东印度人群镫骨形态计量学及其变异研究

Susmita Ghosh, Ritaban Saha, Subhajit Halder, Oyndrila Sengupta
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引用次数: 0

摘要

:镫骨形态测量对于听力假体手术至关重要。以往的研究主要基于外国和印度北部人群。因此,本研究测量镫骨的形态参数,并与以往的研究进行比较:这项横断面观察性研究对从 26 个尸体头部获得的耳骨--镫骨进行了测量。研究共取出(26 x 2)=52组镫骨。用千分尺测量了听小骨的各种参数。比较了它们的性别、侧位和种族。由于听小骨在出生时就已长满,因此不考虑年龄差异。据统计,男性和女性听小骨之间的镫骨总高度差异很大,但两侧听小骨之间没有发现这种差异。本研究发现,男性镫骨的高度(平均值:3.35 毫米)明显高于女性(平均值:3.18 毫米)(P 值:0.00001)。在治疗耳硬化症的手术中,镫骨上部结构被移除,取而代之的是一个假体 "活塞",活塞的选择取决于切迹的透镜突与镫骨脚板之间的距离,而切迹的透镜突与镫骨脚板之间的距离又与镫骨上部结构的高度相对应。该测量值对于活塞的正确安装至关重要,因此对于手术效果(听力改善、无活塞脱出、顽固性眩晕等并发症)也至关重要。将本研究中发现的平均值与之前的国外和印度研究中的平均值进行比较时,发现其中一些值是相似的:与基于北印度人群的研究相比,我们的研究中镫骨的高度较短。这些差异可能表明镫骨存在地理或种族差异,这可能需要对这一主题开展进一步的研究工作。
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Morphometric study of stapes and its variation in Eastern Indian population
: For audiological prosthesis surgery morphometry of stapes is of utmost importance. Previous studies were mainly based on foreign and northern Indian population. Hence the present study.: To measure the morphometric parameters of stapes and compare the same with the previous studies.: This cross sectional observational study, performed on the ear ossicle, stapes obtained from 26 cadaveric heads. A total of (26 x 2) = 52 sets of stapes were taken out for the study. Measurements of various parameters of the ossicles were done with micrometer. Comparison among them with respect to sex, laterality and race were made. Age variation was not considered as the ossicles reach their full size at birth. Statistically significant difference in the total height of stapes was observed between male and female ossicles, but no such disparity was found between ossicles of the two sides. Height of stapes in males (mean: 3.35mm) was found to be significantly higher (p value: 0.00001) as compared to females (mean:3.18mm) in this present study. In surgeries for otosclerosis, the stapes superstructure is removed and replaced by a prosthetic ‘piston’, the selection of which is determined by the distance between the lenticular process of incus and the footplate of stapes, which in turn corresponds to the height of stapes superstructure. This measurement is vital for a properly fit piston and thus to the outcome of the surgery in terms of hearing improvement and lack of complications like expulsion of the piston, intractable vertigo, etc. When the mean values found in this study were compared with those of previous foreign and Indian studies, some of the values were found to be similar. : The height of stapes was shorter in our study as compared to studies based on North Indian population. These differences might point towards geographic or ethnic variations in the stapes which might call for further research work into this topic.
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