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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
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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

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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