F, Besjakov J, Gerdhem P, Akesson K (2013) Degenerative changes at the lumbar spine-implications for bone mineral density measurement in elderly women. Osteoporos Int 24(4):1419–1428CrossRefGoogle Scholar
  17. 17.
    Eiber A, Huber A, Sim JH, Roosli C, Chatzimichalis M (2012) Characterization of stapes anatomy: investigation of human and guinea pig. J Assoc Res Otolaryngol 14:159–173Google Scholar
  18. 18.
    Shubhpreet S, Chaudhary P, Arora N (2016) Histological and histopathological study of incus. J Clin Diagn Res 10(8):1–3Google Scholar
  19. 19.
    Sim JH, Puria S (2008) Soft tissue morphometry of the malleus—incus complex from micro-CT imaging. J Assoc Res Otolaryngol 21:5–21CrossRefGoogle Scholar
  20. 20.
    Yueniwati Y, Halim N (2017) Diagnostic test value of assessment adenoid enlargement with and without airway obstruction using lateral soft tissues X-ray compared to nasoendoscopy. Indian J Otolaryngol Head Neck Surg. Google Scholar

Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.Radiology Department, Faculty of MedicineUniversitas BrawijayaMalangIndonesia

Personalised recommendations