The importance of bone density and anatomical structure in superior semicircular canal dehiscence

Eur Arch Otorhinolaryngol. 2024 Jun;281(6):2967-2974. doi: 10.1007/s00405-023-08412-z. Epub 2024 Jan 2.

Abstract

Objective: This study investigates the importance of bone density, surface area, and diameter of anatomical structures of the superior semicircular canal (SSC), lateral semicircular canal (LSC), posterior semicircular canal (PSC), utricle, and saccule in patients diagnosed with superior semicircular canal dehiscence (SSCD).

Materials and methods: The bone density, surface area, and diameter of SSC, LSC, PSC, utricle, and saccule were measured and compared between the SSCD group and control group. Fifteen ears in the SSCD group and 60 ears in the control group were evaluated. Additionally, within the SSCD group, the dehiscent and healthy sides were evaluated independently.

Results: SSC's bone density was significantly lower in the SSCD group compared to the control group (p = 0.008). No significant differences were found in surface area and diameter between the groups (p > 0.05). While most of the anatomical structures showed no significant difference in bone density between dehiscent and healthy ears (p > 0.05), SSC bone density was significantly lower in affected ears (p = 0.000) in SSCD group.

Conclusion: Based on the data obtained in this study, bone density and anatomical structure may be useful in patients diagnosed with SSCD.

Keywords: Bone density; Computer tomography; Superior semicircular canal dehiscence; İnner ear.

MeSH terms

  • Adult
  • Aged
  • Bone Density*
  • Case-Control Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Saccule and Utricle / diagnostic imaging
  • Saccule and Utricle / pathology
  • Semicircular Canal Dehiscence* / diagnostic imaging
  • Semicircular Canal Dehiscence* / pathology
  • Semicircular Canals* / anatomy & histology
  • Semicircular Canals* / diagnostic imaging
  • Semicircular Canals* / pathology
  • Temporal Bone / anatomy & histology
  • Temporal Bone / diagnostic imaging
  • Temporal Bone / pathology
  • Tomography, X-Ray Computed