Providing Insight for Pediatric Ear Surgery: Analysis of Middle Ear Development via HRCT.

external auditory canal mastoid pneumatization middle ear development ossicles pediatric ear surgery

Journal

The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378

Informations de publication

Date de publication:
18 Oct 2024
Historique:
revised: 01 09 2024
received: 16 06 2024
accepted: 12 09 2024
medline: 18 10 2024
pubmed: 18 10 2024
entrez: 18 10 2024
Statut: aheadofprint

Résumé

Providing insight for pediatric ear surgery via investigations on the development patterns of ossicles, mastoid, and external auditory canal (EAC). This retrospective study analyzed high-resolution computed tomography (HRCT) scans of 191 healthy temporal bones ranging from infants to adults. Subjects were grouped by 1-year intervals for developmental regression models and 3-year intervals for stage comparisons using t-tests or Mann-Whitney U tests. The size of auditory ossicles and tympanic cavity (TC) remained stable during development, while the minimum diameter of the tympanic sinus (TS) entrance was reduced. Regarding mastoid pneumatization, the air cells can be observed at birth, became pronounced at 2 years old, and were fully developed around the age of 5, with subsequent growth primarily involving radial expansion. Furthermore, the EAC demonstrated significant growth with age: the width of EAC increased linearly ( Ossicles and TC remain stable during development. Furthermore, mastoid air cells may have developed in the early stages of life, while their diameter increases synchronously with EAC. All in all, ossicular chain reconstruction surgery and endoscopic ear surgery can be performed in babies. NA Laryngoscope, 2024.

Identifiants

pubmed: 39422414
doi: 10.1002/lary.31813
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : National Natural Science Foundation of China Youth Fund
ID : 81800907
Organisme : Shanghai Shenkang Hospital Development Center to Promote Clinical Skills and Clinical Innovation in Municipal Hospitals
ID : SHDC22024311
Organisme : STI2030-Major Projects
ID : 2022ZD0205400
Organisme : National Natural Science Foundation of China
ID : 82271170
Organisme : Three-year Action Plan of Shanghai Shenkang Hospital Development Center to Promote Clinical Skills and Clinical Innovation in Municipal Hospitals
ID : SHDC2022CRD006

Informations de copyright

© 2024 The American Laryngological, Rhinological and Otological Society, Inc.

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Auteurs

Cenfei Li (C)

ENT institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.

Tao Jiang (T)

ENT institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.

Runhua Li (R)

ENT institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.

Dantong Gu (D)

ENT institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.

Xinda Xu (X)

ENT institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.

Fang Zhang (F)

Department of Radiology, Eye & ENT Hospital, Fudan University, Shanghai, China.

Wenyan Li (W)

State Key Laboratory of Medical Neurobiology, and MOE Frontiers Center for Brain Science, ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Institutes of Biomedical Sciences, Fudan University, Shanghai, China.
NHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, China.
The Institutes of Brain Science and the Collaborative Innovation Center for Brain Science, Fudan University, Shanghai, China.

Classifications MeSH