Objective: The aim of this study is to evaluate mastoid volume and dimensions in patients with unilateral microtia using High-Resolution Computed Tomography (HRCT) to enhance the precision of reconstructive surgical planning.
Methods: A retrospective analysis of HRCT mastoid scans from patients with unilateral microtia was carried out at Cipto Mangunkusumo General Hospital between May 2020 and August 2022. Parameters such as mastoid volume, height, and surface area were measured at the ear canal, Superior Semicircular Canal (SCC), and lateral SCC levels.
Results: The analysis revealed statistically significant decreases in median mastoid air cell volume and mastoid bone volume in the affected ears compared to contralateral ears (p = 0.0312 and p = 0.02, respectively). Additionally, decreased mastoid height and surface areas at the ear canal and superior SCC levels were identified in affected ears (p < 0.05).
Conclusions: Patients with unilateral microtia have diminished mastoid bone volumetric parameters and dimensions on the affected side. These findings offer critical data for surgeons in preoperative planning, enabling the selection of appropriate reconstructive techniques and providing comprehensive patient counselling.
Level Of Evidence: Level 4.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465057 | PMC |
http://dx.doi.org/10.1016/j.bjorl.2024.101501 | DOI Listing |
Case Rep Surg
October 2024
Section of Otorhinolaryngology, Department of Neurosciences, University of Padova, Padova, Italy.
Mastoid obliteration can be performed after canal wall down (CWD) mastoidectomy with various materials. Homologous bone tissue harvested from cadaver donor represents a feasible option with advantages. The purpose of the study is to describe the case of a patient diagnosed with middle ear cholesteatoma treated with mastoidectomy of the CWD and mastoid obliteration with homologous freeze-dried corticocancellous bone particulate in the Cittadella Hospital Ear, Nose, Throat (ENT) unit.
View Article and Find Full Text PDFOtol Neurotol
January 2025
Copenhagen Hearing and Balance Center, Dept. of Otorhinolaryngology-Head and Neck Surgery, Rigshospitalet, Copenhagen, Denmark.
Objective: Assessment is key in modern surgical education to monitor progress and document sufficient skills. Virtual reality (VR) temporal bone simulators allow automated tracking of basic metrics such as time, volume removed, and collisions. However, adequate performance assessment further includes compound rating of the stepwise bony excavation, and exposure and preservation of soft tissue structures.
View Article and Find Full Text PDFJ Coll Physicians Surg Pak
November 2024
Department of ENT / Head and Neck, Dow University of Health Sciences, Karachi, Pakistan.
Objective: To determine the correlation between the air-bone gap on pure tone audiometry with size of perforation oto-endoscopically. Study Design: A descriptive study. Place and Duration of the Study: Department of ENT - Head and Neck Surgery, Dow University of Health Sciences (DUHS), from February 2020 to August 2021.
View Article and Find Full Text PDFJ Neurol Surg B Skull Base
October 2024
Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Traditional open mastoidectomy is performed through a retro-auricular incision to expose the mastoid cortex. Few have addressed the possibility of performing an endoscopic minimally invasive mastoidectomy. Our objective was to test the feasibility of performing an endoscopic mastoidectomy through a 1 cm incision and burr hole.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
October 2024
Department of ENT, Head & Neck Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan.
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