Analysis of tympanic sinus shape for purposes of intraoperative hearing monitoring: a microCT study

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  • Małgorzata Bilińska
  • Tomasz Wojciechowski, Medical University of Warsaw, Poland
  • Jacek Sokołowski, Medical University of Warsaw, Poland
  • Kazimierz Niemczyk, Medical University of Warsaw, Poland

PURPOSE: Sinus tympani is the space in the retrotympanum, with variable morphology. Computed tomography is a common tool to investigate sinus tympani anatomy. During cochlear implantation or tympanoplasty, electrocochleography can be used for hearing monitoring. In such a surgical strategy the electrode is placed in the round window's region throughout posterior tympanotomy. Common accessible needle-shaped electrodes using is difficult in achieving intraoperative stabilization. The aim of the study is to assess the dimensions and shape of sinus tympani, basing on the micro computed tomography scans for purposes of establishing the possible new electrocochleography electrode shape.

MATERIALS AND METHODS: Sixteen fresh frozen cadaveric temporal bones were dissected. MicroCT measurements included the depth and the width of sinus tympani, width of facial canal with stapedius muscle chamber. Obtained data were analyzed statistically with the use of RStudio 1.3.959 software.

RESULTS: The highest average width of sinus tympani amounted for 2.68 mm, depth measured at the round window plane for 3.19 mm. Width of facial canal with stapedius muscle chamber highest average values at the round window plane- 3.32 mm. The lowest average minimum and maximum values were calculated at the 1 mm above the round window plane. The highest average posterior tympanotomy width was 2.91 mm.

CONCLUSIONS: The shape of the tympanic sinus is like a trough with the narrowest and deepest dimensions in the middle part. The ST shape and dimensions should be taken into account in constructing the ECochG electrode, designed for optimal placement through posterior tympanotomy approach.

Original languageEnglish
JournalSurgical and Radiologic Anatomy
Volume44
Issue2
Pages (from-to)323-331
Number of pages9
ISSN0930-1038
DOIs
Publication statusPublished - 2022

    Research areas

  • Computed tomography, Electrocochleography, Temporal bone, Tympanic sinus, Tympanoplasty

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