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Published online before print October 24, 2002, 10.1148/radiol.2253010942

(Radiology 2002;225:852.)

A more recent version of this article appeared on December 1, 2002
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Facial Canal Anatomy in Patients with Microtia: Evaluation of the Temporal Bones with Thin-Section CT1

Hideki Takegoshi, MD, Kimitaka Kaga, MD, Shigeru Kikuchi, MD and Ken Ito, MD

1 From the Department of Otorhinolaryngology, Faculty of Medicine, University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo 113-8655, Japan. Received May 21, 2001; revision requested July 9; final revision received March 28, 2002; accepted May 13. Address correspondence to H.T. (e-mail: takegosi@saitama-med.ac.jp).



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Figure 1. Abbreviations used throughout the article.

 


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Figure 2a. (a) Transverse thin-section CT image obtained at the level of the basic scan. basic point = the Bill bar, basic line = line between the basic point and midpoint of the porus acusticus, G = GF midpoint, BG-D = line between the basic point and GF midpoint, B-A = angle between the basic line and BG-D, BGF-A = angle between the labyrinthine segment and the proximal tympanic segment of the facial canal. (b) Transverse thin-section CT image obtained at the level of the tympanic segment of the facial nerve. basic line = line between the basic point and midpoint of the porus acusticus, G = GF midpoint, F = most posterior point of the facial canal, GF-D = line between G and F, F-A = angle between the basic line and GF-D, L = most lateral point of the temporal bone on the line that makes a 135° angle with GF-D, FL-D = line between F and L.

 


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Figure 2b. (a) Transverse thin-section CT image obtained at the level of the basic scan. basic point = the Bill bar, basic line = line between the basic point and midpoint of the porus acusticus, G = GF midpoint, BG-D = line between the basic point and GF midpoint, B-A = angle between the basic line and BG-D, BGF-A = angle between the labyrinthine segment and the proximal tympanic segment of the facial canal. (b) Transverse thin-section CT image obtained at the level of the tympanic segment of the facial nerve. basic line = line between the basic point and midpoint of the porus acusticus, G = GF midpoint, F = most posterior point of the facial canal, GF-D = line between G and F, F-A = angle between the basic line and GF-D, L = most lateral point of the temporal bone on the line that makes a 135° angle with GF-D, FL-D = line between F and L.

 


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Figure 3. Diagram from the right lateral view indicates the level from the GF to the oval window (GO level), the level from the oval window to the round window (OR level), and the level under the round window (UR level). Figure shows the horizontal semicircular canal (1), malleus (2), incus (3), stapes (4), round window (5), and the labyrinthine (a), tympanic (b), and mastoid (c) portions of the facial nerve.

 


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Figure 4. Graph based on data from transverse reconstructed images shows the facial nerve course from the mean x and y values in each group. Uni-MN = unilateral microtia, bilateral examination; Uni-M = unilateral microtia, unilateral examination; Bi-M = bilateral microtia and examination.

 





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