Патология внутреннего слухового прохода: эпидемиология, гистология и дифференциальная диагностика новообразований

Диаб Х.М., Дайхес Н.А., Пащинина О.А., Панина О.С. Патология внутреннего слухового прохода: эпидемиология, гистология и дифференциальная диагностика новообразований. Consilium Medicum. 2025;27(3):141–148. DOI: 10.26442/20751753.2025.3.203056

© ООО «КОНСИЛИУМ МЕДИКУМ», 2025 г.

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Diab Kh, Daikhes NA, Pashchinina OA, Panina OS. Internal auditory canalessions: epidemiology, histology and differencial diagnostics (literature review). Consilium Medicum. 2025;27(3):141–148. DOI: 10.26442/20751753.2025.3.203056

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Аннотация

В статье представлен анализ литературы, посвященной патологии внутреннего слухового прохода (ВСП); приведены данные эпидемиологии, гистологическая характеристика, МР- и КТ-паттерны, характерные для различного типа образований. Все патологии ВСП условно дифференцированы на 2 большие группы: 1) патологии, исходящие непосредственно из структур ВСП; 2) прочие патологии, разрушающие ВСП извне (пирамиды височной кости, средней и задней черепной ямок). Отдельное внимание уделено вестибулярной шванноме, холестеатоме, менингиоме, параганглиоме, остеоме, липохористоме – образованиям ВСП, выявленным в клиническом опыте отдела заболеваний уха и основания черепа ФГБУ «НКЦ оториноларингологии»; хирургическая тактика и результаты лечения будут приведены в отдельном клиническом исследовании.

Ключевые слова: внутренний слуховой проход, вестибулярная шваннома, холестеатома пирамиды, менингиома, липохористома, остеома

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This article analyzes the literature related to the internal auditory canal (IAC) pathology. The data of epidemiology, histological characteristics, MR and CT scans patterns in diagnosing are presented. All pathology of the IAC is divided into 2 large groups: 1) pathology arising from the structures of the IAC; 2) other pathology arising from the surrounding structures of the IAC (middle ear, middle or posterior cranial fosses). Special attention is paid to vestibular schwannoma, cholesteatoma, meningioma, paraganglioma, osteoma, lipochoristoma – IAC lesions identified in the clinical experience of the Otology and Skull Base Pathology Department of the Scientific and Clinical Center of Otorhinolaryngology; the surgical management and the results treatment will be presented in a separate clinical study.

Keywords: internal auditory canal, vestibular schwannoma, petrous pyramid cholesteatoma, meningioma, lipochoristoma, osteoma

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2. Horvath M, Babel B, Nyary L, et al. Tumors of the cerebellopontine angle. Changing policy in treatment. Neurosurg Rev. 1996;19(4):243-6. DOI:10.1007/BF00314839
3. Betka J, Zverina E, Balogova Z, et al. Complications of microsurgery of vestibular schwannoma. Biomed Res Int. 2014:315952. DOI:10.1155/2014/315952
4. Brackmann DE, Bartels LJ. Rare tumors of the cerebellopontine angle. Otolaryngol Head Neck Surg (1979). 1980;88(5):555-9. DOI:10.1177/019459988008800508
5. Mahaley M, Mettlin C, Natarajan N, et al. Analysis of patterns of care of brain tumor patients in the United States: a study of the Brain Tumor Section of the AANS and the CNS and the Commission on Cancer of the ACS. Clin Neurosurg. 1990;36:347-52.
6. Gal T, Shinn J, Huang B. Current epidemiology and management trends in acoustic neuroma. Otolaryngol Head Neck Surg. 2010;142(5):677-81. DOI:10.1016/j.otohns.2010.01.037
7. Khrais T, Romano G, Sanna M. Nerve origin of vestibular schwannoma: A prospective study. J Laryngol Otol. 2008;122(2):128-31. DOI:10.1017/S0022215107001028
8. He Y, Yu C, Ji H, et al. Significance of vestibular testing on distinguishing the nerve of origin for vestibular schwannoma and predicting the preservation of hearing. Chin Med J (Engl). 2016;129(7):799-803. DOI:10.4103/0366-6999.178958
9. Howitz M, Johansen C, Tos M, et al. Incidence of vestibular schwannoma in Denmark, 1977–1995. Am J Otol. 2000;21(5):690-4.
10. Nestor J, Korol H, Nutik S, Smith R. The incidence of acoustic neuromas. Arch Otolaryngol Head Neck Surg. 1988;114(6):680. DOI:10.1001/archotol.1988.01860180094042
11. Marinelli J, Beeler C, Carlson M, et al. Global Incidence of Sporadic Vestibular Schwannoma: A Systematic Review. Otolaryngol Head Neck Surg. 2022;167(2):209-14. DOI:10.1177/01945998211042006
12. Abele T, Besachio D, Quigley E, et al. Diagnostic accuracy of screening MR imaging using unenhanced axial CISS and coronal T2WI for detection of small internal auditory canal lesions. Am J Neuroradiol. 2014;35(12):2366-70. DOI:10.3174/ajnr.A4041
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14. Stangerup S, Caye-Thomasen P. Epidemiology and Natural History of Vestibular Schwannomas. Otolaryngol Clin North Am. 2012;45(2):257-68. DOI:10.1016/j.otc.2011.12.008
15. Sethi M, Borsetto D, Bance M, et al. Determinants of Vestibular Schwannoma Growth. Otol Neurotol. 2021;42(5):746-54. DOI:10.1097/MAO.0000000000003043
16. Sethi M, Borsetto D, Cho Y, et al. The Conditional Probability of Vestibular Schwannoma Growth at Different Time Points after Initial Stability on an Observational Protocol. Otol Neurotol. 2020;41(2):250-7. DOI:10.1097/MAO.0000000000002448
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18. Goldbrunner R, Weller M, Regis J, et al. Eano guideline on the diagnosis and treatment of vestibular schwannoma. Neuro Oncol. 2020;22(1):31-45. DOI:10.1093/neuonc/noz153
19. Tos M, Stangerup SE, Per Caye-Thomasen, et al. What Is the Real Incidence of Vestibular Schwannoma? Arch Otolaryngol Head Neck Surg. 2004;130(2):216-20. DOI:10.1001/archotol.130.2.216
20. Caye-Thomasen P, Hansen S, Dethloff T, et al. Sublocalization and volumetric growth pattern of intracanalicular vestibular schwannomas. Laryngoscope. 2006;116(7):1131-5. DOI:10.1097/01.MLG.0000217528.37106.2D
21. Friedmann R, Slattery W, Brackmann DE, et al. Lateral skull base surgery. The House Clinic Atlas. Thieme; 2012.
22. Koen N, Shapiro C, Kozin E, et al. Location of Small Intracanalicular Vestibular Schwannomas Based on Magnetic Resonance Imaging. Otolaryngol Head Neck Surg. 2020;162(2):211-4. DOI:10.1177/0194599819893106
23. Nagasawa D, Yew A, Safaee M, et al. Clinical characteristics and diagnostic imaging of epidermoid tumors. J Clin Neurosci. 2011;18(9):1158-62. DOI:10.1016/j.jocn.2011.02.008
24. Bonneville F, Savatovsky J, Chiras J. Imaging of cerebellopontine angle lesions: An update. Part 2: Intra-axial lesions, skull base lesions that may invade the CPA region, and non-enhancing extra-axial lesions. Eur Radiol. 2007;17(11):2908-20. DOI:10.1007/s00330-007-0680-4
25. Schiefer T, Link M. Epidermoids of the cerebellopontine angle: a 20-year experience. Surg Neurol. 2008;70(6):584-90. DOI:10.1016/j.surneu.2007.12.021
26. Olszewska E, Wagner M, Bernal-Sprekelsen M, et al. Etiopathogenesis of cholesteatoma. Eur Arch Otorhinolaryngol. 2004;261(1):6-24. DOI:10.1007/s00405-003-0623-x
27. Kobata H, Kondo A. Cerebellopontine Angle Epidermoids Presenting with Cranial Nerve Hyperactive Dysfunction: Pathogenesis and Long-term Surgical Results in 30 Patients. Neurosurgery. 2002;50(2):276-85. DOI:10.1097/00006123-200202000-00008
28. Springborg J, Poulsgaard L, Thomsen J. Nonvestibular schwannoma tumors in the cerebellopontine angle: A structured approach and management guidelines. Skull Base. 2008;18(4):217-28. DOI:10.1055/s-2007-1016959
29. Moffat D, Ballagh R. Clinical Oncology Rare Tumours of the Cerebellopontine Angle. Clin Oncol. 1995;7(1):28-41. DOI:10.1016/s0936-6555(05)80632-6
30. Mario Sanna, Carlo Zini, Roberto Gamoletti, et al. Petrous Bone Cholesteatoma. Skull Base Surg. 1993;3(4):201-13. DOI:10.1055/s-2008-1060585
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Авторы

Х.М. Диаб^1,2, Н.А. Дайхес^1,2, О.А. Пащинина¹, О.С. Панина*¹

¹ФГБУ «Национальный медицинский исследовательский центр оториноларингологии» ФМБА России, Москва, Россия;
²ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России (Пироговский Университет), Москва, Россия
*dr.panina@gmail.com

________________________________________________

Khassan Diab^1,2, Nikolai A. Daikhes^1,2, Olga A. Pashchinina¹, Olga S. Panina*¹

¹National Medical Research Center for Otorhinolaryngology, Moscow, Russia;
²Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russia
*dr.panina@gmail.com

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