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Location of the middle cranial fossa dural plate in patients with chronic otitis media

Published online by Cambridge University Press:  22 January 2014

S Genc ,
M G Genc ,
I B Arslan  and
A Selcuk
S Genc*
Affiliation:
Department of Otorhinolaryngology, Derince Training and Research Hospital, Kocaeli, Turkey
M G Genc
Affiliation:
Department of Radiology, Derince Training and Research Hospital, Kocaeli, Turkey
I B Arslan
Affiliation:
Department of Otorhinolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey
A Selcuk
Affiliation:
Department of Otorhinolaryngology, Derince Training and Research Hospital, Kocaeli, Turkey
*
Address for correspondence: Dr Selahattin Genc, Otorhinolaryngology Department, Derince Education and Research Hospital, Kocaeli, Turkey Fax: +90 2622335540 E-mail: drsgenc@yahoo.com
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Abstract

Aim:

This study aimed to determine whether or not the middle cranial fossa dural plate is located lower (i.e. more caudally) in patients with chronic otitis media, relative to adjacent structures.

Methods:

The authors retrospectively investigated computed tomography temporal bone scans of 267 ears of 206 patients who had undergone surgery with a diagnosis of chronic otitis media, together with scans of 222 ears of 111 patients without chronic otitis media. The depth of the middle cranial fossa dural plates was recorded.

Results:

The mean depth of the middle cranial fossa dural plate was 4.59 mm in the study group and 2.71 mm in the control group (p < 0.001). The middle cranial fossa dural plate was located lower in the right ear in both the study and control groups.

Conclusion:

The middle cranial fossa dural plate was located lower in patients with chronic otitis media, and in the right ears of both patients and controls. Surgeons should take this low location into consideration, and take extra care, during relevant surgery on patients with chronic otitis media.

Keywords

Otitis MediaMiddle Cranial FossaDura MaterMultidetector Computed Tomography
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 1 , January 2014 , pp. 60 - 63
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Tos, M. Manuel of Middle Ear Surgery. Stuttgart: Georg Thieme Verlag, 1995;2:30–1Google Scholar
2Emir, H, Kaptan, ZK, Göçmen, H, Samim, E. Epidural abscess and encephalocele following tegmen defect due to mastoidectomy: a case report [in Turkish]. Kulak Burun Bogaz Ihtis Derg 2009;19:151–4Google ScholarPubMed
3Mosnier, I, Fiky, LE, Shahidi, A, Sterkers, O. Brain herniation and chronic otitis media: diagnosis and surgical management. Clin Otolaryngol Allied Sci 2000;25:385–91CrossRefGoogle ScholarPubMed
4Pelosi, S, Bederson, JB, Smouha, EE. Cerebrospinal fluid leaks of temporal bone origin: selection of surgical approach. Skull Base 2010;20:253–9Google Scholar
5Wootten, CT, Kaylie, DM, Warren, FM, Jackson, CG. Management of brain herniation and cerebrospinal fluid leak in revision chronic ear surgery. Laryngoscope 2005;115:1256–61Google Scholar
6Wu, JF, Jin, Z, Yang, JM, Liu, YH, Duan, ML. Extracranial and intracranial complications of otitis media: 22-year clinical experience and analysis. Acta Otolaryngol 2012;132:261–5CrossRefGoogle ScholarPubMed
7Kizilay, A, Aladağ, I, Cokkeser, Y, Ozturan, O. Dural bone defects and encephalocele associated with chronic otitis media or its surgery [in Turkish]. Kulak Burun Bogaz Ihtis Derg 2002;9:403–9Google Scholar
8Sanna, M, Fois, P, Russo, A, Falcioni, M. Management of meningoencephalic herniation of the temporal bone: personal experience and literature review. Laryngoscope 2009;119:1579–85Google Scholar
9Iurato, S, Ettorre, GC, Selvini, C. Brain herniation into the middle ear: two idiopathic cases treated by a combined intracranial-mastoid approach. Laryngoscope 1989;99:950–4Google Scholar
10Jackson, CG, Pappas, DG Jr, Manolidis, S, Glasscock, ME 3rd, Von Doersten, PG, Hampf, CR. Brain herniation into the middle ear and mastoid: concepts in diagnosis and surgical management. Am J Otol 1997;18:198–205Google Scholar
11Alzoubi, FQ, Odat, HA, Al-Balas, HA, Saeed, SR. The role of preoperative CT scan in patients with chronic otitis media. Eur Arch Otorhinolaryngol 2009;266:807–9CrossRefGoogle ScholarPubMed
12Stasolla, A, Magliulo, G, Cortese, A, Roncacci, A, Marini, M. Preoperative imaging assessment of chronic otitis media: what does the otologist need to know? Radiol Med 2011;116:114–24CrossRefGoogle ScholarPubMed
13Mafee, MF, Valvassori, GE, Becker, M. Imaging of the Head and Neck, 2nd edn.Stuttgard: Georg Thieme Verlag, 2005;36–7Google Scholar