An Investigation of the Morphology of the Petrotympanic Fissure Using Cone-Beam Computed Tomography

Objectives: The purpose of the present study was: a) to examine the visibility and morphology of the petrotympanic fissure on cone-beam computed tomography images, and b) to investigate whether the petrotympanic fissure morphology is significantly affected by gender and age, or not. Material and...

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Main Authors: Spyros Damaskos, Konstantinos Syriopoulos, Rogier L. Sens, Constantinus Politis
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2018-03-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:http://www.ejomr.org/JOMR/archives/2018/1/e4/v9n1e4ht.htm
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author Spyros Damaskos
Konstantinos Syriopoulos
Rogier L. Sens
Constantinus Politis
author_facet Spyros Damaskos
Konstantinos Syriopoulos
Rogier L. Sens
Constantinus Politis
author_sort Spyros Damaskos
collection DOAJ
description Objectives: The purpose of the present study was: a) to examine the visibility and morphology of the petrotympanic fissure on cone-beam computed tomography images, and b) to investigate whether the petrotympanic fissure morphology is significantly affected by gender and age, or not. Material and Methods: Using Newtom VGi (QR Verona, Italy), 106 cone-beam computed tomography examinations (212 temporomandibular joint areas) of both genders were retrospectively and randomly selected. Two observers examined the images and subsequently classified by consensus the petrotympanic fissure morphology into the following three types: type 1 - widely open; type 2 - narrow middle; type 3 - very narrow/closed. Results: The petrotympanic fissure morphology was assessed as type 1, type 2, and type 3 in 85 (40.1%), 72 (34.0%), and 55 (25.9%) cases, respectively. No significant difference was found between left and right petrotympanic fissure morphology (Kappa = 0.37; P < 0.001). Furthermore, no significant difference was found between genders, specifically P = 0.264 and P = 0.211 for the right and left petrotympanic fissure morphology, respectively. However, the ordinal logistic regression analysis showed that males tend to have narrower petrotympanic fissures, in particular OR = 1.58 for right and OR = 1.5 for left petrotympanic fissure. Conclusions: The current study lends support to the conclusion that an enhanced multi-planar cone-beam computed tomography yields a clear depiction of the petrotympanic fissure’s morphological characteristics. We have found that the morphology is neither gender nor age-related.
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spelling doaj-art-807b7ef1c7f64d4a9669db6a79e72b8c2025-08-20T03:37:01ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2018-03-0191e410.5037/jomr.2018.9104An Investigation of the Morphology of the Petrotympanic Fissure Using Cone-Beam Computed TomographySpyros Damaskos Konstantinos SyriopoulosRogier L. SensConstantinus PolitisObjectives: The purpose of the present study was: a) to examine the visibility and morphology of the petrotympanic fissure on cone-beam computed tomography images, and b) to investigate whether the petrotympanic fissure morphology is significantly affected by gender and age, or not. Material and Methods: Using Newtom VGi (QR Verona, Italy), 106 cone-beam computed tomography examinations (212 temporomandibular joint areas) of both genders were retrospectively and randomly selected. Two observers examined the images and subsequently classified by consensus the petrotympanic fissure morphology into the following three types: type 1 - widely open; type 2 - narrow middle; type 3 - very narrow/closed. Results: The petrotympanic fissure morphology was assessed as type 1, type 2, and type 3 in 85 (40.1%), 72 (34.0%), and 55 (25.9%) cases, respectively. No significant difference was found between left and right petrotympanic fissure morphology (Kappa = 0.37; P < 0.001). Furthermore, no significant difference was found between genders, specifically P = 0.264 and P = 0.211 for the right and left petrotympanic fissure morphology, respectively. However, the ordinal logistic regression analysis showed that males tend to have narrower petrotympanic fissures, in particular OR = 1.58 for right and OR = 1.5 for left petrotympanic fissure. Conclusions: The current study lends support to the conclusion that an enhanced multi-planar cone-beam computed tomography yields a clear depiction of the petrotympanic fissure’s morphological characteristics. We have found that the morphology is neither gender nor age-related.http://www.ejomr.org/JOMR/archives/2018/1/e4/v9n1e4ht.htmarthroscopycone-beam computed tomographytemporal bonetemporomandibular joint
spellingShingle Spyros Damaskos
Konstantinos Syriopoulos
Rogier L. Sens
Constantinus Politis
An Investigation of the Morphology of the Petrotympanic Fissure Using Cone-Beam Computed Tomography
eJournal of Oral Maxillofacial Research
arthroscopy
cone-beam computed tomography
temporal bone
temporomandibular joint
title An Investigation of the Morphology of the Petrotympanic Fissure Using Cone-Beam Computed Tomography
title_full An Investigation of the Morphology of the Petrotympanic Fissure Using Cone-Beam Computed Tomography
title_fullStr An Investigation of the Morphology of the Petrotympanic Fissure Using Cone-Beam Computed Tomography
title_full_unstemmed An Investigation of the Morphology of the Petrotympanic Fissure Using Cone-Beam Computed Tomography
title_short An Investigation of the Morphology of the Petrotympanic Fissure Using Cone-Beam Computed Tomography
title_sort investigation of the morphology of the petrotympanic fissure using cone beam computed tomography
topic arthroscopy
cone-beam computed tomography
temporal bone
temporomandibular joint
url http://www.ejomr.org/JOMR/archives/2018/1/e4/v9n1e4ht.htm
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