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The Vestibular Aqueduct and Endolymphatic Sac and Duct in Endolymphatic Hydrops
Koos F. Plantenga, MD;
George G. Browning, MD, ChB, FRCS
Arch Otolaryngol. 1979;105(9):546-552.
Abstract
The histologic features of the endolymphatic sac and duct in 23 serially sectioned temporal bones with idiopathic or secondary endolymphatic hydrops were blindly compared with 22 randomly selected, normal temporal bones. In idiopathic hydrops, the pars rugosa of the endolymphatic sac extended out of the vestibular aqueduct into the dura in 29% of bones, compared with none of normal bones (P <.01). In the other 71%, the pars rugosa in the vestibular aqueduct was surrounded by dura more commonly than normal. Functional studies are required to assess the relationship of these findings to hydrops. In secondary hydrops (eg, due to labyrinthitis), the endolymphatic duct was obliterated in the isthmus of the vestibular aqueduct by bone or fibrosis in seven of nine bones. Because of similar ossification and fibrosis elsewhere in the vestibular labyrinth, a direct relationship with hydrops cannot be assumed.
(Arch Otolaryngol 105:546-552, 1979)
Author Affiliations
From the Department of Otorhinolaryngology, University of Glasgow, Glasgow, Scotland (Dr Browning), and the Ear, Nose, and Throat Department, Wilhelmina Gasthuis, Amsterdam (Dr Plantenga).
Footnotes
Accepted for publication Sept 21, 1978.
Reprint requests to Glasgow Royal Infirmary, 84 Castle St, Glasgow G4 OSF, Scotland (Dr Browning).
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