Otosclerosis Temporal Bone Pathology

被引:86
|
作者
Quesnel, Alicia M. [1 ,2 ,3 ]
Ishai, Reuven [2 ,3 ]
McKenna, Michael J. [1 ,2 ,3 ]
机构
[1] Massachusetts Eye & Ear, Dept Otolaryngol, Div Otol & Neurotol, 243 Charles St, Boston, MA 02114 USA
[2] Massachusetts Eye & Ear Otopathol Lab, 243 Charles St, Boston, MA 02114 USA
[3] Harvard Med Sch, Dept Otolaryngol, 25 Shattuck St, Boston, MA 02115 USA
关键词
Temporal bone pathology; Otopathology; Otosclerosis; SENSORINEURAL HEARING-LOSS; COCHLEAR OTOSCLEROSIS; CLINICAL OTOSCLEROSIS; LASER STAPEDOTOMY; SPIRAL LIGAMENT; FACIAL-NERVE; HISTOPATHOLOGY; IMPLANTATION; INTRACOCHLEAR; STAPES;
D O I
10.1016/j.otc.2017.11.001
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Otosclerosis is pathologically characterized by abnormal bony remodeling, which includes bone resorption, new bone deposition, and vascular proliferation in the temporal bone. Sensorineural hearing loss in otosclerosis is associated with extension of otosclerosis to the cochlear endosteum and deposition of collagen throughout the spiral ligament. Persistent or recurrent conductive hearing loss after stapedectomy has been associated with incomplete footplate fenestration, poor incusprosthesis connection, and incus resorption in temporal bone specimens. Human temporal bone pathology has helped to define the role of computed tomography imaging for otosclerosis, confirming that computed tomography is highly sensitive for diagnosis yet limited in assessing cochlear endosteal involvement.
引用
收藏
页码:291 / +
页数:14
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