¹ßÇ¥Çü½Ä :
|
Á¢¼ö¹øÈ£ - 890015 OTOP-20 |
Radiologic and Audiologic Findings in the Temporal Bone of CHARGE
Syndrome |
Dept. of Otorhinolaryngology, Princess Margaret Hosp.1, Dept. of Diagnostic Imaging, Fremantle Hosp. Dept. of Otolaryngology, Sir Charles Gairdner Hosp.2 |
Frederick ONG,
Jennifer HA1, Bradley WOOD2, Shyan VIJAYASEKARAN1, Frederick ONG3
|
¸ñÀû: CHARGE syndrome is a common congenital anomaly. Hearing loss
affects 60-90% of these children. With the advent of more
sophisticated
temporal bone computed tomography, more abnormalities of the
middle
and inner ear are found. We aim to describe the detailed CT
findings and
the correlation with audiograms in CHARGE. ¹æ¹ý:We performed a retrospective review of 12 patients with CHARGE
syndrome, identified between 1990 to 2010 who underwent temporal
bone computed tomography for evaluation of their hearing loss at
Princess Margaret Hospital for Children, Western Australia. °á°ú:We present our findings of the twenty four ears in terms of the cochlear,
SCC, middle ear, facial nerve, external auditory canal, venous and jugular
anomalies.The internal auditory canal (IAC) was normal in 83.3% (n=20)
of ears. There were three (12.5%) ears with an enlarged basal turn four
(13.3%) each with hypoplastic & incompletely partitioned apical turn.
Majority (n=13, 56.5%) of the vestibules were dysplastic. Up to 70.8%
had abnormalities of the SCC. The ME cavity was normal in 55% (n=11)
and up to two third had some abnormality of the ossicles and up to 70%
had an abnormality of the Facial nerve (CN7) segments, especially in the
labyrinthine segment. We also found that the CT findings did not
correlate with the audiogram. °á·Ð:The management of children with CHARGE syndrome is complex
requiring early evaluation and close attention of the
multidisciplinary
team. Early identification of hearing deficits is vital for the
childs linguistic
development. |
|