Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 4 Issue 1

Radiological Assessment of Middle Ear Subtensor Recess: A Morphological Study by High-resolution CT Scan

José Luis Treviño-González MD PhD1*, Guillermo González-Dávila MD2, German A Soto-Galindo MD2 and Daniel Alejandro Aranda-García MD2

1Chief of Otolaryngology – Head and Neck Surgery Department, University Hospital, Monterrey, Mexico
2Otolaryngology – Head and Neck Surgery Department, University Hospital, Monterrey, Mexico

*Corresponding Author: Jose Luis Treviño González, Chief of Otolaryngology – Head and Neck Surgery Department, University Hospital, Monterrey, Mexico.

Received: November 30, 2021; Published: December 31, 2021

Abstract

Objective: The aim of the study was analyze the anatomical variants of the subtensor recess in the middle ear based on an ear sagittal and axial thin-section noncontrast-computed tomography.

Methods: The study sample, between May 2018 and December 2019, consisted on a retrospective review of 102 imaging studies, giving a total of 204 ears, the presence of 3 variants was determinated. These variants were: recess type A (absence), type B (shallow recess) and type C (deep recess).

Results: 204 ears were analyzed by simple ear computed tomography in thin sagittal and axial sections, finding a subtensor recess of the middle ear type A in 39.2% of the population, recess type B in 25% and recess type C in 35.8%. No significant differences were found (p < 0.05) in the comparison of age, sex, or comorbidities between analyzed groups.

Conclusion: A prevalence of type C recess of 35.8% of the population was observed, showing a high prevalence, having a direct impact on the surgical approach to the middle ear, making the preoperative assessment by CT-scan essential, it is a challenge because the surgical technique used will be of utmost importance for proper treatment and to avoid disease recurrences.

 

Keywords: Subtensor Recess; Middle Ear; Radiology; Protympanum; Anatomical Variants

References

  1. Bailey B., et al. “Head and neck surgery—otolaryngology”. 1st Philadelphia, PA: Lippincott Williams and Wilkins (2006):1981-1984.
  2. Tóth M., et al. “Development of the protympanum”. Annals of Anatomy - Anatomischer Anzeiger3 (2006):267-273.
  3. “Comprehensive and clinical anatomy of the middle ear”. Nature (2019):92-100.
  4. Jufas N., et al. “Endoscopic Anatomy of the Protympanum”. Otolaryngologic Clinics of North America5 (2016):1107-1119.
  5. Jufas N., et al. “The protympanum, protiniculum and subtensor recess: an endoscopic morphological anatomy study”. Journal of Laryngology and Otology (2018):1-4.
  6. Ars B and Dirckx J. “Eustachian Tube Function”. Otolaryngologic Clinics of North America5 (2016):1121-1133.
  7. Pauna H., et al. “A 3-D analysis of the protympanum in human temporal bones with chronic ear disease”. European Archives of Oto-Rhino-Laryngology3 (2016): 1357-1364.
  8. Christov F and Gluth M. “Histopathology of the Mucosa of Eustachian Tube Orifice at the Middle Ear in Chronic Otitis Media With Effusion: Possible Insight Into Tuboplasty Failure”. Annals of Otology, Rhinology and Laryngology11 (2018): 817-822.
  9. Hildmann H and Sudhoff H. “Middle Ear Surgery”. (2016): 67-70.
  10. Arnoldner C., et al. Manual of Otologic Surgery 35-38.
  11. Albera R., et al. “Condition of the anterior part of the middle ear cleft in acquired cholesteatoma”. Acta Oto-Laryngologica6 (2018): 634-638.
  12. Flint P. “Cummings Otorrinolaringology head and neck surgery”. Phyladelphia, USA: Elsevier (2015).
  13. Marchioni D., et al. “CT morphological evaluation of anterior epitympanic recess in patients with attic cholesteatoma”. European Archives of Oto-Rhino-Laryngology8 (2008): 1183-1189.
  14. Gacek R. “Ear surgery”. Berlin: Springer (2008):55-60.
  15. Dunnebier E., et al. “Imaging for otolaryngologists”. (2011): 12-22.

Citation

Citation: Jose Luis Treviño González. “Radiological Assessment of Middle Ear Subtensor Recess: A Morphological Study by High-resolution CT Scan". Acta Scientific Otolaryngology 4.1 (2022): 66-70.

Copyright

Copyright: © 2022 Jose Luis Treviño González. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Impact Factor0.871

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