Matched Cohort Study of Radiographic Superior Semicircular Canal Dehiscence and Tegmen Dehiscence and Obstructive Sleep Apnea.
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 12 2022
01 12 2022
Historique:
pubmed:
11
10
2022
medline:
15
11
2022
entrez:
10
10
2022
Statut:
ppublish
Résumé
To report the frequency of radiographic superior semicircular canal dehiscence (SSCD) and tegmen dehiscence in patients with and without obstructive sleep apnea (OSA). Retrospective matched cohort study. Tertiary care center. Adults with OSA and fine-cut computed tomographic scans including the temporal bone were matched to patients without OSA by age, sex, and type of computed tomography (protocol, scanner type, slice thickness). Ears with otologic surgery or temporal bone tumors were excluded. Prevalence of SSCD and tegmen dehiscence assessed by two independent reviewers. The average body mass index of the OSA patients was 29.2 kg/m 2 with an average apnea-hypopnea index of 36.8. The control group had an average body mass index of 26.2 kg/m 2 . Of the 352 temporal bones, 34 (9.7%) had SSCD in the OSA cohort versus 37 (10.5%) in the control group ( p > 0.05). Seven OSA patients (25.6% of those with SSCD) had bilateral SSCD versus 8 controls (27.6% of those with SSCD; p > 0.05). The majority (87.3%) of dehiscences involved the temporal lobe, with the remaining involving the superior petrosal sinus or both. Of the 352 OSA ears, 90 (25.6%) had a tegmen dehiscence versus 95 (27.0%) in the control group ( p > 0.05). Neither group had a laterality preference for SSCD or tegmen dehiscence. The prevalence of radiographic SSCD and tegmen dehiscences in OSA patients does not significantly differ from age- and sex-matched controls. This is in contrast to a previous case-control study finding patients with symptomatic SSCD to have higher rates of OSA. This may suggest that the effect size of OSA on SSCD prevalence may be limited despite OSA being a risk factor for elevated intracranial pressure.
Identifiants
pubmed: 36214499
doi: 10.1097/MAO.0000000000003712
pii: 00129492-202212000-00033
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1222-1226Informations de copyright
Copyright © 2022, Otology & Neurotology, Inc.
Déclaration de conflit d'intérêts
The authors disclose no conflicts of interest.
Références
Minor LB, Solomon D, Zinreich JS, Zee DS. Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 1998;124:249–58.
Steenerson KK, Crane BT, Minor LB. Superior semicircular canal dehiscence syndrome. Semin Neurol 2020;40:151–9.
Hirvonen TP, et al. High-resolution CT findings suggest a developmental abnormality underlying superior canal dehiscence syndrome. Acta Otolaryngol 2003;123:477–81.
El Hadi T, Sorrentino T, Calmels MN, et al. Spontaneous tegmen defect and semicircular canal dehiscence: Same etiopathogenic entity? Otol Neurotol 2012;33:591–5.
Carey JP, Minor LB, Nager GT. Dehiscence or thinning of bone overlying the superior semicircular canal in a temporal bone survey. Arch Otolaryngol Head Neck Surg 2000;126:137–47.
Scurry WC Jr., Ort SA, Peterson WM, Sheehan JM, Isaacson JE. Idiopathic temporal bone encephaloceles in the obese patient. Otolaryngol Head Neck Surg 2007;136:961–5.
Tam EK, Gilbert AL. Spontaneous cerebrospinal fluid leak and idiopathic intracranial hypertension. Curr Opin Ophthalmol 2019;30:467–71.
LeVay AJ, Kveton JF. Relationship between obesity, obstructive sleep apnea, and spontaneous cerebrospinal fluid otorrhea. Laryngoscope 2008;118:275–8.
Schutt CA, Neubauer P, Samy RN, et al. The correlation between obesity, obstructive sleep apnea, and superior semicircular canal dehiscence: A new explanation for an increasingly common problem. Otol Neurotol 2015;36:551–4.
Berkiten G, Gürbüz D, Akan O, et al. Dehiscence or thinning of bone overlying the superior semicircular canal in idiopathic intracranial hypertension. Eur Arch Otorhinolaryngol 2021;279:2899–904.
Onder H, Ergun O, Kaygisiz M, Daltaban IS. Total improvement after surgery for obstructive sleep apnea syndrome in a patient with concurrent malignant idiopathic intracranial hypertension. J Neurosurg 2018;131:582–6.
Thurtell MJ, Trotti LM, Bixler EO, et al. Obstructive sleep apnea in idiopathic intracranial hypertension: Comparison with matched population data. J Neurol 2013;260:1748–51.
Ceylan N, Bayraktaroglu S, Alper H, et al. CT imaging of superior semicircular canal dehiscence: Added value of reformatted images. Acta Otolaryngol 2010;130:996–1001.
Sugihara EM, Babu SC, Kitsko DJ, Haupert MS, Thottam PJ. Incidence of pediatric superior semicircular canal dehiscence and inner ear anomalies: A large multicenter review. Otol Neurotol 2016;37:1370–5.
Williamson RA, Vrabec JT, Coker NJ, Sandlin M. Coronal computed tomography prevalence of superior semicircular canal dehiscence. Otolaryngol Head Neck Surg 2003;129:481–9.
Rabbani CC, Saltagi MZ, Manchanda SK, Yates CW, Nelson RF. Prevalence of obstructive sleep apnea (OSA) in spontaneous cerebrospinal fluid (CSF) leaks: A prospective cohort study. Otol Neurotol 2018;39:e475–80.
Westgate CSJ, Israelsen IME, Jensen RH, Eftekhari S. Understanding the link between obesity and headache—With focus on migraine and idiopathic intracranial hypertension. J Headache Pain 2021;22:123.
Subramaniam S, Fletcher WA. Obesity and weight loss in idiopathic intracranial hypertension: A narrative review. J Neuroophthalmol 2017; 37: 197–205.
Stiebel-Kalish H, Serov I, Sella R, Chodick G, Snir M. Childhood overweight or obesity increases the risk of IIH recurrence fivefold. Int J Obes (Lond) 2014;38:1475–7.
Ardissino M, Moussa O, Tang A, et al. Idiopathic intracranial hypertension in the British population with obesity. Acta Neurochir 2019;161:239–46.
Sugerman HJ, DeMaria EJ, Felton WL 3rd, Nakatsuka M, Sismanis A. Increased intra-abdominal pressure and cardiac filling pressures in obesity-associated pseudotumor cerebri. Neurology 1997;49:507–11.
Jan TA, Cheng YS, Landegger LD, et al. Relationship between surgically treated superior canal dehiscence syndrome and body mass index. Otolaryngol Head Neck Surg 2017;156:722–7.
Kuo P, Bagwell KA, Mongelluzzo G, et al. Semicircular canal dehiscence among idiopathic intracranial hypertension patients. Laryngoscope 2018;128:1196–9.
de Jong MA, Carpenter DJ, Kaylie DM, Piker EG, Frank-Ito DO. Temporal bone anatomy characteristics in superior semicircular canal dehiscence. J Otol 2017;12:185–91.
Formeister EJ, et al. Predictive factors for concurrent tegmen dehiscence in superior canal dehiscence syndrome. Otol Neurotol 2022;43:494–9.
Niesten ME, Lookabaugh S, Curtin H, et al. Familial superior canal dehiscence syndrome. JAMA Otolaryngol Head Neck Surg 2014;140:363–8.
Lagman C, et al. Pediatric superior semicircular canal dehiscence: Illustrative case and systematic review. J Neurosurg Pediatr 2017;20:196–203.
Quintana-Gallego E, et al. Gender differences in obstructive sleep apnea syndrome: A clinical study of 1166 patients. Respir Med 2004;98:984–9.
Al Abdulsalam HK, Ajlan AM. Idiopathic intracranial hypertension in males. Neurosciences (Riyadh) 2017;22:220–3.