Bulging of the Oval Window in Common Cavity Deformity: A Possible Predictor of Meningitis.
Journal
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
ISSN: 1537-4505
Titre abrégé: Otol Neurotol
Pays: United States
ID NLM: 100961504
Informations de publication
Date de publication:
01 01 2022
01 01 2022
Historique:
pubmed:
27
10
2021
medline:
12
4
2022
entrez:
26
10
2021
Statut:
ppublish
Résumé
To investigate the prevalence-rate of oval window bulging in the common cavity and its association with bacterial meningitis. CT and clinical files of 29 children with preliminary diagnosis of common cavity deformity were collected from 13 Italian centers. A retrospective case review study was conducted with a centralized evaluation of the temporal bone CT imaging was performed at Azienda Ospedale - Università Padova, Padova, Italy. Diagnosis of common cavity was reviewed; in addition, a fluid protrusion into the middle-ear cavity through the oval window at CT imaging was considered as oval window bulging. Its association with the history of bacterial meningitis was investigated. Common cavity deformity was confirmed in 14/29 children (mean-age 11.4 ± 3.8; age-range 5-20; nine females) referred with this diagnosis. In 7/14 patients, the common cavity deformity was bilateral (i.e., 21 common cavities). Oval window bulging was found in 3/19 common cavities (concomitant middle-ear effusive otitis hampered the evaluation in two cases), while the internal acoustic meatus fundus was defective in 10/21 cases. History of bacterial meningitis was found in three children (21%) and two of them had oval window bulging at CT. In the case unrelated to oval window bulging, meningitis occurred late at the age of 12 during acute otitis contralateral to common cavity deformity (ipsilaterally to incomplete partition type 1). Patients harboring common cavity deformity have a high risk of meningitis in their first years of life. Oval window bulging seems to be associated with a higher risk of meningitis. This information might be important for appropriate surgical planning.
Identifiants
pubmed: 34699400
doi: 10.1097/MAO.0000000000003394
pii: 00129492-202201000-00028
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
101-104Informations de copyright
Copyright © 2021, Otology & Neurotology, Inc.
Déclaration de conflit d'intérêts
The authors disclose no funding and conflicts of interest.
Références
Brotto D, Avato I, Lovo E, et al. Epidemiologic, imaging, audiologic, clinical, surgical, and prognostic issues in common cavity deformity: a narrative review. JAMA Otolaryngol Neck Surg 2019; 145:72–78.
Sennaroglu L. Histopathology of inner ear malformations: do we have enough evidence to explain pathophysiology? Cochlear Implants Int 2016; 17:3–20. doi: 10.1179/1754762815Y.0000000016.
doi: 10.1179/1754762815Y.0000000016
Ehmer DR, Booth T, Kutz JW, Roland PS. Radiographic diagnosis of trans-stapedial cerebrospinal fluid fistula. Otolaryngol Neck Surg 2010; 142:694–698. doi: 10.1016/j.otohns.2009.12.029.
doi: 10.1016/j.otohns.2009.12.029
Hester TO, Jones RO, Strottmann JM. Stapes footplate fistula and recurrent meningitis. Otolaryngol Neck Surg 1999; 121:289–292. doi: 10.1016/S0194-5998(99)70195-6.
doi: 10.1016/S0194-5998(99)70195-6
Muzzi E, Battelino S, Gregori M, Pellegrin A, Orzan E. Life-threatening unilateral hearing impairments. Review of the literature on the association between inner ear malformations and meningitis. Int J Pediatr Otorhinolaryngol 2015; 79:1969–1974. doi: 10.1016/j.ijporl.2015.09.028.
doi: 10.1016/j.ijporl.2015.09.028
Sennaroğlu L, Bajin MD. Classification and current management of inner ear malformations. Balk Med J 2017; 34:397–411. doi: 10.4274/balkanmedj.2017.0367.
doi: 10.4274/balkanmedj.2017.0367
Mandalà M, Colletti L. Bacterial meningitis secondary to stapes footplate malformation in a child with an auditory brainstem implant. J Laryngol Otol 2012; 126:72–75. doi: 10.1017/S0022215111002726.
doi: 10.1017/S0022215111002726
Brotto D, Uberti A, Manara R. From Mondini to the latest inner ear malformations’ classifications: an historical and critical review. Hear Balance Commun 2019; 17:241–248. doi: 10.1080/21695717.2019.1663041.
doi: 10.1080/21695717.2019.1663041
Sennaroglu L. Cochlear implantation in inner ear malformations—a review article. Cochlear Implants Int 2010; 11:4–41. doi: 10.1002/cii.416.
doi: 10.1002/cii.416
Sennaroğlu L, Colletti V, Lenarz T, et al. Consensus statement: long-term results of ABI in children with complex inner ear malformations and decision making between CI and ABI. Cochlear Implants Int 2016; 17:163–171. doi: 10.1080/14670100.2016.1208396.
doi: 10.1080/14670100.2016.1208396
Bance M, Zarowski A, Adamson RA, Casselman JW. New imaging modalities in otology. In: Lloyd SKW, Donnelly NP. eds. Advances in Oto-Rhino-Laryngology . Vol 81. S. Karger AG; 2018: 1-13. doi: 10.1159/000485576