Subscribe to RSS

DOI: 10.4103/ijri.IJRI_58_19
Imaging in congenital inner ear malformations—An algorithmic approach
Financial support and sponsorship Nil.
Abstract
Malformations of the inner ear are an important cause of congenital deaf-mutism. Arrest in embryologic development of inner ear during various stages gives rise to the variety of malformations encountered. Current treatment options include hearing aids, cochlear implants, and auditory brainstem implants (ABI). With the advent of cochlear implant surgery and ABI, decent functional outcomes can be obtained provided such cases are diagnosed correctly and timely. To that end, high-resolution computed tomography (HRCT) has a fundamental role in the assessment of these conditions, ably supplemented by magnetic resonance imaging (MRI). The purpose of this pictorial essay is to illustrate the imaging features of inner ear anomalies in children with congenital deaf-mutism as per the latest terminology and classification and provide an algorithmic approach for their diagnosis.
Keywords
Cochlear implant - congenital deaf-mutism - high-resolution computed tomography - inner ear - Mondini - magnetic resonance imagingPublication History
Received: 06 June 2019
Accepted: 30 November 2019
Article published online:
19 July 2021
© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Huang BY, Zdanski C, Castillo M. Pediatric sensorineural hearing loss, Part 1: Practical aspects for neuroradiologists. Am J Neuroradiol 2012; 33: 211-17
- 2 Chen MM, Oghalai JS. Diagnosis and management of congenital sensorineural hearing loss. Curr Treat Options Pediatr 2016; 2: 256-65
- 3 Bartel-Friedrich S, Wulke C. Classification and diagnosis of ear malformations. GMS Curr Top Otorhinolaryngol Head Neck Surg 2007; 6: Doc05
- 4 Young JY, Ryan ME, Young NM. Preoperative imaging of sensorineural hearing loss in pediatric candidates for cochlear implantation. Radiographics 2014; 34: E133-49
- 5 Digge P, Solanki RN, Shah DC, Vishwakarma R, Kumar S. Imaging Modality of Choice for Pre-Operative Cochlear Imaging: HRCT vs. MRI Temporal Bone. J Clin Diagn Res 2016; 10: TC01-TC04
- 6 Fishman AJ. Imaging and anatomy for cochlear implants. Otolaryngol Clin North Am 2012; 45: 1-24
- 7 Sennaroglu L, Bajin MD. Classification and current management of inner ear malformations. Balkan Med J 2017; 34: 397-411
- 8 Marsot-Dupuch K, Dominguez-Brito A, Ghasli K, Chouard CH. CT and MR findings of Michel anomaly: Inner ear aplasia. AJNR Am J Neuroradiol 1999; 20: 281-84
- 9 Joshi VM, Navlekar SK, Kishore GR, Reddy KJ, Kumar EC. CT and MR imaging of the inner ear and brain in children with congenital sensorineural hearing loss. Radiographics 2012; 32: 683-98
- 10 Ozgen B, Oguz KK, Atas A, Sennaroglu L. Complete labyrinthine aplasia: Clinical and radiologic findings with review of the literature. Am J Neuroradiol 2009; 30: 774-80
- 11 Hongjian L, Guangke W, Song M, Xiaoli D, Daoxing Z. The prediction of CSF gusher in cochlear implants with inner ear abnormality. Acta Otolaryngol 2012; 132: 1271-4
- 12 Hwang M, Marovich R, Shin SS, Chi D, Branstetter BF. Optimizing CT for the evaluation of vestibular aqueduct enlargement: Inter-rater reproducibility and predictive value of reformatted CT measurements. J Otol 2015; 10: 13-17
- 13 Ma X, Yang Y, Xia M, Li D, Xu A. Computed tomography findings in large vestibular aqueduct syndrome. Acta Otolaryngol 2009; 129: 700-8
- 14 Ozgen B, Cunnane ME, Caruso PA, Curtin HD. Comparison of 45 degrees oblique reformats with axial reformats in CT evaluation of the vestibular aqueduct. Am J Neuroradiol 2008; 29: 30-4
- 15 Kesser BW, Raghavan P, Mukherjee S, Carfrae M, Essig G, Hashisaki GT. Duplication of the internal auditory canal: Radiographic imaging case of the month. Otol Neurotol 2010; 31: 1352-3
- 16 Takanashi Y, Kawase T, Tatewaki Y, Suzuki J, Yahata I, Nomura Y, Oda K, Miyazaki H, Katori Y. Duplicated internal auditory canal with inner ear malformation: Case report and literature review. Auris Nasus Larynx 2018; 45: 351-7