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Evaluation of the relationship of chronic otitis media with the Körner's septum, auditory tube angle, and tubotympanic angle

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Abstract

Purpose

This study aimed to evaluate the relationships between chronic otitis media (COM) and the characteristics of Auditory tube (Eustachian) angle (ATa), tubotympanic angle (TTa), and Körner's septum (KS).

Methods

A retrospective research was conducted between January 2019 and October 2019. The computed tomography (CT) results and medical files of 210 patients were evaluated. According to CT results and medical files, the patients were evaluated regarding the presence of COM, KS, ATa, and TTa.

Results

There were 113 (53.81%) males and 97 (46.19%) females in the study group, and the mean age of the patients was 42.05 ± 10.77 years. The frequency of the KS was significantly higher in patients who were diagnosed with COM (35.66% vs. 7.41%, p < 0.001). The patients diagnosed with COM were found to have a narrower ATa and a wider TTa than the patients who were not diagnosed with COM. ATa was narrower and TTa was wider in patients with KS. The presence of KS and higher TTa value were considered as risk factors for COM (p < 0.001, p < 0.001, respectively)

Conclusion

 Our findings indicate that ATa was narrower, TTa was wider and KS was more frequent in patients with COM. Analysis of risk factors demonstrated that increased TTa and the presence of KS were associated with increased risk for COM.

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References

  1. Acuin J (2004) Chronic suppurative otitis media: Burden of illness and management options. In: World Health Organization, Child and Adolescent Health and Development Prevention of Blindness and Deafness. Available via http://www.who.int/pbd/publications/Chronicsuppurativeotitis_media.pdf. Accessed June 27, 2020.

  2. Aksoy S, Sayin I, Yazici Z, Kayhan F, Karahasanoglu A, Hocaoglu E, Inci E (2016) The evaluation of the angles of Eustachian tubes in the patients with chronic otitis media on the temporal computerized tomography. Niger J Clin Pract 19:318–322. https://doi.org/10.4103/1119-3077.179274

    Article  CAS  PubMed  Google Scholar 

  3. Anderson K, Henneberg M, Norris R (2008) Anatomy of the nasal profile. J Anat 213:210–216. https://doi.org/10.1111/j.1469-7580.2008.00924.x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Bhutta MF, Thornton RB, Kirkham LS, Kerschner JE, Cheeseman MT (2017) Understanding the aetiology and resolution of chronic otitis media from animal and human studies. Dis Model Mech 10:1289–1300. https://doi.org/10.1242/dmm.029983

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Cheatle AH (1907) Some Points in the Surgical Anatomy of the Temporal Bone from Birth to Adult Life. F.R.C.S., Aural Surgeon to King’s College Hospital and to King Edward VII’s Hospital for Officers. London: J. and A. Churchill, 1907. J Laryngol Otol 22:419–420. https://doi.org/10.1017/S1755146300179661

    Article  Google Scholar 

  6. De Salles AA, Gorgulho AA (2010) 7.0 Tesla MRI Brain Atlas: In vivo atlas with cryomacrotome correlation. Springer, Berlin

    Google Scholar 

  7. Dinç AE, Damar M, Uğur MB, Öz II, Eliçora SŞ, Bişkin S, Tutar H (2015) Do the angle and length of the eustachian tube influence the development of chronic otitis media? Laryngoscope 125:2187–2192. https://doi.org/10.1002/lary.25231

    Article  PubMed  Google Scholar 

  8. Göksu N, Kemaloglu Y, Köybasioglu A, Ileri F, Özbilen S, Akyildiz N (1997) Clinical importance of the Korner’s septum. Am J Otol 18:304–306

    PubMed  Google Scholar 

  9. Ikeda R, Kikuchi T, Oshima H, Miyazaki H, Hidaka H, Kawase T, Katori Y, Kobayashi T (2017) Computed tomography findings of the bony portion of the Eustachian tube with or without patulous Eustachian tube patients. Eur Arch Otorhinolaryngol 274:781–786. https://doi.org/10.1007/s00405-016-4383-9

    Article  PubMed  Google Scholar 

  10. Ishijima K, Sando I, Suzuki C, Balaban C, Takasaki K (2000) Length of the eustachian tube and its postnatal development: computer-aided three-dimensional reconstruction and measurement study. Ann Otol Rhinol Laryngol 109:542–548. https://doi.org/10.1177/000348940010900603

    Article  CAS  PubMed  Google Scholar 

  11. Körner O (1927) Das Septum Petro-squamosum (Mastoidum) und seine Klinische Bedeutung. Zeitschrift fur Hals-Nasen-und Ohrenheikunde pp 137–140. https://ci.nii.ac.jp/naid/10006825058/en/

  12. Kretschmann H-J (1988) Localisation of the corticospinal fibres in the internal capsule in man. J Anat 160:219–225

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Masita S, Zahara D, Aboet A (2018) Comparison between the angle of Eustachian tube in patients with chronic suppurative otitis media and normal ears based on computed tomography scan of temporal bones in Haji Adam Malik general hospital Medan. IOP Conf Ser Earth Environ Sci 125:012228. https://doi.org/10.1088/1755-1315/125/1/012228

    Article  Google Scholar 

  14. Nasution RA, Zahara D, Aboet A (2017) The differentiation of the angles of eustachian tubes in the patient chronic suppurative otitis media with and without cholesteatoma. Med J Indones 2:73–78. https://doi.org/10.4103/1119-3077.179274

    Article  Google Scholar 

  15. Nemade SV, Shinde KJ, Rangankar VP, Bhole P (2018) Evaluation and significance of Eustachian tube angles and pretympanic diameter in HRCT temporal bone of patients with chronic otitis media. World J Otorhinolaryngol Head Neck Surg 4:240–245. https://doi.org/10.1016/j.wjorl.2017.12.012

    Article  PubMed  PubMed Central  Google Scholar 

  16. Özer E, Bayazıt Y, Kara C, Mumbuç S, Kanlıkama M, Gümüşburun E (2004) Körner’s septum (petrosquamosal lamina) and chronic ear disease. Surg Radiol Anat 26:118–121. https://doi.org/10.1007/s00276-003-0186

    Article  PubMed  Google Scholar 

  17. Przewoźny TT, Kosiński A, Markiet K, Sierszeń W, Kuczkowski J, Kuryłowicz J, Skorek A (2020) Körner’s septum (petrosquamosal lamina): the anatomical variant or clinical problem? Folia Morphol (Warsz) 79:205–210. https://doi.org/10.5603/FM.a2019.0079

    Article  Google Scholar 

  18. Rosenfeld RM (2003) Evidence based otitis media. PMPH, USA

    Google Scholar 

  19. Sando I, Takahashi H, Matsune S (1991) Update on functional anatomy and pathology of human eustachian tube related to otitis media with effusion. Otolaryngol Clin North Am 24:795–811

    Article  CAS  Google Scholar 

  20. Schilder AG, Chonmaitree T, Cripps AW, Rosenfeld RM, Casselbrant ML, Haggard MP, Venekamp RP (2016) Otitis media. Nat Rev Dis Primers 2:16063. https://doi.org/10.1038/nrdp.2016.63

    Article  PubMed  PubMed Central  Google Scholar 

  21. Shulman A, Rock EH (1972) Korner’s (Petrosquamous) septum in otology: report of five cases. Arch Otolaryngol 96:124–129. https://doi.org/10.1001/archotol.1972.00770090198006

    Article  CAS  PubMed  Google Scholar 

  22. Sofuoğlu F (2016) The Influence of the Eustachian Tube Length and Angle in Development of Chronic Otitis Media. In: Selcuk University Faculty of Medicine archive. Available via http://acikerisimarsiv.selcuk.edu.tr:8080/xmlui/bitstream/handle/123456789/6077/447169.pdf?sequence=1&isAllowed=y. Accessed on June 27 2020

  23. Sudo M, Sando I, Suzuki C (1998) Three-dimensional reconstruction and measurement study of human eustachian tube structures: a hypothesis of eustachian tube function. Ann Otol Rhinol Laryngol 107:547–554. https://doi.org/10.1177/000348949810700701

    Article  CAS  PubMed  Google Scholar 

  24. Takasaki K, Takahashi H, Miyamoto I, Yoshida H, Yamamoto-Fukuda T, Enatsu K, Kumagami H (2007) Measurement of angle and length of the eustachian tube on computed tomography using the multiplanar reconstruction technique. Laryngoscope 117:1251–1254. https://doi.org/10.1097/MLG.0b013e318058a09f

    Article  PubMed  Google Scholar 

  25. Toros SZ, Karaca ÇT, Habeşoğlu TE, Noşeri H, Ertugay ÇK, Naiboğlu B, Egeli E (2010) Is there a relation between mastoid aeration and Körner’s septum? Eur Arch Otorhinolaryngol 267:1523–1526. https://doi.org/10.1007/s00405-010-1277-0

    Article  PubMed  Google Scholar 

  26. Tos M (1979) Pathology of the ossicular chain in various chronic middle ear diseases. J Laryngol Otol 93:769–780. https://doi.org/10.1017/s0022215100087703

    Article  CAS  PubMed  Google Scholar 

  27. Virapongse C, Kirchner JC, Sasaki C, Shapiro M (1986) Computed tomography of Körner’s septum and petrosquamosal suture. Arch Otolaryngol Head Neck Surg 112:81–87. https://doi.org/10.1001/archotol.1986.03780010083016

    Article  CAS  PubMed  Google Scholar 

  28. Wojciechowski T, Skadorwa T, Drożdż A, Ciszek B, Szopiński K (2019) The radioanatomical assessment of the Körner’s septum. Surg Radiol Anat 41:669–673. https://doi.org/10.1007/s00276-018-2149-3

    Article  PubMed  Google Scholar 

  29. Yang J, Wang YQ, Sun JQ, Sun JW (2019) Anatomy and function of the Eustachian tube influence the development of chronic suppurative otitis media. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 33:1121–1124

    CAS  PubMed  Google Scholar 

  30. Yücetürk AV, Ünlü HH, Filiz Ü, Yildiz T, Okumuş M (1996) Evaluation of the eustachian tube function with an objective method in patients with chronic otitis media and comparisons with normal subjects. ENT-HNS J 4:114–118

    Google Scholar 

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Authors and Affiliations

  1. Ankara Yıldırım Beyazıt University Yenimahalle Government Hospital, Ankara, Turkey

    Elif Elibol

  2. Istanbul Kartal Lütfi Kirdar Government Hospital, Istanbul, Turkey

    Hacer Baran

Authors
  1. Elif Elibol
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  2. Hacer Baran
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Contributions

EE: Project development, Protocol development, Data Collection, Manuscript writing. HB: Data Collection, Data analysis.

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Correspondence to Elif Elibol.

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Ethical approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of University of Ankara Yıldırım Beyazıt (2019/No 114).

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Elibol, E., Baran, H. Evaluation of the relationship of chronic otitis media with the Körner's septum, auditory tube angle, and tubotympanic angle. Surg Radiol Anat 43, 1179–1186 (2021). https://doi.org/10.1007/s00276-020-02653-x

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  • DOI: https://doi.org/10.1007/s00276-020-02653-x

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