Abstract
Digital volume tomography (DVT) is an extension of panoramic tomography. With this diagnostic technique, characterized by high resolution, a narrow section width (0.125 mm), and three-dimensional display, small pathological processes can be well visualized. We examined 434 patients with DVT (Accu-I-tomo, Morita, Japan). Eleven patients with a history of peripheral vertigo presented a fistula of the labyrinth. The results were compared with intraoperative findings to evaluate the diagnostic value of DVT in cases of erosion of the semicircular canals. With high resolution and artifact-free demonstration of the labyrinth and inner ear structures, it was possible to determine the presence of a fistula of the semicircular canals in all 11 patients. An erosion of the lateral semicircular canal was found in nine patients with additional fistulae of the superior and posterior semicircular canals in one patient, a dehiscence of bone of the superior semicircular canal in one patient, and a dehiscence of the posterior semicircular canal in another patient. The predicted erosion of semicircular canals was verified in all patients during surgery where a closure of the fistulae was performed. DVT is an excellent technique to examine the semicircular canal structures in patients with peripheral vertigo, and expand the application of diagnostic possibilities in the lateral skull base. With this method, the preoperative diagnosis is improved allowing more accurate planning of the surgical procedure. DVT delivers a small radiation dose with a high resolution and a low purchase price for the equipment.
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References
Swartz JD, Harnsberger HR (1998) Imaging of the temporal bone, 3rd edn. Thieme, New York
Zinreich SJ, Mattox DE, Kennedy DW, Johns ME, Price JC, Holliday MJ, Quinn CB, Kashima HK (1988) 3-D CT for cranial facial and laryngeal surgery. Laryngoscope 98:1212–1219
Reisser C, Schubert O, Weidauer H (1995) Die dreidimensionale darstellung von felsenbeinstrukturen mittels spiral-CT. Erste Ergebnisse bei normaler Felsenbeinanatomie. HNO 43:596–600
Himi T, Sakata M, Shintani T, Mitsuzawa H, Kamagata M, Satoh J, Sugimoto H (2000) Middle ear imaging using virtual endoscopy and its application in patients with ossicular chain anomaly. ORL J Otorhinolaryngol Relat Spec 62:316–320
Swartz JD, Berger AS, Zwillenberg S, Popky GL (1987) Ossicular erosions in the dry ear: CT diagnosis. Radiology 163:763–765
Lemmerling M, Dhooge I, Mollet P, Mortier G, Van Cauwenberge P, Kunnen M (1998) CT of the temporal bone in the CHARGE association. Neuroradiology 40:462–465
Valavanis A, Schubiger O, Stuckmann G, Antonucci F (1986) CT-diagnostik traumatischer läsionen des felsenbeines. Radiologe 26:85–90
Zimmerman RA, Bilaniuk LT, Hackney DB, Goldberg HI, Grossmann RI (1987) Magnetic resonance imaging in temporal bone fracture. Neuroradiology 29:246–251
O’Donoghue GM, Bates GJ, Anslow P, Rothera MP (1987) The predictive value of high resolution computerized tomography in chronic suppurative ear disease. Clin Otolaryngol 12:89–96
Swartz JD, Wolfson RJ, Marlowe FI, Popky GL (1985) Postinflammatory ossicular fixation: CT analysis with surgical correlation. Radiology 154:697–700
Jakse K, Jakse R (2002) Diagnose und therapie bei stapesfrakturen und –luxationen. Laryngorhinootologie 81:87–92
Fuse T, Aoyagi M, Koike Y, Sugai Y (1992) Diagnosis of the ossicular chain in the middle ear by high-resolution CT. ORL J Otorhinolaryngol Relat Spec 54:251–254
Fuhrmann A, Schulze D, Rother U, Vesper M (2003) Digital transversal slice imaging in dental-maxillofacial radiology: from pantomography to digital volume tomography. Int J Comput Dent 6:129–140
Ziegler CM, Woertche R, Brief J, Hassfeld S (2002) Clinical indications for digital volume tomography in oral and maxillofacial surgery. Dentomaxillofac Radiology 31:126–130
Yoshinori A, Kazuya H, Kazuo I, Koji S (2001) Practical model ‘‘3DX’’ of limited cone-beam X-ray CT for dental use. Int Congr Ser 1230:712–718
Hermans R, Feenstra L, Marchal G, Al Baert (1995) Three-dimensional CT-imaging of the ossicular chain. Clin Otolaryngol 20:475–478
Manolidis S, Williamson B, Chan LL, Taber KH, Hayman LA (2003) Use of reconstructed, non-orthogonal plane, high-resolution computed tomography of the temporal bone in the planning of temporal bone surgery. ORL J Otorhinolaryngol Relat Spec 65:71–75
Sorensen MS, Dobrzeniecki AB, Larsen P, Frisch T, Sporring J, Darvann TA (2002) The visible ear: a digital image library of the temporal bone. ORL J Otorhinolaryngol Relat Spec 64:378–381
Kalender WA, Polacin A, Suss C (1994) A comparison of conventional and spiral CT: an experimental study on the detection of spherical lesions. J Comp Assist Tomogr 18:167–176
Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K (1999) Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol 28:245–248
Arai Y, Hasimoto K, Iwai K, Shinoda K (2000) Fundamental efficiency of limited cone-beam X-ray CT (3DX multi image micro CT) for practical use. Jpn Dent Radiol 40:145–154
Iwai K, Arai Y, Hashimoto K, Nishizawa K (2001) Estimation of effective dose from limited cone beam X-ray CT examination. Jpn Dent Radiol 40:251–259
Valavanis A, Kubik S, Schubiger O (1983) High-resolution CT of the normal and abnormal fallopian canal. AM J Neuroradiol 4:748–751
Copeland BJ, Buchman CA (2003) Management of labyrinthine fistulae in chronic ear surgery. Am J Otolaryngol 24:51–60
O’Reilly BJ, Chevretton EB, Wylie I, Thakkar C, Butler P, Sathanathan N, Morrison GA, Kenyon GS (1991) The value of CT scanning in chronic suppurative otitis media. J Laryngol Otol 105:990–994
Bates GJEM, O’Donoghue GM, Anslow P, Houlding T (1988) Can C.T. detect labyrinthine fistulae pre-operatively? Acta Otolaryngol 106:40–45
Minor LB, Carey JP, Cremer PD, Lustig LR, Streubel SO (2003) Dehiscence of bone overlying the superior canal as a cause of apparent conductive hearing loss. Otol Neurotol 24:270–278
Zhang T, Wang Z, Chi F, Li S (2005) The clinical investigation of labyrinthine fistula associated with chronic otitis media. Lin Chuang Er Bi Yan Hou Ke Za Zhi 19:153–154
Curtin HD (2003) Superior semicircular canal dehiscence syndrome and multi-detector row CT. Radiol Comment 226:312–314
Belden CJ, Weg N, Mino LB, Zinreich SJ (2003) CT evaluation of bone dehiscence of the superior canal as a cause of sound- and/or pressure-induced vertigo. Radiology 226:337–343
Hirvonen TP, Weg N, Zinreich SJ, Minor LB (2003) High-resolution CT findings suggest a developmental abnormality underlying superior canal dehiscence syndrome. Acta Otolaryngol 123:477–481
Williamson RA, Vrabec JT, Coker NJ, Sandlin M (2003) Coronal computed tomography prevalence of superior semicircular canal dehiscence. Otoloaryngol Head Neck Surg 129:481–489
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Dalchow, C.V., Knecht, R., Grzyska, U. et al. Radiographic examination of patients with dehiscence of semicircular canals with digital volume tomography. Eur Arch Otorhinolaryngol 270, 511–519 (2013). https://doi.org/10.1007/s00405-012-2022-7
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DOI: https://doi.org/10.1007/s00405-012-2022-7