Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-24T00:55:22.115Z Has data issue: false hasContentIssue false
  • English
  • Français

Three-dimensional study of vestibular anatomy as it relates to the stapes footplate and its clinical implications: an augmented reality development

Published online by Cambridge University Press:  01 March 2019

P Mukherjee ,
K Cheng  and
I Curthoys
P Mukherjee*
Affiliation:
Institute of Academic Surgery, Royal Prince Alfred Hospital, Sydney, Australia
K Cheng
Affiliation:
Vestibular Research Laboratory, School of Psychology, University of Sydney, Australia
I Curthoys
Affiliation:
Vestibular Research Laboratory, School of Psychology, University of Sydney, Australia
*
Author for correspondence:Associate Professor Payal Mukherjee, PO Box 1384, Wahroonga, NSW 2076, Australia E-mail: [email protected] Fax: +61 2 9475 0220
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

The anatomy of the membranous labyrinth within the vestibule has direct implications for surgical intervention. The anatomy of the otoliths has been studied, but there is limited information regarding their supporting connective tissue structures such as the membrana limitans in humans.

Methods

One guinea pig and 17 cadaveric human temporal bones were scanned using micro computed tomography, after staining with 2 per cent osmium tetroxide and preservation with Karnovsky's solution, with a resolution from 1 µm to 55 µm. The data were analysed using VGStudio Max software, rendered in three-dimensions and published in augmented reality.

Results

In 50 per cent of ears, the membrana limitans attached directly to the postero-superior part of the stapes footplate. If attachments were present in one ear, they were present bilaterally in 100 per cent of cases.

Conclusion

Micro computed tomography imaging allowed three-dimensional assessment of the inner ear. Such assessments are important as they influence the surgical intervention and the evolution of future innovations.

Keywords

Augmented RealityVirtual RealitySacculeUtricleAnatomyStapes SurgeryMembrana Limitans
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 3 , March 2019 , pp. 187 - 191
Copyright
Copyright © JLO (1984) Limited, 2019 

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

Associate Professor P Mukherjee takes responsibility for the integrity of the content of the paper

References

1Uzun, H, Curthoys, IS, Jones, AS. A new approach to visualizing the membranous structures of the inner ear with high resolution X-ray tomography. Acta Otolaryngol 2007;127:568–73Google Scholar
2Uzun-Coruhlu, H, Curthoys, IS, Jones, AS. Attachment of the utricular and saccular maculae to the temporal bone. Hear Res 2007;233:77–85Google Scholar
3Thylur, D, Jacobs, R, Go, J, Toga, A, Niparko, J. Ultra-high-field magnetic resonance imaging of the human inner ear at 11.7Tesla. Otol Neurotol 2017;38:133–8Google Scholar
4Monsanto, RC, Pauna, HF, Kwon, G, Schachern, PA, Tsuprun, V, Paparella, MM et al. A three-dimensional analysis of the endolymph drainage system in Meniere's disease. Laryngoscope 2017;127:170–5Google Scholar
5Sproat, R, Yiannakis, C, Iyer, A. Endoscopic stapes surgery: a comparison with microscopic surgery. Otol Neurotol 2017;38:662–6Google Scholar
6Salt, AN, Hartsock, JJ, Gill, RM, King, E, Kraus, FB, Plontke, SK. Perilymph pharmacokinetics of locally-applied gentamicin in the guinea pig. Hear Res 2016;342:101–11Google Scholar
7King, EB, Salt, AN, Kel, GE, Eastwood, HT, O'Leary, SJ. Gentamicin administration on the stapes footplate causes greater hearing loss and vestibulotoxicity than round window administration in guinea pigs. Hear Res 2013;304:159–66Google Scholar
8Mukherjee, P, Uzun-Coruhlu, H, Curthoys, I, Jones, AS, Bradshaw, AP, Pohl, DV. Three-dimensional analysis of the vestibular end organs in relation to the stapes footplate and piston placement. Otol Neurotol 2011;32:367–72Google Scholar
9Nomura, Y. Morphological Aspects of Inner Ear Disease. Tokyo: Springer, 2014;1–22Google Scholar
10Hara, M, Kimura, RS. Morphology of membrana limitans. Ann Otol Rhinol Laryngol 1993;102:625–30Google Scholar
11Chiarovano, E, Cheng, K, Mukherjee, P. Utility of vestibular testing and new technologies in a complex cholesteatoma. Acta Otolaryngol 2017;2:111–18Google Scholar
12Cheng, K, Mukherjee, P, Curthoys, I. Development and use of augmented reality and 3D printing in consultation patient with complex skull base cholesteatoma. Virtual Phys Prototyp 2017;12:241–8Google Scholar
13Backous, DD, Aboujaoude, ES, Minor, LB, Nages, GT. Relationship of the utriculus and sacculus to the stapes footplate: anatomic implications of sound and/or pressure-induced otolithic activation. Ann Otol Rhinol Laryngol 1999;108:548–53Google Scholar
14Fisch, U. Stapedotomy versus stapedectomy. Otol Neurotol 1982;4:112–17Google Scholar
15Fisch, U. Stapedotomy versus stapedectomy. Comments on a historic article. Otol Neurotol 2009;30:1166–7Google Scholar
16Persson, P, Harder, H, Magnuson, B. Hearing results in otosclerosis surgery after partial stapedectomy, total stapedectomy and stapedotomy. Acta Otolaryngol 1997;117:94–9Google Scholar
17Sedwick, JD, Louden, CL, Shelton, C. Stapedectomy vs stapedotomy. Do you really need a laser? Arch Otolaryngol Head Neck Surg 1997;123:177–80Google Scholar
18Ruthenbeck, GS, Hobson, J, Carney, AS, Sloan, S, Sacks, R, Reynolds, KJ. Toward photorealism in endoscopic sinus surgery. Am J Rhinol Allergy 2013;27:138–43Google Scholar
19Wijewickrema, S, Piromchai, P, Zhou, Y, Ioannou, I, Bailey, J, Kennedy, G et al. Developing effective feedback in temporal bone surgery simulation. Otolaryngol Head Neck Surg 2015;152:1082–8Google Scholar
20Ericsson, KA, Krampe, RT, Tesch-Römer, C. The role of deliberate practice in the acquisition of expert performance. Psychol Rev 1993;100:363–406Google Scholar
21Wiet, G, Stredney, D, Wan, D. Training and simulation in otolaryngology. Otolaryngol Clin North Am 2011;44:1333–50Google Scholar
22Yamaan, S, Vyas, D. Nanorobotic applications in medicine: current proposals and designs. Am J Robot Surg 2014;1:4–11Google Scholar