Hasan Mete İNANÇLI, Şefik Sinan KÜRKÇÜOĞLU, Ayla KÜRKÇÜOĞLU, Murat ENÖZ, Can PELİN, Ragıba ZAGYAPAN

Türk toplumunda timpanik kavite hacminin Cavalieri yöntemiyle ölçülmesi

Amaç: Bu çalışmada, temporal kemik bilgisayarlı tomografi BT görüntüleri kullanılarak Cavalieri yöntemiyle timpanik kavite TK hacim ölçümleri yapıldı, sağ ile sol kulak arasında ve cinsiyete bağlı bir fark olup olmadığı araştırılarak TK hacim ölçümleri örneklerle açıklandı.Hastalar ve Yöntemler: Ocak 2007 - Mart 2008 tarihleri arasında Ankara Onkoloji Eğitim ve Araştırma Hastanesi Kulak Burun Boğaz Kliniği’nde TK ölçümleri yapılan 91 hastanın 46 kadın, 45 erkek; ort. yaş 48.1 yıl; dağılım 15-60 yıl hastane kayıtları geriye dönük olarak incelendi. Hastaların iki taraflı 1 mm’lik kesitler halinde çekilen BT görüntülemeleri değerlendirildi. Cavalieri yöntemi kullanılarak TK hacim ölçümleri yapıldı.Bulgular: Erkek bireylerde ortalama TK hacmi sol kulakta 0.4721±0.0406 cm3, sağ kulakta ise 0.4883±0.0352 cm3 olarak bulundu. Kadın bireylerde ortalama TK hacmi sol kulakta 0.4943±0.0501 cm3 ve sağ kulakta ise 0.4881±0.0485 cm3 olarak bulundu.Sonuç: Timpanik kavite hacim ölçümleri bakımından her iki cinsiyet arasında ve bireylerin sağ ve sol taraf ölçümleri arasında istatistiksel fark görülmedi

Anahtar Kelimeler:

Bilgisayarlı tomografi, stereoloji, timpanik kavite hacmi

Measurement of tympanic cavity volume by the Cavalieri principle in Turkish population

Objectives: The aim of this study is to measure the tympanic cavity TC volumes with Cavalieri principle using computed tomography CT scanning of temporal bones, to investigate the difference between the right and the left ears with respect to sexes and to exemplify the TC volume measurements. Patients and Methods: Clinical records of 91 patients 46 females 45 males; mean age 48.1 years; range 15 to 60 years whose TCs were measured at ear nose throat clinic of Ankara Oncology Education and Research Hospital between January 2007 and March 2008, were retrospectively investigated. The CT scans which were obtained from two sides with a slice thickness of 1 mm were evaluated. Measurements of TC volumes were made with using the Cavalieri method. Results: The mean TC volume in male subjects was 0.4721±0.0406 cm3 on the left ears and 0.4883±0.0352 cm3 on the right ears. In females the mean cavity volume was 0.4943±0.0501 cm3 on the left ears and 0.4881±0.0485 cm3 on the right ears. Conclusion: There was no statistically difference in between of the both sexes for the TC volume measurements and between both sites of the same individuals.

Keywords:

Computed tomography, stereology, tympanic cavity volume,

PDF

___

Snell RS. Clinical anatomy for medical students. 4th ed. Boston: Little Brown; 1994.
Virapongse C, Rothman SL, Kier EL, Sarwar M. Computed tomographic anatomy of the temporal bone. AJR Am J Roentgenol 1982;139:739-49.
Bauer CA. Mechanisms of tinnitus generation. Curr Opin Otolaryngol Head Neck Surg 2004;12:413-7.
Kavakli A, Ogeturk M, Yildirim H, Karakas S, Karlidag T, Sarsilmaz M. Volume assessment of age-related con- version of the tympanic cavity by helical computerized tomography scanning. Saudi Med J 2004;25:1378-81.
Satar B, Kapkin O, Ozkaptan Y. Evaluation of cochlear function in patients with normal hearing and tinni- tus: a distortion product otoacoustic emission study. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2003;10:177-82.
Callı C, Pınar E, Oncel S, Erdoğan N, Sadullahoğlu K. Evaluation of superior semicircular canal dehis- cence in patients with vertigo and tinnitus. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2009;19:77-81.
Akyildiz S, Kirazli T, Memiş A. Pulsatile tinnitus as the presenting symptom of dural arteriovenous fistula in two cases. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2005;15:130-5.
Schuknecht HF. Ablation therapy in the manage- ment of Menière’s disease. Acta Otolaryngol Suppl 1957;132:1-42.
Shikowitz MJ. Sudden sensorineural hearing loss. Med Clin North Am 1991;75:1239-50.
Silverstein H, Choo D, Rosenberg SI, Kuhn J, Seidman M, Stein I. Intratympanic steroid treatment of inner ear disease and tinnitus (preliminary report). Ear Nose Throat J 1996;75:468-71.
Jäger L, Bonell H, Liebl M, Srivastav S, Arbusow V, Hempel M, et al. CT of the normal temporal bone: comparison of multi- and single-detector row CT. Radiology 2005;235:133-41.
Bulakbaşi N, Pabuşçu Y. Neuro-otologic applications of MRI. Diagn Interv Radiol 2007;13:109-20.
Seemann MD, Beltle J, Heuschmid M, Löwenheim H, Graf H, Claussen CD. Image fusion of CT and MRI for the visualization of the auditory and vestibular sys- tem. Eur J Med Res 2005;10:47-55.
Sahin B, Ergur H. Assessment of the optimum section thickness for the estimation of liver volume using magnetic resonance images: a stereological gold stan- dard study. Eur J Radiol 2006;57:96-101.
Sadler TW. Langman’s medical embryology. Epypt: Elians Modern Press; 1993.
Ikui A, Sando I, Haginomori S, Sudo M. Postnatal development of the tympanic cavity: a computer- aided reconstruction and measurement study. Acta Otolaryngol 2000;120:375-9.
Defalque VE, Rosenstein DS, Rosser EJ Jr. Measurement of normal middle ear cavity volume in mesaticephalic dogs. Vet Radiol Ultrasound 2005;46:490-3.
Rodrigues S, Fagan P, Doust B, Moffat K. A radiologic study of the tympanic bone: anatomy and surgery. Otol Neurotol 2003;24:796-9.
Ito A, Isono M, Murata K, Tanaka H, Kawamoto M, Azuma H. CT-assisted measurement of total and regional volumes of pneumatization in the temporal bone. Nippon Jibiinkoka Gakkai Kaiho 1997;100:1368- 74. [Abstract]
Colhoun EN, O’Neill G, Francis KR, Hayward C. A comparison between area and volume measurements of the mastoid air spaces in normal temporal bones. Clin Otolaryngol Allied Sci 1988;13:59-63.
Dumont ER. Mid-facial tissue depths of white chil- dren: an aid in facial feature reconstruction. J Forensic Sci 1986;31:1463-9.
Rhine JS, Moore CE. Tables of facial tissue thickness of American Caucasoids in forensic anthropology. Maxwell Museum Technical series 1984;1. Cited in (6).
Tos M, Stangerup SE. The causes of asymmetry of the mastoid air cell system. Acta Otolaryngol 1985; 99:564-70.

The Turkish Journal of Ear Nose and Throat-Cover

ISSN: 2602-4837
Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 1991
Yayıncı: İstanbul Üniversitesi

Arşiv