PMID: 16639273Apr 28, 2006Paper

Cranial thickness in superior canal dehiscence syndrome: implications for canal resurfacing surgery

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
David R Friedland, Michelle A Michel

Abstract

To use morphometric analyses of cranial thickness to investigate 2 cases of unanticipated calvarial bone resorption in superior canal dehiscence (SCD) resurfacing surgery. Retrospective morphometric analysis of high-resolution computed tomography (CT) temporal bone scans in normal and control subjects with accompanying case reports. Tertiary care referral center. Two patients with SCD and failed resurfacing because of bone resorption. Temporal bone CT scans from 30 sex-matched controls. Resurfacing of SCD via a middle fossa approach using a split thickness calvarial graft from the craniotomy site. Mean cross-sectional area of the middle fossa craniotomy bone flap and mean cranial thickness at 30 and 45 degrees above the middle fossa floor. Two patients had delayed failure of SCD resurfacing surgery as manifested by return of symptoms. High-resolution CT scans in both, and intraoperative confirmation in one, confirmed resorption of the bone graft. Measurements of cross-sectional area of the middle fossa craniotomy on high-resolution CT scans demonstrated significantly reduced values in the two SCD patients as compared with normal controls (Mann-Whitney U test, p<0.05). Cranial thickness outside the squamous temporal bone was red...Continue Reading

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