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Erschienen in: Surgical and Radiologic Anatomy 3/2020

19.09.2019 | Original Article

Evaluation of the human petrotympanic fissure using anatomized cadaveric specimens and multi-detector CT imaging

verfasst von: Óscar Villalba, Santiago Rojas, Marisa Ortega, Alberto Solano, Alfonso Rodríguez-Baeza

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 3/2020

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Abstract

Purpose

The purpose of the current study is twofold. First, to investigate the variability of the petrotympanic fissure’s (PTF) morphology in anatomized human cadaveric specimens using multi-detector computed tomography (MDCT), and second, to compare the resulting measurements to investigate the possibilities of applying MDCT in the determination of PTF morphology in living humans.

Methods

Specimens (n = 15) containing the temporal bone and TMJ were obtained from embalmed adult female (53.3%) and male (46.7%) cadavers and imaged using a helical 16-row scanner. Afterwards, cryosections were obtained and morphometric parameters were measured. Degree of agreement between both determinations was investigated and morphometric variables were also compared between PTF types.

Results

Three different types of PTF were identified. Type 1 was a wide tunnel-shaped structure. It was found in 20% of the cases. Type 2 was wide in the entrance but gradually narrows to the tympanic cavity. It was found in 46.7% of specimens. Finally, type 3, which was observed in 33.3% of the cases, was wide at the entrance of the mandibular fossa, followed by a middle region with flat-shaped tunnel structure and a narrow exit. The PTF’s vertical diameters at the mandibular fossa, midpoint, and tympanic cavity and the width at the mandibular fossa all were significantly greater in type 1 specimens.

Conclusions

MDCT is suitable for investigating the variable morphology of human PTF and its association with middle ear’s and TMJ pathologies.
Literatur
1.
Zurück zum Zitat Arai H, Sato I (2011) Anatomical study of the human discomallear ligament using cone beam computed tomography imaging and morphological observations. Okajimas Folia Anat Jpn 88(3):89–101CrossRef Arai H, Sato I (2011) Anatomical study of the human discomallear ligament using cone beam computed tomography imaging and morphological observations. Okajimas Folia Anat Jpn 88(3):89–101CrossRef
2.
Zurück zum Zitat Burch JG (1966) The cranial attachment of the sphenomandibular (tympanomandibular) ligament. Anat Rec 156(4):433–437CrossRef Burch JG (1966) The cranial attachment of the sphenomandibular (tympanomandibular) ligament. Anat Rec 156(4):433–437CrossRef
3.
Zurück zum Zitat Çakur B, Sümbüllü MA, Durna D, Akgül HM (2011) Prevalence of the types of the petrotympanic fissure in the temporomandibular joint dysfunction. Acta Radiol 52(5):562–565CrossRef Çakur B, Sümbüllü MA, Durna D, Akgül HM (2011) Prevalence of the types of the petrotympanic fissure in the temporomandibular joint dysfunction. Acta Radiol 52(5):562–565CrossRef
4.
Zurück zum Zitat Çakur B, Yaşa Y (2016) Correlation between tinnitus and petrotympanic fissure status among patients with temporomandibular joint dysfunction. J Oral Maxillofac Surg 74(1):47–52CrossRef Çakur B, Yaşa Y (2016) Correlation between tinnitus and petrotympanic fissure status among patients with temporomandibular joint dysfunction. J Oral Maxillofac Surg 74(1):47–52CrossRef
5.
Zurück zum Zitat Cesarani A, Tombolini A, Fagnani E, Domenech Mateu JM (1991) The anterior ligament of the human malleus. Acta Anat (Basel) 142(4):313–316CrossRef Cesarani A, Tombolini A, Fagnani E, Domenech Mateu JM (1991) The anterior ligament of the human malleus. Acta Anat (Basel) 142(4):313–316CrossRef
6.
Zurück zum Zitat Cheynet F, Guyot L, Richard O, Layoun W, Gola R (2003) Discomallear and malleomandibular ligaments: anatomical study and clinical applications. Surg Radiol Anat 25(2):152–157CrossRef Cheynet F, Guyot L, Richard O, Layoun W, Gola R (2003) Discomallear and malleomandibular ligaments: anatomical study and clinical applications. Surg Radiol Anat 25(2):152–157CrossRef
7.
Zurück zum Zitat Dahmani-Causse M, Marx M, Deguine O, Fraysse B, Lepage B, Escudé B (2011) Morphologic examination of the temporal bone by cone beam computed tomography: comparison with multislice helical computed tomography. Eur Ann Otorhinolaryngol Head Neck Dis 128(5):230–235CrossRef Dahmani-Causse M, Marx M, Deguine O, Fraysse B, Lepage B, Escudé B (2011) Morphologic examination of the temporal bone by cone beam computed tomography: comparison with multislice helical computed tomography. Eur Ann Otorhinolaryngol Head Neck Dis 128(5):230–235CrossRef
8.
Zurück zum Zitat Damaskos S, Syriopoulos K, Sens RL, Politis C (2018) An investigation of the morphology of the petrotympanic fissure using cone-beam computed tomography. J Oral Maxillofac Res 9(1):e4CrossRef Damaskos S, Syriopoulos K, Sens RL, Politis C (2018) An investigation of the morphology of the petrotympanic fissure using cone-beam computed tomography. J Oral Maxillofac Res 9(1):e4CrossRef
9.
Zurück zum Zitat Erol B, Tanrikulu R, Görgün B (2006) A clinical study on ankylosis of the temporomandibular joint. J Craniomaxillofac Surg 34(2):100–106CrossRef Erol B, Tanrikulu R, Görgün B (2006) A clinical study on ankylosis of the temporomandibular joint. J Craniomaxillofac Surg 34(2):100–106CrossRef
10.
Zurück zum Zitat Faerber TH, Ennis RL, Allen GA (1990) Temporomandibular joint ankylosis following mastoiditis: report of a case. J Oral Maxillofac Surg 48(8):866–870CrossRef Faerber TH, Ennis RL, Allen GA (1990) Temporomandibular joint ankylosis following mastoiditis: report of a case. J Oral Maxillofac Surg 48(8):866–870CrossRef
11.
Zurück zum Zitat Hadlock TA, Ferraro NF, Rahbar R (2001) Acute mastoiditis with temporomandibular joint effusion. Otolaryngol Head Neck Surg 125(1):111–112CrossRef Hadlock TA, Ferraro NF, Rahbar R (2001) Acute mastoiditis with temporomandibular joint effusion. Otolaryngol Head Neck Surg 125(1):111–112CrossRef
12.
Zurück zum Zitat Ioannides CA, Hoogland GA (1983) The disco-malleolar ligament: a possible cause of subjective hearing loss in patients with temporomandibular joint dysfunction. J Maxillofac Surg 11(5):227–231CrossRef Ioannides CA, Hoogland GA (1983) The disco-malleolar ligament: a possible cause of subjective hearing loss in patients with temporomandibular joint dysfunction. J Maxillofac Surg 11(5):227–231CrossRef
13.
Zurück zum Zitat Jain G, Kumar S, Rana AS, Bansal V, Sharma P, Vikram A (2008) Temporomandibular joint ankylosis: a review of 44 cases. Oral Maxillofac Surg 12(2):61–66CrossRef Jain G, Kumar S, Rana AS, Bansal V, Sharma P, Vikram A (2008) Temporomandibular joint ankylosis: a review of 44 cases. Oral Maxillofac Surg 12(2):61–66CrossRef
14.
Zurück zum Zitat Kim HJ, Jung HS, Kwak HH, Shim KS, Hu KS, Park HD, Park HW, Chung IH (2004) The discomallear ligament and the anterior ligament of malleus: an anatomic study in human adults and fetuses. Surg Radiol Anat 26(1):39–45CrossRef Kim HJ, Jung HS, Kwak HH, Shim KS, Hu KS, Park HD, Park HW, Chung IH (2004) The discomallear ligament and the anterior ligament of malleus: an anatomic study in human adults and fetuses. Surg Radiol Anat 26(1):39–45CrossRef
15.
Zurück zum Zitat Komori E, Sugisaki M, Tanabe H, Katoh S (1986) Discomalleolar ligament in the adult human. Cranio 4(4):299–305CrossRef Komori E, Sugisaki M, Tanabe H, Katoh S (1986) Discomalleolar ligament in the adult human. Cranio 4(4):299–305CrossRef
16.
Zurück zum Zitat Loughner BA, Larkin LH, Mahan PE (1989) Discomalleolar and anterior malleolar ligaments: possible causes of middle ear damage during temporomandibular joint surgery. Oral Surg Oral Med Oral Pathol 68(1):14–22CrossRef Loughner BA, Larkin LH, Mahan PE (1989) Discomalleolar and anterior malleolar ligaments: possible causes of middle ear damage during temporomandibular joint surgery. Oral Surg Oral Med Oral Pathol 68(1):14–22CrossRef
17.
Zurück zum Zitat Monteiro JC, Ennes JP, Zorzatto JR (2011) Ossification of the petrotympanic fissure: morphological analysis and clinical implications. Cranio 29(4):284–290CrossRef Monteiro JC, Ennes JP, Zorzatto JR (2011) Ossification of the petrotympanic fissure: morphological analysis and clinical implications. Cranio 29(4):284–290CrossRef
18.
Zurück zum Zitat Morgan DH, Goode RL, Christiansen RL, Tiner LW (1995) The TMJ-ear connection. Cranio 13(1):42–43CrossRef Morgan DH, Goode RL, Christiansen RL, Tiner LW (1995) The TMJ-ear connection. Cranio 13(1):42–43CrossRef
19.
Zurück zum Zitat Orhan K, Nishiyama H, Tadashi S, Shumei M, Furukawa S (2005) MR of 2270 TMJs: prevalence of radiographic presence of otomastoiditis in temporomandibular joint disorders. Eur J Radiol 55(1):102–107CrossRef Orhan K, Nishiyama H, Tadashi S, Shumei M, Furukawa S (2005) MR of 2270 TMJs: prevalence of radiographic presence of otomastoiditis in temporomandibular joint disorders. Eur J Radiol 55(1):102–107CrossRef
20.
Zurück zum Zitat Rodríguez Vázquez JF, Merída Velasco JR, Jiménez Collado J (1993) Relationships between the temporomandibular joint and the middle ear in human fetuses. J Dent Res 72(1):62–66CrossRef Rodríguez Vázquez JF, Merída Velasco JR, Jiménez Collado J (1993) Relationships between the temporomandibular joint and the middle ear in human fetuses. J Dent Res 72(1):62–66CrossRef
21.
Zurück zum Zitat Rodríguez-Vázquez JF, Mérida-Velasco JR, Mérida-Velasco JA, Jiménez-Collado J (1998) Anatomical considerations on the discomalleolar ligament. J Anat 192(Pt4):617–621CrossRef Rodríguez-Vázquez JF, Mérida-Velasco JR, Mérida-Velasco JA, Jiménez-Collado J (1998) Anatomical considerations on the discomalleolar ligament. J Anat 192(Pt4):617–621CrossRef
22.
Zurück zum Zitat Rodríguez-Vázquez JF, Murakami G, Verdugo-López S, Abe S, Fujimiya M (2011) Closure of the middle ear with special reference to the development of the tegmen tympani of the temporal bone. J Anat 218(6):690–698CrossRef Rodríguez-Vázquez JF, Murakami G, Verdugo-López S, Abe S, Fujimiya M (2011) Closure of the middle ear with special reference to the development of the tegmen tympani of the temporal bone. J Anat 218(6):690–698CrossRef
23.
Zurück zum Zitat Sato I, Arai H, Asaumi R, Imura K, Kawai T, Yosue T (2008) Classifications of tunnel-like structure of human petrotympanic fissure by cone beam CT. Surg Radiol Anat 30(4):323–326CrossRef Sato I, Arai H, Asaumi R, Imura K, Kawai T, Yosue T (2008) Classifications of tunnel-like structure of human petrotympanic fissure by cone beam CT. Surg Radiol Anat 30(4):323–326CrossRef
24.
Zurück zum Zitat Schickinger B, Gstoettner W, Cerny C, Kornfehl J (1998) Variant petrotympanic fissure as possible cause of an otologic complication during TMJ arthroscopy. A case report. Int J Oral Maxillofac Surg 27(1):17–19CrossRef Schickinger B, Gstoettner W, Cerny C, Kornfehl J (1998) Variant petrotympanic fissure as possible cause of an otologic complication during TMJ arthroscopy. A case report. Int J Oral Maxillofac Surg 27(1):17–19CrossRef
25.
Zurück zum Zitat Scolozzi P, Becker M, Richter M (2004) Temporomandibular joint osteoarthritis: a cause of a serous otitis media? A case report. J Oral Maxillofac Surg 62(1):97–100CrossRef Scolozzi P, Becker M, Richter M (2004) Temporomandibular joint osteoarthritis: a cause of a serous otitis media? A case report. J Oral Maxillofac Surg 62(1):97–100CrossRef
26.
Zurück zum Zitat Sencimen M, Yalçin B, Doğan N, Varol A, Okçu KM, Ozan H, Aydintuğ YS (2008) Anatomical and functional aspects of ligaments between the malleus and the temporomandibular joint. Int J Oral Maxillofac Surg 37(10):943–947CrossRef Sencimen M, Yalçin B, Doğan N, Varol A, Okçu KM, Ozan H, Aydintuğ YS (2008) Anatomical and functional aspects of ligaments between the malleus and the temporomandibular joint. Int J Oral Maxillofac Surg 37(10):943–947CrossRef
27.
Zurück zum Zitat Smeele LE (1988) Ontogeny of relationship of middle ear and temporomandibular (squamomandibular) joint in mammals [corrected]. I. Morphology and ontogeny in man. Acta Anat (Basel) 131(4):338–341CrossRef Smeele LE (1988) Ontogeny of relationship of middle ear and temporomandibular (squamomandibular) joint in mammals [corrected]. I. Morphology and ontogeny in man. Acta Anat (Basel) 131(4):338–341CrossRef
28.
Zurück zum Zitat Takes RP, Langeveld AP, Baatenburg de Jong RJ (2000) Abscess formation in the temporomandibular joint as a complication of otitis media. J Laryngol Otol 114(5):373–375CrossRef Takes RP, Langeveld AP, Baatenburg de Jong RJ (2000) Abscess formation in the temporomandibular joint as a complication of otitis media. J Laryngol Otol 114(5):373–375CrossRef
29.
Zurück zum Zitat Youniss S (1991) The relationship between craniomandibular disorders and otitis media in children. Cranio 9(2):169–173CrossRef Youniss S (1991) The relationship between craniomandibular disorders and otitis media in children. Cranio 9(2):169–173CrossRef
30.
Zurück zum Zitat Zou J, Lähelmä J, Arnisalo A, Pyykkö I (2017) Clinically relevant human temporal bone measurements using novel high-resolution cone-beam CT. J Otol 12(1):9–17CrossRef Zou J, Lähelmä J, Arnisalo A, Pyykkö I (2017) Clinically relevant human temporal bone measurements using novel high-resolution cone-beam CT. J Otol 12(1):9–17CrossRef
Metadaten
Titel
Evaluation of the human petrotympanic fissure using anatomized cadaveric specimens and multi-detector CT imaging
verfasst von
Óscar Villalba
Santiago Rojas
Marisa Ortega
Alberto Solano
Alfonso Rodríguez-Baeza
Publikationsdatum
19.09.2019
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 3/2020
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-019-02346-0

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