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DOI: 10.1055/a-1131-7980
Imaging of otosclerosis
Artikel in mehreren Sprachen: English | deutsch![](https://www.thieme-connect.de/media/roefo/202008/lookinside/thumbnails/roefo-3300_10-1055-a-1131-7980_en-1.jpg)
Abstract
Background Otosclerosis is an important cause of hearing loss and a widespread pathology in ENT medicine. Although a high diagnostic value of CT with impact on therapy is emphasized in the literature, the disease is seldom seen in the radiological routine diagnostics due to ENT findings often being diagnostic. Radiologists detect it rather more often in cases of unclear hearing loss or cochlear implant candidates. The findings may be very subtle. They require a target search and an optimal imaging technique.
Methods This review article is based on a selective search of the literature in PubMed without any time frame restrictions as well as on the long clinical experience of the authors.
Results The paper focuses on imaging aspects of otosclerosis: current role, advice for imaging technique, characteristic imaging signs, radiological differential diagnoses and findings after stapedoplasty. Pathology, clinical signs and therapeutic options are summarized briefly.
Conclusions With an optimal technique and sufficient radiological experience otosclerosis can be correctly diagnosed by imaging in a high percentage of cases. Radiology plays the key role in the diagnosis of retrofenestral otosclerosis. It can provide valuable information for the management of complications after stapedotomy.
Key points:
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X-ray cross-sectional imaging continues to be the method of first choice in the radiological diagnostics of otosclerosis
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With an optimal imaging technique and sufficient experience otosclerosis can be radiologically detected
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In complications after stapedoplasty, causes can be identified supporting the indication for a reoperation
Citation Format
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Kösling K, Plontke SK, Bartel S. Imaging of otosclerosis. Fortschr Röntgenstr 2020; 192: 745 – 753
Publikationsverlauf
Eingereicht: 20. Januar 2020
Angenommen: 07. Februar 2020
Artikel online veröffentlicht:
26. März 2020
© Georg Thieme Verlag KG
Stuttgart · New York
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References
- 1 Karosi T, Szekanecz Z, Sziklai I. Otosclerosis: an autoimmune disease?. Autoimmun Rev 2009; 9: 95-101
- 2 Declau F, Van Spaendonck M, Timmermans JP. et al. Prevalence of otosclerosis in an unselected series of temporal bones. Otol Neurotol 2001; 22: 596-602
- 3 Metasch ML, Plontke SK, Zirkler J. et al. Diagnostik and operative Therapie der Otosklerose. Teil1: Grundlagen, Diagnostik und Differentialdiagnostik. Laryngo-Rhino-Otol 2018; 97: 563-578
- 4 Rudic M, Keogh I, Wagner R. et al. The pathophysiology of otosclerosis: review of current research. Hear Res 2015; 330: 51-56
- 5 Strutz J. Otosklerose. In: Strutz J, Mann W, Arndt O. (eds) Praxis der HNO-Heilkunde, Kopf- und Halschirurgie. Stuttgart: Thieme; 2010: 282-284
- 6 Foster MF, Backous DD. Clinical evaluation of the patient with otosclerosis. Otolaryngol Clin N Am 2018; 51: 319-326
- 7 Browning GG, Gatehouse S. Sensorineural hearing loss in stapedial otosclerosis. Ann Otol Rhinol Laryngol 1984; 93: 13-16
- 8 Schuknecht HF. Cochlear otosclerosis. An intractable absurdity. J Laryngol Otol 1983; 8: 81-83
- 9 Carhart R. Clinical application of bone conduction audiometry. Archives of Otolaryngology 1950; 51: 798-808
- 10 Kwok OT, Nadol Jr JB. Correlation of otosclerotic foci and degenerative changes in the organ of Corti and spiral ganglion. Am J Otolaryngol 1989; 10: 1-12
- 11 Parahy C, Linthicum Jr FH. Otosclerosis: relationship of spiral ligament hyalinization to sensorineural hearing loss. Laryngoscope 1983; 93: 717-720
- 12 Lindsay JR, Beal DD. Sensorineural deafness in otosclerosis. Observations on histopathology. Ann Otol Rhinol Laryngol 1966; 75: 436-457
- 13 Elonka DR, Applebaum EL. Otosclerotic involvement of the cochlea: a histologic and audiologic study. Otolaryngol Head Neck Surg 1981; 89: 343-351
- 14 Doherty JK, Linthicum Jr FH. Spiral ligament and stria vascularis changes in cochlear otosclerosis: effect on hearing level. Otol Neurotol 2004; 25: 457-464
- 15 Babcock TA, Liu XZ. Otosclerosis. From genetics to molecular biology. Otolaryngol Clin N Am 2018; 51: 305-318
- 16 Baysal E, Gulsen S, Aytac I. et al. Oxidative stress in otosclerosis. Redox Rep Commun Free Radic Res 2017; 22: 235-239
- 17 Plontke SK, Metasch ML, Zirkler J. et al. Diagnostik und operative Therapie der Otosklerose. Teil II: Operative Therapie. Laryngorhinootologie 2018; 97: 717-734
- 18 Antonelli PJ. Prevention and management of complications in otosclerosis surgery. Otolaryngol Clin North Am 2018; 51: 453-462
- 19 Cheng HCS, Agrawal SK, Parnes LS. Stapedectomy versus stapedotomy. Otolaryngol Clin North Am 2018; 51: 375-392
- 20 Ayache D, Earally F, Elbaz P. Characteristics and Postoperative Course of Tinnitus in Otosclerosis. Otol Neurotol 2003; 24: 48
- 21 de Penido NO, de Vicente AO. Medical Management of Otosclerosis. Otolaryngol Clin North Am 2018; 51: 441-452
- 22 Rahne T, Plontke SK. Apparative Therapie bei kombiniertem Hörverlust. HNO 2016; 64: 91-100
- 23 Beutner D, Delb W, Frenzel H. et al. Leitlinie „Implantierbare Hörgeräte“ – Kurzversion: S2k-Leitlinie der Arbeitsgemeinschaft Deutschsprachiger Audiologen, Neurootologen und Otologen (ADANO), der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO) unter Mitarbeit der Deutschen Gesellschaft für Audiologie (DGA), der Deutschen Gesellschaft für Phoniatrie und Pädaudiologie (DGPP) und von Patientenvertretern. HNO 2018; 66: 654-659
- 24 Freeman J. Progressive sensorineural hearing loss and cochlear otosclerosis: A prospective study. Laryngoscope 1979; 89: 1487-1521
- 25 Forqueer BD, Seehy JL. Cochlear otosclerosis: a review of audiometric findings in 150 cases. Am J Otol 1987; 8: 1-4
- 26 Purohit B, Hermans R, Op de Beeck K. Imaging in otosclerosis: A pictorial review. Insights Imaging 2014; 5: 245-252
- 27 Kösling S, Hoffmann K. Otosklerose. In: Kösling S, Bootz F. (eds). Bildgebung HNO-Heilkunde. Berlin, Heidelberg: Springer; 2015: 122-125
- 28 Lemmerling M. Otosclerosis. In: Lemmerling M, De Foer B. (eds). Temporal Bone Imaging. Berlin, Heidelberg: Springer; 2015: 89-96
- 29 Dudau C, Salim F, Jiang D. et al. Diagnostic efficacy and therapeutic impact of computed tomography in the evaluation of clinically suspected otosclerosis. Eur Radiol 2017; 27: 1195-1201
- 30 Kösling S, Bootz F. CT and MRI after middle ear surgery. Europ J Radiol 2001; 40: 113-118
- 31 Kösling S, Brandt S, Bloching M. et al. Indikationen für die HR-CT nach erfolgter Stapedotomie in der frühen postoperativen Phase. Fortschr Röntgenstr 2004; 176: 1122-1126
- 32 Woldag K, Kösling S, Meister EF. et al. Diagnosis in the presence of persistent vertigo after stapes surgery. Laryngo-Rhino-Otologie 1995; 74: 403-407
- 33 Kösling S, Woldag K, Meister EF. et al. Stellenwert der Computertomografie bei persistierenden Gleichgewichtsstörungen nach dem Einsatz von Stapesplastiken. Fortschr Röntgenstr 1995; 162: 3-6
- 34 Kösling S, Woldag K, Meister EF. et al. Value of computed tomography in patients with persistent vertigo after stapes surgery. Invest Radiol 1995; 30: 712-715
- 35 Arbeitsgemeinschaft Kopf-Hals-Diagnostik der Deutschen Röntgengesellschaft. CT- und MRT-Protokolle. www.drg.de
- 36 Henrot P, Iochum S, Batch T. et al. Current multiplanar imaging of the stapes. Am J Neuroradiol 2005; 26: 2128-2133
- 37 Knörgen M, Brandt S, Kösling S. Qualitätsvergleich digitaler 3D-fähiger Röntgenanlagen bei HNO-Fragestellungen am Schläfenbein und den Nasennebenhöhlen. Fortschr Röntgenstr 2012; 184: 1153-1160
- 38 Valvassori GE. Imaging of otosclerosis. Otolaryngol Clin North Am 1993; 26: 359-371
- 39 Kawase S, Naganawa S, Sone M. et al. Relationship between CT densitometry with a slice thickness of 0.5 mm and audiometry in otosclerosis. Eur Radiol 2006; 16: 1367-1373
- 40 Naumann IC, Porcellini B, Fisch U. Otosclerosis: incidence of positive findings on high resolution computed tompography and their correlation to audiological test data. Ann Otol Rhinol Laryngol 2005; 114: 709-716
- 41 Shin YJ, Fraysse B, Deguine O. et al. Sensorineural hearing loss and otosclerosis: a clinical and radiological survey of 437 cases. Acta Otolaryngol 2001; 121: 200-204
- 42 Marshall AH, Fanning N, Symons S. et al. Cochlear implantation in cochlear otosclerosis. Laryngoscope 2005; 115: 1728-1733
- 43 Lee TC, Aviv RI, Chen JM. et al. CT grading of otosclerosis. Am J Neuroradiol 2009; 30: 1435-1439
- 44 Stimmer H, Arnold W, Schwaiger M. et al. Magnetic resonance imaging and high-resolution computed tomography in the otospongiotic phase of otosclerosis. J Otorhinolaryngol Relat Spec 2002; 64: 451-453
- 45 Goh JPN, Chan LL, Tan TY. MRI of cochlear otosclerosis. Br J Radiol 2002; 75: 502-505
- 46 Ziyeh S, Berger R, Reisner K. MRI-visible pericochlear lesions in osteogenesis imperfect type I. Europ Radiol 2000; 10: 1675-1677
- 47 Chadwell JB, Halsted MJ, Choo DI. et al. The cochlear cleft. Am J Neuroradiol 2004; 25: 21-24
- 48 Pekkola J, Pitkäranta A, Jappel A. et al. Localized pericochlear hypoattenuating foci at temporal-bone thin-section CT in pediatric patients: nonpathologic differential diagnostic entity. Radiology 2004; 230: 88-92
- 49 Wang F, Yoshida T, Sugimoto S. et al. Clinical features of ears with otosclerosis and endolymphatic hydrops. Otol Neurotol 2019; 40: 441-445