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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 25(4); 1982 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1982;25(4): 597-605.
An Anatomical Study of the Posterior Tympanum in Koreans
Oh Kyoo Yang, MD1, Kang Mook Yoon, MD1, Sang Yul Shim, MD1, Jeong Pyo Bong, MD1, Young Myoung Kim, MD2, and In Yong Park, MD2
1;Department of Otolaryngology, Wonju School of Medical Science, Yonsei University, 2;Department of Otolaryngology, Yonsei University College of Medicine, Korea
한국인 중이강 후벽에 관한 형태해부학적 연구
양오규1 · 윤강묵1 · 심상열1 · 봉정표1 · 김영명2 · 박인용2
연세대학교 원주의과대학 이비인후과학교실1;연세대학교 의과대학 이비인후과학교실2;
ABSTRACT

The sinus tympani is subject to great variability in size, shape and posterior extent. A heavy compact bony zone, especially in the posterior portion and the narrow space between the facial nerve and posterior semicircular canal is the limitation of surgical approach. The facial recess should be opened, creating a wide connection between the mesotympanum and mastoid in the intact canal wall tympanoplasty with mastoidectomy. The surgically created limits of the facial recess are the facial nerve medially, the chorda tympani laterally and the bone adjacent to the incus superiorly. Using adult Korean's thirty-five temporal bones, the author measured the osteologic relationship in the posterior tympanum, especially sinus tympani and facial recess. And the following result were obtained ; 1) The average distance from the anterior end of the pyramidal eminence (1) to the edge of the sinus tympani posteriorly was 2.54 (1.05-5.40) mm. (2) to the maximum posterior extent was 3.22(1.25-7.45) mm. (3) to the maximum cephaled extent was 0.67(0.40-1.75) mm. 2) The boundary of the sinus tympani was 82.9% from the lower margin oval window to the upper margin round window niche. 3) The deepest part of the sinus tympani was 62.9% in the midportion, between the ponticulus and subiculum. 4) The oblique dimension from the fossa incudis above to the hypotympanum below was 8.13(7.90-9.55) mm and the transverse dimension midway between the oval window above and round window below was 3.00(2.85-3.45) mm and the transverse dimension at the level of the fossa incudis was 1.81(1.40-2.15) mm. 5) The facial nerve dehiscence was 14.3%. 6) Anterior-posterior diameter of the footplate was 2.98(2.85-3.05) mm and the average distance from the footplate to the cochleariform process was 1.42(1.30-1.55) mm and to the round window niche was 1.85(1.45-2.10) mm.

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