Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-25T08:08:04.339Z Has data issue: false hasContentIssue false
  • English
  • Français

The relationship between dimensions of the Eustachian tube and acquired attic cholesteatoma

Published online by Cambridge University Press:  29 March 2022

E A Cetinkaya Open the ORCID record for E A Cetinkaya [Opens in a new window] ,
A Yavuz ,
G Ozturk ,
S Ay ,
D Aydenizoz ,
O T Selcuk  and
H Eyigor
E A Cetinkaya*
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
A Yavuz
Affiliation:
Department of Radiology and Imaging, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
G Ozturk
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
S Ay
Affiliation:
Department of Radiology and Imaging, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
D Aydenizoz
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
O T Selcuk
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
H Eyigor
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
*
Author for correspondence: Dr Erdem Atalay Cetinkaya, KBB Klinigi, SBÜ Antalya Eğitim Araştırma Hastanesi, Antalya, Turkey E-mail: [email protected] Fax: +90 242 249 44 00
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study investigated the relationship between physical dimensions of the Eustachian tube and the emergence of primary attic cholesteatoma.

Methods

A total of 31 patients with unilateral attic cholesteatoma were selected for radiological comparison. Standard point measurements as well as specific measurements were performed using imaging software. The length, narrowest diameter and bony segment volume, and pharyngeal orifice diameter of both sides of the Eustachian tube (attic cholesteatoma and healthy control ears) were measured and compared.

Results

Comparison of the values did not reveal any statistically significant difference between the attic cholesteatoma ears and the healthy control ears in terms of: Eustachian tube height, narrowest diameter, bony segment volume or pharyngeal orifice diameter.

Conclusion

No statistically significant difference was found between the cholesteatoma ears and the healthy control ears in terms of the osseous Eustachian tube size. The findings indicate that the Eustachian tube bony segment dimensions and pharyngeal orifice diameter are not factors in attic cholesteatoma development.

Keywords

CholesteatomaComputed TomographyX-RayEustachian Tube
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 9 , September 2022 , pp. 866 - 870
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr E A Cetinkaya takes responsibility for the integrity of the content of the paper

References

Sadé, J, Wolfson, S, Lunz, M, Berger, G. The anatomical regions of the Eustachian tube. In: Sadé, J, ed. The Eustachian Tube. Amsterdam: Kugler Publications, 1987;31Y40Google Scholar
Dinç, AE, Damar, M, Uğur, MB, Öz, II, SŞ, Eliçora, Bişkin, S et al. Do the angle and length of the eustachian tube influence the development of chronic otitis media? Laryngoscope 2015;125:2187–92CrossRefGoogle ScholarPubMed
Alper, CM, Luntz, M, Takahashi, H, Ghadiali, SN, Swarts, JD, Teixeira, MS et al. Panel 2: anatomy (eustachian tube, middle ear, and mastoid-anatomy, physiology, pathophysiology, and pathogenesis). Otolaryngol Head Neck Surg 2017;156(4 suppl):S22–40CrossRefGoogle Scholar
Habesoglu, TE, Habesoglu, M, Bolukbasi, S, Naiboglu, B, Eriman, M, Karaman, M et al. Does auditory tube angle really affect childhood otitis media and size of the mastoid? Int J Pediatr Otorhinolaryngol 2009;73:747–9CrossRefGoogle ScholarPubMed
Gülüstan, F, Güneş, S, Yıldız, Ö, Yazıcı, ZM, Abakay, MA, İnci, E et al. Relationship between eustachian tube dimensions and middle ear cholesteatoma. ENT Updates 2020;10:356–61CrossRefGoogle Scholar
Bluestone, CD. Epidemiology and pathogenesis of chronic suppurative otitis media: implications for prevention and treatment. Int J Pediatr Otorhinolaryngol 1998;42:207–23CrossRefGoogle ScholarPubMed
Sirikci, A, Bayazit, YA, Bayram, M, Kanlikama, M. Significance of the auditory tube angle and mastoid size in chronic ear disease. Surg Radiol Anat 2001;23:91–5CrossRefGoogle ScholarPubMed
Hashimoto, K, Yanagihara, N, Hyodo, J, Sakagami, M. Osseous eustachian tube and peritubal cells in patients with unilateral cholesteatoma comparison between healthy and diseased sides using high-resolution conebeam computed tomography. Otol Neurotol 2015;36:776–81CrossRefGoogle Scholar
Paltura, C, Can, TS, Yilmaz, BK, Dinç, ME, Develioğlu, ÖN, Külekçi, M. Eustachian tube diameter: is it associated with chronic otitis media development? Am J Otolaryngol 2017;38:414–16CrossRefGoogle ScholarPubMed
Shim, HJ, Choi, AY, Yoon, SW, Kwon, KH, Yeo, SG. The value of measuring eustachian tube aeration on temporal bone CT in patients with chronic otitis media. Clin Exp Otorhinolaryngol 2010;3:59–64CrossRefGoogle ScholarPubMed
Lee, JH, Hong, SM, Kim, CW, Park, YH, Baek, SH. Attic cholesteatoma with tiny retraction of pars flaccida. Auris Nasus Larynx 2015;42:107–12CrossRefGoogle ScholarPubMed
Kim, GW, Jung, HK, Sung, JM, Kim, JS, Kim, CW. A tiny retraction of the pars flaccida may conceal an attic cholesteatoma. Eur Arch Otorhinolaryngol 2020;277:735–41CrossRefGoogle ScholarPubMed
Komori, M, Tada, T, Koizumi, H, Takahashi, M, Sanpei, S, Morino, T et al. Practical analysis of pars flaccida cholesteatoma with classification and staging system proposed by Japan Otological Society: a comparative study. Acta Otolaryngol 2018;138:977–80CrossRefGoogle ScholarPubMed
Takahashi, H. Cholesteatoma in relation to middle-ear ventilation. In: Takahashi, H, ed. The Middle Ear: The Role of Ventilation in Disease and Surgery. Tokyo: Springer, 2001;63Y95CrossRefGoogle Scholar
Doyle, WJ, Swarts, JD. Eustachian tube-tensor veli palatini muscle-cranial base relationships in children and adults: an osteological study. Int J Pediatr Otorhinolaryngol 2010;74:986–90CrossRefGoogle Scholar
Takasaki, K, Sando, I, Balaban, CD, Miura, M. Functional anatomy of the tensor veli palatini muscle and Ostmann's fatty tissue. Ann Otol Rhinol Laryngol 2002;111:1045–9CrossRefGoogle ScholarPubMed
Mizutari, K, Takihata, S, Kimura, E, Inuzuka, E, Shiotani, A. Patency of anterior epitympanic space and surgical outcomes after endoscopic ear surgery for the attic cholesteatoma. Otol Neurotol 2021;42:266–73CrossRefGoogle ScholarPubMed