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The evaluation of superior semicircular canal in patients with unilateral cleft lip and palate using CBCT

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Abstract

Objectives

The present study aims to evaluate the thickness and radiological patterns of the superior semicircular canal (SSC) in patients with unilateral cleft lip and palate (CL/P).

Methods

Cone beam computed tomography (CBCT) images of the patients were evaluated in axial and Pöschl planes. CBCT images of 84 patients with unilateral CL/P and 168 healthy individual controls were included in the study. Three study groups were established: the CS–CL/P group (cleft side temporal bones of the CL/P patients), NCS–CL/P (non-cleft side temporal bones of the CL/P patients) and the control group. The radiological patterns of SSCs were categorized as dehiscence, papyraceous, normal, pneumatised and thick. The minimum bone thickness of SSC was measured.

Results

It was found that the CS–CL/P group had a higher prevalence for SSCD compared to both the NCS–CL/P group and the control group. CS–CL/P group had a higher prevalence of dehiscence type and papyraceous type compared to the control group. The SSC thickness on the CS–CL/P patients was thinner than the NCS–CL/P patients and the control group sides (p = 0.033 and p < 0.001, respectively).

Conclusions

The mean thickness of SSC was found significantly lower in the CS–CL/P group compared to both the NCS–CL/P group and the control group. The elevated prevalence of dehiscence and papyraceous types in the CS–C/LP group compared to the control group implies that the presence of a cleft may be a predisposing factor for these types.

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Data availability

The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. Imbery TE, Sobin LB, Commesso E, Koester L, Tatum SA, Huang D, et al. Long-term otologic and audiometric outcomes in patients with cleft palate. Otolaryngol Head Neck Surg. 2017;157:676–82.

    Article  PubMed  Google Scholar 

  2. Kohli SS, Kohli VS. A comprehensive review of the genetic basis of cleft lip and palate. J Oral Maxillofac Pathol. 2012;16:64–72.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Rosso C, Colletti L, Foltran M, Saibene AM, Pisani A, Stefanoni E, et al. Effects of rapid maxillary expansion on hearing loss and otitis media in cleft palate children. Eur Arch Otorhinolaryngol. 2022;279:4335–43.

    Article  PubMed  Google Scholar 

  4. Donnai D, Read AP. How clinicians add to knowledge of development. Lancet. 2003;362:477–84.

    Article  PubMed  Google Scholar 

  5. Calzolari E, Pierini A, Astolfi G, Bianchi F, Neville AJ, Rivieri F. Associated anomalies in multi-malformed infants with cleft lip and palate: an epidemiologic study of nearly 6 million births in 23 EUROCAT registries. Am J Med Genet A. 2007;143:528–37.

    Article  Google Scholar 

  6. Minor LB, Solomon D, Zinreich JS, Zee DS. Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg. 1998;124:249–58.

    Article  CAS  PubMed  Google Scholar 

  7. Altun O, Duman SB, Bayrakdar IS, Yasa Y, Duman S, Günen YS. Cone beam computed tomography imaging of superior semicircular canal morphology: a retrospective comparison of cleft lip/palate patients and normal controls. Acta Odontol Scand. 2018;76:247–52.

    Article  CAS  PubMed  Google Scholar 

  8. Liang X, Jacobs R, Hassan B, Li L, Pauwels R, Corpas L, et al. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT) Part I On subjective image quality. Eur J Radiol. 2010;75:265–9.

    Article  PubMed  Google Scholar 

  9. Schnutenhaus S, Graf M, Doering I, Luthardt RG, Rudolph H. Reproducibility of CBCT image analysis: a clinical study on intrapersonal and interpersonal errors in bone structure determination. Oral Radiol. 2019;35:152–8.

    Article  PubMed  Google Scholar 

  10. Klinge A, Al-Okshi A, Becktor J, Lindh C. A rater agreement study on measurements in cross-sectional CBCT images exploring the association between alveolar bone morphology and craniofacial height. Oral Radiol. 2021;37:573–84.

    Article  PubMed  Google Scholar 

  11. Eibenberger K, Carey J, Ehtiati T, Trevino C, Dolberg J, Haslwanter T. A novel method of 3D image analysis of high-resolution cone beam CT and multi slice CT for the detection of semicircular canal dehiscence. Otol Neurotol. 2014;35:329–37.

    Article  PubMed  Google Scholar 

  12. Paknahad M, Karimnezhand Khas R, Hasani M. Comparison of Superior Semicircular Canal Bone Thickness and Patterns in Unilateral and Bilateral Cleft Patients and Normal Controls: A CBCT Study. Cleft Palate Craniofac J. 2023;45:7.

    Google Scholar 

  13. Cisneros AI, Whyte J, Martínez C, Obón J, Whyte A, Crovetto R, et al. Radiological patterns of the bony roof of the superior semicircular canal. Surg Radiol Anat. 2013;35:61–5.

    Article  PubMed  Google Scholar 

  14. Crovetto MA, Whyte J, Rodriguez O, Lecumberri I, Martinez C, Elexpuru J. Radiological study of the superior semicircular canal dehiscence. Radiological considerations of superior and posterior semicircular canals. Eur J Radiol. 2010;76:167–72.

    Article  CAS  PubMed  Google Scholar 

  15. Sequeira SM, Whiting BR, Shimony JS, Vo KD, Hullar TE. Accuracy of computed tomography detection of superior canal dehiscence. Otol Neurotol. 2011;32:1500–5.

    Article  PubMed  Google Scholar 

  16. Tavassolie TS, Penninger RT, Zuñiga MG, Minor LB, Carey JP. Multislice computed tomography in the diagnosis of superior canal dehiscence: how much error, and how to minimize it? Otol Neurotol. 2012;33:215–22.

    Article  PubMed  Google Scholar 

  17. Bremke M, Luers JC, Anagiotos A, Gostian AO, Dorn F, Kabbasch C, et al. Comparison of digital volume tomography and high-resolution computed tomography in detecting superior semicircular canal dehiscence–a temporal bone study. Acta Otolaryngol. 2015;135:901–6.

    Article  PubMed  Google Scholar 

  18. Mondina M, Bonnard D, Barreau X, Darrouzet V, Franco-Vidal V. Anatomo-radiological study of the superior semicircular canal dehiscence of 37 cadaver temporal bones. Surg Radiol Anat. 2013;35:55–9.

    Article  PubMed  Google Scholar 

  19. Cloutier JF, Bélair M, Saliba I. Superior semicircular canal dehiscence: positive predictive value of high-resolution CT scanning. Eur Arch Otorhinolaryngol. 2008;265:1455–60.

    Article  PubMed  Google Scholar 

  20. Thabet EM, Abdelkhalek A, Zaghloul H. Superior semicircular canal dehiscence syndrome as assessed by oVEMP and temporal bone computed tomography imaging. Eur Arch Otorhinolaryngol. 2012;269:1545–9.

    Article  PubMed  Google Scholar 

  21. Duman IS, Dogan SN. Contribution of reformatted multislice temporal computed tomography images in the planes of Stenvers and Pöschl to the diagnosis of superior semicircular canal dehiscence. J Comput Assist Tomogr. 2020;44:53–8.

    Article  PubMed  Google Scholar 

  22. Kurt H, Orhan K, Aksoy S, Kursun S, Akbulut N, Bilecenoglu B. Evaluation of the superior semicircular canal morphology using cone beam computed tomography: a possible correlation for temporomandibular joint symptoms. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117:e280–8.

    Article  PubMed  Google Scholar 

  23. Akay G, Karataş MS, Karadağ Ö, Üçok C, Güngör K. Examination of the possible relation of the superior semicircular canal morphology with the roof thickness of the glenoid fossa and bone changes of the temporomandibular joint. Eur Arch Otorhinolaryngol. 2020;277:3423–30.

    Article  PubMed  Google Scholar 

  24. Crovetto MA, Whyte J, Rodriguez OM, Lecumberri I, Martinez C, Fernandez C, et al. Influence of aging and menopause in the origin of the superior semicircular canal dehiscence. Otol Neurotol. 2012;33:681–4.

    Article  PubMed  Google Scholar 

  25. Nadgir RN, Ozonoff A, Devaiah AK, Halderman AA, Sakai O. Superior semicircular canal dehiscence: congenital or acquired condition? Am J Neuroradiol. 2011;32:947–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Mahulu EN, Fan X, Ding S, Jasmine Ouaye P, Mohamedi Mambo A, Machunde Mafuru M, et al. The variation of superior semicircular canal bone thickness in relation to age and gender. Acta Otolaryngol. 2019;139:473–8.

    Article  PubMed  Google Scholar 

  27. Evlice B, Çabuk DS, Duyan H. The evaluation of superior semicircular canal bone thickness and radiological patterns in relation to age and gender. Surg Radiol Anat. 2021;43:1839–44.

    Article  PubMed  Google Scholar 

  28. Carey JP, Minor LB, Nager GT. Dehiscence or thinning of bone overlying the superior semicircular canal in a temporal bone survey. Arch Otolaryngol Head Neck Surg. 2000;126:137–47.

    Article  CAS  PubMed  Google Scholar 

  29. Watters KF, Rosowski JJ, Sauter T, Lee DJ. Superior semicircular canal dehiscence presenting as postpartum vertigo. Otol Neurotol. 2006;27:756–68.

    Article  PubMed  Google Scholar 

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Funding

This research was supported by Çukurova University Scientific Research Projects Coordinatorship with project number TSA-2021–14405.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Çukurova University, Adana, Türkiye

    Hazal Duyan Yüksel & Damla Soydan Çabuk

  2. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Erciyes University, Kayseri, Türkiye

    Aykağan Coşgunarslan

Authors
  1. Hazal Duyan Yüksel
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  2. Damla Soydan Çabuk
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  3. Aykağan Coşgunarslan
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Contributions

HDY: Substantial contributions to the conception and design of the work; acquisition of data, statistical analysis and interpretation of the data; and approval of the final version of the manuscript. DSÇ: Substantial contributions to the conception and design of the work; acquisition of data, and interpretation of data; drafting the manuscript; critical revision of the manuscript for important intellectual content. AC: Substantial contributions to the conception and design of the work and interpretation of the data; and approval of the final version of the manuscript.

Corresponding author

Correspondence to Hazal Duyan Yüksel.

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Conflict of interest

The authors have no competing interests to declare that are relevant to the content of this article.

Ethics approval

The Ethical Committee of Cukurova University’s Medical School approved the study (date: 2021, meeting no: 97, decision no: 116).

Informed consent

The standard protocol at our department contains acquiring signed Informed Consent from all patients or their parents for evaluation of their CBCT records for any scientific reasons.

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Duyan Yüksel, H., Soydan Çabuk, D. & Coşgunarslan, A. The evaluation of superior semicircular canal in patients with unilateral cleft lip and palate using CBCT. Oral Radiol 40, 269–276 (2024). https://doi.org/10.1007/s11282-023-00733-3

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  • DOI: https://doi.org/10.1007/s11282-023-00733-3

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