外耳道骨性结构的变化:一项解剖学研究

IF 1.7 4区 医学 Q2 OTORHINOLARYNGOLOGY Brazilian Journal of Otorhinolaryngology Pub Date : 2024-03-05 DOI:10.1016/j.bjorl.2024.101414
Elif Sarı , Gkionoul Nteli Chatzioglou , Dastan Temirbekov , Aynur Aliyeva , Adnan Öztürk , Ilke Ali Gürses
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引用次数: 0

摘要

内听道是连接内耳和后颅窝的骨性管道。它位于颞骨的石质部分。在耳道的外侧端有一块薄薄的楔形骨板,称为耳底。本研究评估了基底形态的结构和数量变化。研究人员用手术显微镜检查了 54 块性别和年龄不详的颞骨。所分析的颞骨中,46.2%为右侧颞骨,53.7%为左侧颞骨。只有一块颞骨有两个平行的横嵴,而三块颞骨只有一个前嵴,后嵴分成两个分支。横嵴上的孔数量各不相同,29.6%没有孔,48.1%有一个孔,22.2%有多个孔。53.7%的颞骨可见前嵴结构,5%的颞骨面神经管入口略有狭窄。48.1%的病例只有一个神经孔,51.8%的病例有多个神经孔,包括有三个或四个神经孔的病例。7%的患者在单神经孔之间发现了嵴。此外,25.9% 的病例在骶神经孔和高纤维孔之间有嵴,5% 的病例有两个骶神经孔。我们认为,揭示眼底的解剖、结构和数字变化将有助于解释疾病与症状之间的关系。第四级
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The variations of osseous structure of the ınternal acoustic canal: an anatomical study

Objectives

The internal acoustic meatus is an osseous canal that connects the inner ear to the posterior cranial fossa. It is located in the petrous portion of the temporal bone. A thin cribriform osseous plate known as the fundus is situated at the lateral end of the canal. This study assesses the structural and numerical variations of the fundus formations.

Methods

Fifty-four temporal bones of unknown gender and age were examined with the surgical microscope.

Results

The temporal bones analyzed were 46.2% right-sided and 53.7% left-sided. Only one temporal bone had two parallel transverse crests, while three had a single anterior crest that split into two branches posteriorly. The number of foramina at the transverse crest varied, with 29.6% having none, 48.1% having a single foramen, and 22.2% having several foramina. An anterior crest structure was seen in 53.7% of the temporal bones, with 5% having a slightly constricted entry to the facial canal. In cases with a single nerve foramen, 48.1% had one, while 51.8% had more than one, including examples with three or four foramina. A crest was found between the foramina of the single nerve in 7% of patients. Furthermore, a crest between the saccular nerve foramen and the high fiber foramina was seen in 25.9% of cases, and 5% had two saccular nerve foramina.

Conclusion

We think that revealing the anatomical, structural and numerical variations in the fundus will be useful in explaining the disease-symptom relationship.

Level of evidence

Level 4.

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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
205
审稿时长
4-8 weeks
期刊介绍: Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance. The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.
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