Mondini Deformity Workup

Updated: Mar 14, 2016
  • Author: Adam E Singleton, MS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Workup

Approach Considerations

In patients with congenitally acquired anomalous inner ears, high-resolution computed tomography (CT) scanning and magnetic resonance imaging (MRI), of the temporal bone, are the diagnostic tools of choice in diagnosing the disorder. (See the CT scan below.) [16]

Incomplete partition anomalies of the cochlea. A a Incomplete partition anomalies of the cochlea. A and B: Incomplete partitions. Cochlea (C), without the modiolus and interscalar septa, resembles an empty cystic structure (A) and is accompanied by dilated vestibule (v) (B). C and D: Incomplete partition type II. The apical part of the modiolus and the corresponding interscalar septa are defective (black arrow), giving the apex of the cochlea a cystic appearance due to the confluence of middle and apical turns (C). This is accompanied by minimally dilated vestibule (v) and large vestibular aqueduct (white arrow). E: Incomplete partition type III. Cochlea has interscalar septa (black arrow), but the modiolus is completely absent. Published by Cochlear Implants International.
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CT Scanning

High-resolution CT scanning of the temporal bone should be obtained to assist in diagnosis and can be particularly useful in classification of the cochlear malformation. Assessing the width of the internal auditory canal and course of the facial nerve is easily performed using high-resolution CT scanning.

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MRI

MRI is useful in assessing soft tissues of the temporal region, specifically the presence or absence of the eighth cranial nerve in the internal auditory canal.

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