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Research ArticleHead and Neck Imaging
Open Access

Retrospective Review of Midpoint Vestibular Aqueduct Size in the 45° Oblique (Pöschl) Plane and Correlation with Hearing Loss in Patients with Enlarged Vestibular Aqueduct

K. Bouhadjer, K. Tissera, C.W. Farris, A.F Juliano, M.E. Cunnane, H.D. Curtin, L.A. Mankarious and K.L. Reinshagen
American Journal of Neuroradiology November 2021, DOI: https://doi.org/10.3174/ajnr.A7339
K. Bouhadjer
aFrom the Departments of Radiology (K.B., A.F.J., M.E.C., H.D.C., K.L.R.)
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  • ORCID record for K. Bouhadjer
K. Tissera
bOtolaryngology (K.T., L.A.M.), Massachusetts Eye and Ear, Boston, Massachusetts
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  • ORCID record for K. Tissera
C.W. Farris
cDepartment of Radiology (C.W.F.), Massachusetts General Hospital, Boston, Massachusetts
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A.F Juliano
aFrom the Departments of Radiology (K.B., A.F.J., M.E.C., H.D.C., K.L.R.)
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M.E. Cunnane
aFrom the Departments of Radiology (K.B., A.F.J., M.E.C., H.D.C., K.L.R.)
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H.D. Curtin
aFrom the Departments of Radiology (K.B., A.F.J., M.E.C., H.D.C., K.L.R.)
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L.A. Mankarious
bOtolaryngology (K.T., L.A.M.), Massachusetts Eye and Ear, Boston, Massachusetts
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K.L. Reinshagen
aFrom the Departments of Radiology (K.B., A.F.J., M.E.C., H.D.C., K.L.R.)
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Article Figures & Data

Figures

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  • FIG 1.
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    FIG 1.

    Measurement of the midpoint vestibular aqueduct size in the Pöschl plane. The length of the VA is determined, and the midpoint level is located. A measurement line perpendicular to the VA length is used to measure the midpoint VA size.

  • FIG 2.
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    FIG 2.

    Linear mixed-effects model with the effect estimates of VA size on the PTA (slope of line; 95% confidence interval, shaded gray). For every millimeter increase in the midpoint VA size, there is a 10.5 dB increase in the PTA (95% CI, 3.1–17.9 dB; P = .006).

  • FIG 3.
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    FIG 3.

    Linear mixed-effects model with the effect estimates of the VA size on the SRT (slope of line; 95% confidence interval, shaded gray). For every millimeter increase in midpoint VA size, there is an increase of 14.0 dB in the SRT (95% CI, 5.2–22.7 dB; P = .002).

  • FIG 4.
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    FIG 4.

    Linear mixed-effects model with the effect estimates of VA size on the WRS (slope of line; 95% confidence interval, shaded gray). For every millimeter increase in midpoint VA size, there is a 10.5% decrease in the WRS (95% CI, −21%–0%; P = .05).

Tables

  • Figures
    • View popup
    Table 1:

    Subgroup analysis of VA size by presence of inner ear anomaly

    EVA with IP-2EVA without IP-2
    No. (ears)5027
    Mean (mm)1.921.53
    SD (mm)0.580.48
    P = .004
    • View popup
    Table 2:

    Subgroup analysis of VA size by presence of hearing fluctuation

    FluctuatingNonfluctuating
    No. (ears)3047
    Mean (mm)1.941.68
    SD (mm)0.640.51
    P = .04
    • View popup
    Table 3:

    Subgroup analysis of VA size by presence of hearing progression

    ProgressiveStable
    No. (ears)2849
    Mean (mm)1.811.77
    SD (mm)0.50.62
    P = .73
    • View popup
    Table 4:

    Subgroup analysis of VA size by hearing subtypes

     All patientsProgressiveStable
    FluctuatingNonfluctuatingFluctuatingNonfluctuating
    No. (ears)13151732
    Mean (mm)1.881.751.981.65
    SD (mm)0.610.40.670.56
    Subgroups    
     IP-2    
      No. (ears)7111319
      Mean (mm)2.011.832.201.74
      SD (mm)0.620.360.600.62
     Pendred    
      No. (ears)41N/AN/A
      Mean (mm)1.872.08N/AN/A
      SD (mm)0.35 N/AN/A
     Trauma    
      No. (ears)N/A322
      Mean (mm)N/A2.152.081.43
      SD (mm)N/A0.340.290.53
    • Note:—N/A indicates not applicable.

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K. Bouhadjer, K. Tissera, C.W. Farris, A.F Juliano, M.E. Cunnane, H.D. Curtin, L.A. Mankarious, K.L. Reinshagen
Retrospective Review of Midpoint Vestibular Aqueduct Size in the 45° Oblique (Pöschl) Plane and Correlation with Hearing Loss in Patients with Enlarged Vestibular Aqueduct
American Journal of Neuroradiology Nov 2021, DOI: 10.3174/ajnr.A7339

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Retrospective Review of Midpoint Vestibular Aqueduct Size in the 45° Oblique (Pöschl) Plane and Correlation with Hearing Loss in Patients with Enlarged Vestibular Aqueduct
K. Bouhadjer, K. Tissera, C.W. Farris, A.F Juliano, M.E. Cunnane, H.D. Curtin, L.A. Mankarious, K.L. Reinshagen
American Journal of Neuroradiology Nov 2021, DOI: 10.3174/ajnr.A7339
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