Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-27T11:47:40.828Z Has data issue: false hasContentIssue false
  • English
  • Français

Optical coherence tomography of the oval window niche

Published online by Cambridge University Press:  13 January 2009

T Just ,
E Lankenau ,
G Hüttmann  and
H W Pau
T Just*
Affiliation:
Department of Otorhinolaryngology, University of Rostock, Germany
E Lankenau
Affiliation:
Institute for Biomedical Optics, University of Lübeck, Germany
G Hüttmann
Affiliation:
Institute for Biomedical Optics, University of Lübeck, Germany
H W Pau
Affiliation:
Department of Otorhinolaryngology, University of Rostock, Germany
*
Address for correspondence: Dr T Just, Department of Otorhinolaryngology, Head and Neck Surgery, University of Rostock, Doberaner Strasse 137-9, 18057 Rostock, Germany. Fax: +49 381 494-8302 E-mail: tino.just@med.uni-rostock.de
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

Optical coherence tomography was used to study the stapes footplate, both in cadaveric temporal bones and during middle-ear surgery.

Materials and methods:

Optical coherence tomography was conducted on five temporal bone preparations (from two children and three adults) and in eight patients during middle-ear surgery. A specially equipped operating microscope with integrated spectral domain optical coherence tomography apparatus was used for standard middle-ear surgical procedures.

Results:

This optical coherence tomography investigation enabled in vivo visualisation and documentation of the annular ligament, the different layers of the footplate and the inner-ear structures, both in non-fixed and fixed stapes footplates. In cases of otosclerosis and tympanosclerosis, an inhomogeneous and irregularly thickened footplate was found, in contrast to the appearance of non-fixed footplates. In both fixed and non-fixed footplates, there was a lack of visualisation of the border between the footplate and the otic capsule.

Conclusions:

Investigation of the relatively new technology of optical coherence tomography indicated that this imaging modality may assist the ear surgeon to assess the oval window niche intra-operatively.

Keywords

StapesStapes SurgeryOtologic Surgical ProceduresInner Ear
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 6 , June 2009 , pp. 603 - 608
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Vincent, R, Sperling, NM, Oates, J, Jindal, M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a perspective study with the Otology-Neurotology Database. Otol Neurotol 2006;27(suppl 2):S25–47CrossRefGoogle Scholar
2 Bachor, E, Just, T, Wright, CG, Pau, HW, Karmody, CS. Fixation of the stapes footplate in children: a clinical and temporal bone histopathologic study. Otol Neurotol 2005;26:866–73CrossRefGoogle ScholarPubMed
3 Vick, U, Just, T, Terpe, H, Graumüller, S, Pau, HW. Stapes fixation in children [in German]. HNO 2004;52:1076–82CrossRefGoogle ScholarPubMed
4 Raveh, E, Hu, W, Papsin, BC, Forte, V. Congenital conductive hearing loss. J Laryngol Otol 2002;116:92–6CrossRefGoogle ScholarPubMed
5 Teunissen, B, Cremers, WR, Huygen, PL, Pouwels, TP. Isolated congenital stapes ankylosis: surgical results in 32 ears and a review of the literature. Laryngoscope 1990;100:1331–6CrossRefGoogle Scholar
6 Teunissen, B, Cremers, CW. Surgery for congenital stapes ankylosis with an associated congenital ossicular chain anomaly. Int J Pediatr Otorhinolaryngol 1991;21:217–26CrossRefGoogle ScholarPubMed
7 Garretsen, TJ, Cremers, CW. Stapes surgery in osteogenesis imperfecta: analysis of postoperative hearing loss. Ann Otol Rhinol Laryngol 1991;100:120–30CrossRefGoogle ScholarPubMed
8 Pappas, DG Jr, Pappas, DG Sr, Hedlin, G. Round window atresia in association with congenital stapes fixation. Laryngoscope 1998;108:1115–18CrossRefGoogle ScholarPubMed
9 Cole, JM. Surgery for otosclerosis in children. Laryngoscope 1982;92:859–62CrossRefGoogle ScholarPubMed
10 De la Cruz, A, Angeli, S, Slattery, WH. Stapedectomy in children. Otolaryngol Head Neck Surg 1999;120:487–92CrossRefGoogle ScholarPubMed
11 Robinson, M. Juvenile otosclerosis. A 20-year study. Ann Otol Rhinol Laryngol 1983;92:561–5CrossRefGoogle ScholarPubMed
12 Dornhoffer, JL, Helms, J, Höhmann, DH. Stapedectomy for congenital fixation of the stapes. Am J Otol 1995;16:382–6Google ScholarPubMed
13 Tomlins, PH, Wang, RK. Theory, developments and applications of optical coherence tomography. J Phys D Appl Phys 2005;38:2519–35CrossRefGoogle Scholar
14 Heermann, R, Hauger, C, Issing, PR, Lenarz, T. Application of Optical Coherence Tomography (OCT) in middle ear surgery [in German]. Laryngorhinootologie 2002;81:400–5CrossRefGoogle ScholarPubMed
15 Häusler, G, Lindner, MW. ‘Coherence radar’ and ‘spectral radar’ – new tools for dermatological diagnosis. J Biomed Opt 1998;3:21–31Google Scholar
16 Leitgeb, RA, Hitzenberger, CK, Fercher, AF. Performance of fourier domain vs. time domain optical coherence tomography. Opt Express 2003;11:889–94CrossRefGoogle ScholarPubMed
17 Pau, HW, Lankenau, E, Just, T, Hüttmann, G. Optical coherence tomography as an orientation guide in cochlear implant surgery? Acta Otolaryngol 2007;127:907–13Google Scholar
18 Just, T, Lankenau, E, Hüttman, G, Pau, HW. Optical coherence tomography as a guide for cochlear implant surgery? In: Wong, BJ, Ilgner, JFR, eds. SPIE Photonics West. San Jose: Bellingham, 2008Google Scholar
19 Pau, HW, Lankenau, E, Just, T, Hüttmann, G. Imaging of Cochlear Structures by Optical Coherence Tomography (OCT). Temporal bone experiements for an OCT-guided cochleostomy technique [in German]. Laryngorhinootologie 2008, in pressGoogle Scholar
20 Chuang, MT, Chiang, IC, Liu, GC, Lin, WC. Multidetector row CT demonstration of inner and middle ear structures. Clin Anat 2006;19:337–44CrossRefGoogle ScholarPubMed
21 Veillon, F, Riehm, S, Emachescu, B, Haba, D, Roedlich, MN, Greget, M et al. Imaging of the windows of the temporal bone. Semin Ultrasound CT MRI 2001;22:271–80CrossRefGoogle ScholarPubMed
22 Beutner, D, Stumpf, R, Peuss, SF, Zahnert, T, Hüttenbrink, KB. Impact of TORP diameter on fracture of the footplate [in German]. Laryngorhinootologie 2007;86:112–16CrossRefGoogle ScholarPubMed
23 Beyer, W, Tauber, S, Kubasiak, S, Lankenau, E, Engelhardt, R, Baumgartner, W. Optical coherence tomography of middle ear structures. Med Laser Appl 2001;16:135Google Scholar