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Feasibility of CBCT in Diagnosing Otosclerosis by Measuring CBCT Bone Density: A Preliminary Study

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The aim of this study was to measure cone beam computed tomography (CBCT) derived bone density of 6 anatomic points around the otic capsule in preoperative assessment of patients with clinically suspected otosclerosis, and to compare these densities with control group. CBCT images of 21 patients (34 ears, the otosclerosis group) with surgically confirmed otosclerosis and 26 patients (52 normal ears, the control group) were evaluated in this prospective study. Six regions of interest (ROI) were set manually around the otic capsule with the slice thickness of 0.3 mm. The mean CBCT bone density these regions were measured and compared in the case and control groups. In the case group, the mean CBCT bone density at the fissula ante fenestram (FAF) was significantly lower than the control group. Moreover, at the 4 points of the other ROIs (3–6) CBCT bone densities were significantly lower in the case group compared to the control group (p < 0.01). In this group, among 13 bilateral otosclerosis, 22 ears had conductive hearing loss (CHL), 4 ears had mixed hearing loss (MHL) and among 8 unilateral otosclerosis, 5 ears had CHL, 3 ears had MHL. Our study showed the mean CBCT bone density of ROIs 1 and 6 were correlated with the average air–bone gap in the bilateral and unilateral otosclerosis group, respectively. Quantitative evaluation of CBCT with a slice thickness of 0.3 mm can be used as a suitable tool for diagnosis and follow-up of otosclerosis in temporal bone.

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References

  1. Liktor B, Révész P, Csomor P, Gerlinger I, Sziklai I, Karosi T (2014) Diagnostic value of cone-beam CT in histologically confirmed otosclerosis. Eur Arch Otorhinolaryngol 271(8):2131–2138

    Article  Google Scholar 

  2. Lagleyre S, Sorrentino T, Calmels M-N, Shin Y-J, Escudé B, Deguine O et al (2009) Reliability of high-resolution CT scan in diagnosis of otosclerosis. Otol Neurotol 30(8):1152–1159

    Article  Google Scholar 

  3. Emmett SD, Seshamani M, Otolaryngology in the Elderly. in: Flint PW, Haughey BH, Robbins KT, Thomas JR, Niparko JK, Lund VJ, et al, editors. Cummings Otolaryngology-Head and Neck Surgery. 6th ed. Kennedy Blvd. Philadelphia: Elsevier Health Sciences; 2015. p. 231–38.

  4. Gros A, Vatovec J, Šereg-Bahar M (2003) Histologic changes on stapedial footplate in otosclerosis: correlations between histologic activity and clinical findings. Otol Neurotol 24(1):43–47

    Article  Google Scholar 

  5. Grayeli AB, Yrieix CS, Imauchi Y, Cyna-Gorse F, Ferrary E, Sterkers O (2004) Temporal bone density measurements using CT in otosclerosis. Acta Otolaryngol 124(10):1136–1140

    Article  Google Scholar 

  6. Min J-Y, Chung W-H, Lee WY, Cho YS, Hong SH, Kim HJ et al (2010) Otosclerosis: incidence of positive findings on temporal bone computed tomography (TBCT) and audiometric correlation in Korean patients. Auris Nasus Larynx 37(1):23–28

    Article  Google Scholar 

  7. Révész P, Liktor B, Liktor B, Sziklai I, Gerlinger I, Karosi T (2016) Comparative analysis of preoperative diagnostic values of HRCT and CBCT in patients with histologically diagnosed otosclerotic stapes footplates. Eur Arch Otorhinolaryngol 273(1):63–72

    Article  Google Scholar 

  8. Zhu M-m, Sha Y, Zhuang P-y, Olszewski AE, Jiang J-q, Xu J-h et al (2010) Relationship between high-resolution computed tomography densitometry and audiometry in otosclerosis. Auris Nasus Larynx 37(6):669–675

    Article  Google Scholar 

  9. Redfors YD, Gröndahl HG, Hellgren J, Lindfors N, Nilsson I, Möller C (2012) Otosclerosis: anatomy and pathology in the temporal bone assessed by multi-slice and cone-beam CT. Otol Neurotol 33(6):922–927

    Article  Google Scholar 

  10. Mafee M, Henrikson G, Deitch R, Norouzi P, Kumar A, Kriz R et al (1985) Use of CT in stapedial otosclerosis. Radiology 156(3):709–714

    Article  CAS  Google Scholar 

  11. Adibi S, Paknahad M (2017) Comparison of cone-beam computed tomography and osteometric examination in preoperative assessment of the proximity of the mandibular canal to the apices of the teeth. Br J Oral Maxillofac Surg 55(3):246–250

    Article  Google Scholar 

  12. Paknahad M, Shahidi S, Zarei Z (2017) Sexual Dimorphism of Maxillary Sinus Dimensions Using Cone-Beam Computed Tomography. J Forensic Sci 62(2):395–398

    Article  Google Scholar 

  13. Paknahad M, Shahidi S, Khaleghi I (2017) A cone beam computed tomographic evaluation of the size of the sella turcica in patients with cleft lip and palate. J Orthod 44(3):164–168

    Article  Google Scholar 

  14. Paknahad M, Shahidi S, Abbaszade H (2016) Correlation between condylar position and different sagittal skeletal facial typesZusammenhang zwischen Kondylenposition und sagittalen skelettalen Strukturmustern im Gesicht. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie 77(5):350–356

    Article  Google Scholar 

  15. Mah P, Reeves TE, McDavid WD (2010) Deriving Hounsfield units using grey levels in cone beam computed tomography. Dentomaxillofac Radiol 39:323–335

    Article  CAS  Google Scholar 

  16. Parsa A, Ibrahim N, Hassan B, Motroni A, van der Stelt WD (2012) Reliability of voxel values in computed tomography for preoperative implant planning assessment. Int J Oral Maxillofacial Implants. 27:1438–1442

    Google Scholar 

  17. Nomura Y, Watanabe H, Honda E, Kurabayashi T (2010) Reliability of voxel values from cone-beam computed tomography for dental use in evaluating bone mineral density. Clin Oral Implant Res 21(5):558–562

    Article  Google Scholar 

  18. Cassetta M, Stefanelli L, Di Carlo S, Pompa G, Barbato E (2012) The accuracy of CBCT in measuring jaws bone density. Eur Rev Med Pharmacol Sci 16(10):1425–1429

    CAS  PubMed  Google Scholar 

  19. Haghanifar S, Yousefi S, Moudi E, Abesi F, Bijani A, Moghadamnia AA et al (2017) Accuracy of densitometry of two cone beam computed tomography equipment in comparison with computed tomography. Electron phys 9(5):4384

    Article  Google Scholar 

  20. Soardi CM, Zaffe D, Motroni A, Wang HL (2014) Quantitative comparison of cone beam computed tomography and microradiography in the evaluation of bone density after maxillary sinus augmentation: a preliminary study. Clin Implant Dent Relat Res 16(4):557–564

    Article  Google Scholar 

  21. Cassetta M, Stefanelli LV, Pacifici A, Pacifici L, Barbato E (2014) How Accurate Is CBCT in Measuring Bone Density? A Comparative CBCT-CT In Vitro Study. Clin Implant Dent Relat Res 16(4):471–478

    Article  Google Scholar 

  22. Schuknecht HF, Barber W (1985) Histologic variants in otosclerosis. Laryngoscope 95(11):1307–1317

    Article  CAS  Google Scholar 

  23. Tringali S, Pouget J-F, Bertholon P, Dubreuil C, Martin C (2007) Value of temporal bone density measurements in otosclerosis patients with normal-appearing computed tomographic scan. Annals of Otol Rhinol Laryngol 116(3):195–198

    Article  Google Scholar 

  24. Naumann IC, Porcellini B, Fisch U (2005) Otosclerosis: incidence of positive findings on high-resolution computed tomography and their correlation to audiological test data. Annals Otol, Rhinol Laryngol 114(9):709–716

    Article  Google Scholar 

  25. Kiyomizu K, Tono T, Yang D, Haruta A, Kodama T, Komune S (2004) Correlation of CT analysis and audiometry in Japanese otosclerosis. Auris Nasus Larynx 31(2):125–129

    Article  Google Scholar 

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Authors and Affiliations

  1. Otolaryngology Department, Tehran University of Medical Sciences, Tehran, Iran

    Yalda Izadparast

  2. Biomaterials Research Center, Oral and Maxillofacial Radiology Department, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran

    Shoaleh Shahidi

  3. Oral and Dental Disease Research Center, Oral and Maxillofacial Radiology Department, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran

    Maryam Paknahad

  4. Oral and Maxillofacial Radiology Department, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran

    Anis Moradi

Authors
  1. Yalda Izadparast
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  2. Shoaleh Shahidi
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  3. Maryam Paknahad
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  4. Anis Moradi
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Correspondence to Maryam Paknahad.

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Izadparast, Y., Shahidi, S., Paknahad, M. et al. Feasibility of CBCT in Diagnosing Otosclerosis by Measuring CBCT Bone Density: A Preliminary Study. Indian J Otolaryngol Head Neck Surg 74, 322–328 (2022). https://doi.org/10.1007/s12070-021-02502-2

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  • DOI: https://doi.org/10.1007/s12070-021-02502-2

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