caa a22 4500 606186247 CHVBK 20210128100835.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00405-014-2996-4 doi (NATIONALLICENCE)springer-10.1007/s00405-014-2996-4 Jugular bulb abnormalities in patients with Meniere's disease using high-resolution computed tomography [Elektronische Daten] [Jonas Park, Anmin Shen, Sebastian Keil, Christiane Kuhl, Martin Westhofen] Temporal bone abnormalities such as hypoplasia of the vestibular aqueduct or hypopneumatization of the mastoid have been described in Meniere's disease (MD). Jugular bulb abnormalities (JBA) are one of the most common temporal bone abnormalities. The aim of this study was to evaluate the frequency of JBA in MD. Radiological data obtained by temporal bone high-resolution computed tomography of 200 ears of 167 MD patients (MD group) and 218 ears of 109 patients with normal inner ear function (control group) were analyzed retrospectively. The frequencies of high jugular bulb (HJB), jugular bulb diverticulum (JBD), inner ear adjacent jugular bulb (IAJB) and jugular bulb related inner ear dehiscence (JBID) were evaluated and compared between MD group and control group. IAJB was differentiated into vestibular aqueduct adjacent jugular bulb (VAAJB), cochlear aqueduct adjacent jugular bulb and posterior semicircular canal adjacent jugular bulb. JBID was further analyzed by differentiating into jugular bulb related vestibular aqueduct dehiscence (JBVAD), jugular bulb related cochlear aqueduct dehiscence and jugular bulb related posterior semicircular canal dehiscence. The frequencies of HJB, JBD and IAJB were higher in MD group compared to control group (21, 13.3%, p=0.036; 8.5, 3.7%, p=0.037; 13.5, 4.6%, p=0.001). No differences between both groups were seen in JBID (4.0, 2.3%, p=0.315). Most IAJB and JBID were seen in VAAJB and JBVAD. There is a higher frequency of JBA in patients with MD than in patients without inner ear symptoms. Temporal bones of MD patients might be constituted anatomically different, carrying predisposing factors for the development of clinically apparent MD. Springer-Verlag Berlin Heidelberg, 2014 Jugular bulb nationallicence High jugular bulb nationallicence Jugular bulb diverticulum nationallicence Meniere's disease nationallicence Vestibular aqueduct nationallicence Cochlear aqueduct nationallicence Park Jonas Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut Shen Anmin Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut Keil Sebastian Department of Radiology and Interventional Radiology, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut Kuhl Christiane Department of Radiology and Interventional Radiology, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut Westhofen Martin Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/8(2015-08-01), 1879-1884 0937-4477 272:8<1879 2015 272 405 https://doi.org/10.1007/s00405-014-2996-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-2996-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Park Jonas Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut NATIONALLICENCE 700 1- Shen Anmin Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut NATIONALLICENCE 700 1- Keil Sebastian Department of Radiology and Interventional Radiology, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut NATIONALLICENCE 700 1- Kuhl Christiane Department of Radiology and Interventional Radiology, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut NATIONALLICENCE 700 1- Westhofen Martin Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/8(2015-08-01), 1879-1884 0937-4477 272:8<1879 2015 272 405