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CT screening for temporal bone abnormalities in idiopathic bilateral sensorineural hearing loss

Published online by Cambridge University Press:  29 June 2007

J. P. Harcourt ,
P. Lennox ,
P. D. Phelps  and
G. B. Brookes
J. P. Harcourt
Affiliation:
Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
P. Lennox
Affiliation:
Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
P. D. Phelps
Affiliation:
Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
G. B. Brookes*
Affiliation:
Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
*
Address for correspondence: Gerald B. Brookes, F.R.C.S., Consultant ENT and Neuro-Otological Surgeon, Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA.
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Abstract

Bilateral sensorineural hearing loss can be caused by a variety of temporal bone abnormalities including primary cochlear otoscierosis, local and systemic bony diseases and some metabolic conditions. These may be identified using computerized tomography (CT), with attenuation recordings taken across the cochlear capsule (CT densitometry). Eighty patients with bilateral sensorineural hearing loss were screened over a period of six and a half years using this technique, and only three cases (3.8 per cent) of treatable disease were detected. Positive yields may be increased by screening selected cases with other clinical or biochemical stigmata of temporal bone disease.

Keywords

TomographyX-ray computedHearing losssensorineuralTemporal bone
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 2 , February 1997 , pp. 117 - 121
Copyright
Copyright © JLO (1984) Limited 1997

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References

Booth, J. B. (1982) Medical management of sensorineural hearing loss. Part II Musculoskeletal system. Journal of Laryngology and Otology 96: 773–795.CrossRefGoogle Scholar
Booth, J. B. (1987) Sudden and fluctuant sensorineural hearing loss. In Scott-Brown's Otolaryngology. 5th Edition. (Kerr, A. G., Booth, J. B., eds.) Butterworths, London, pp 387–434.Google Scholar
Bretlau, P., Causse, J., Causse, J. B., Hansen, H. J., Jonsen, N. J., Salomon, G. (1985) Otospongiosis and sodium fluoride. A blind experimental and clinical evaluation of the effect of sodium fluoride treatment in patients with otospongiosis. Annals of Otology, Rhinology and Laryngology 94: 103–107.CrossRefGoogle ScholarPubMed
Brookes, G. B. (1983) Vitamin D deficiency – a new cause of cochlear deafness. Journal of Laryngology and Otology 97: 405–420.CrossRefGoogle ScholarPubMed
Brookes, G. B. (1985) Vitamin D deficiency and deafness: 1984 update. American Journal of Otology 6: 102–107.Google ScholarPubMed
Brookes, G. B., Booth, J. B. (1987) Diseases of the temporal bone. In Scott-Brown's Otolaryngology. Otology Fifth Edition. (Kerr, A. G., Booth, J. B., eds.) Butterworths, London, pp 340–380.Google Scholar
Byrne, J. E. T., Kerr, A. G. (1987) Sensorineural hearing loss. In Scott-Brown's Otolaryngology. Vol 3 Fifth Edition. (Kerr, A. G., Booth, J. B., eds.) Butterworths, London, pp 381–386.Google Scholar
Causse, J. R. (1980) Enzymology of otospongiosis and NaF therapy. American Journal of Otology 1: 206–213.Google ScholarPubMed
Cody, D. T. R., Baker, H. L. (1978) Otosclerosis: Vestibular symptoms and sensorineural hearing loss. Annals of Otology 87: 778–796.Google ScholarPubMed
Davies, D. G. (1968) Paget's disease of the temporal bone. Acta Otolaryngologica 242(Suppl.): 1–47.Google Scholar
Glasscock, M. E., Shambaugh, G. E. (1990) Diagnosis, indications for surgery and medical therapy of otospongiosis (otosclerosis). In Surgery of the Ear 4th Edition. (Glasscock, M. E., Shambaugh, G. E., eds.) W. B. Saunders, Philadelphia, pp 370–387.Google Scholar
Havrilak, D., Parisier, S. C. (1991) Cochlear otosclerosis presenting in children: a case report. American Journal of Otology 12: 61–63.Google Scholar
Huizing, E. H., de Groot, J. A. M. (1987) Densitometry of the cochlear capsule and correlation between bone density loss and bone conduction hearing loss in otosclerosis. Acta Otolaryngologica 103: 464–468.Google ScholarPubMed
Khetarpal, U., Schuknecht, H. F. (1990) In search of pathologic correlates for hearing loss and vertigo in Paget's disease. A clinical and histopathologic study of 26 temporal bones. Annals of Otology, Rhinology and Laryngology 99(Suppl.): 1–16.CrossRefGoogle Scholar
Mark, A. S., Seltzer, S., Harnsberger, H. R. (1993) Sensorineural hearing loss: More than meets the eye? American Journal of Neuroradiology 1: 37–45.Google Scholar
Monsell, E., Bone, H. G., Cody, D. D., Jacobsen, G. P., Newman, C. W., Patel, S. C. (1995) Hearing loss in Paget's disease of bone: evidence of auditory nerve integrity. American Journal of Otology 16: 27–33.Google ScholarPubMed
Nager, G. T. (1993) Otosclerosis: In Pathology of the Ear and Temporal Bone. Williams and Wilkins, Baltimore, pp 943–1010.Google Scholar
Phelps, P. D., Lloyd, G. A. S. (1990) Otosclerosis and bone dysplasias. Cochlear implants. In Diagnostic Imaging of the Ear. 2nd Edition. Springer-Verlag, London, pp 203–209.CrossRefGoogle ScholarPubMed
Schuknecht, H. F. (1992) Myths in neurotology. American Journal of Otology 13: 124–126.Google ScholarPubMed
von Glass, W., Philipp, A. (1988) Die Darstellung der Kapselotosklerose mit Hilfe der Computertomographie. Hals Nase und Ohr 36: 373–376.Google Scholar
Yamazaki, T., Ogawa, K., Imoto, T., Hayashi, N., Kozaki, H. (1988) Senile deafness and metabolic bone disease. American Journal of Otology 9: 376–382.Google ScholarPubMed