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[3D imaging of the labyrinth: application to candidates for cochlear implant].

Cochlear implantation is a treatment for profound bilateral cochlear hearing loss. Two broad varieties of cochlear implants are used: single or multichannel device (22- channel) inserted either into the cochlea (tympanic ramp) or on the promontory on round window Imaging modalities have to predict cochlear patency prior surgery, an essential factor for choosing between intra or extra cochlear implant. Since March 1991, we have investigated 23 implant candidates to evaluate cochlear patency prior surgery, 6 patients underwent surgery: 4 had a multichannel and 2 had a monochannel electrode. Both CT and MRI play a role in pre operative study. CT easily predicts cochlear ossification and labyrinthine malformations MRI (3 D applications) with T 2 Weighted images, one millimeter thick, more clearly depicts labyrinthine liquid and can predict cochlear fibrosis before ossification.

Cochlear Implants↗

Fat emboli in the lymphatic labyrinth in breast stroma.

Fat emboli may be seen in the fine lymphatic system of the human breast. In the present study they are described ultrastructurally in 3 cases in the stroma adjacent to breast carcinomas. While the significance of the finding is obscure at present, it is pointed out that factors leading to the aggregation of chylomicrons can be expected to alter the chemical make-up of the lymph, and this may affect the subsequent behaviour of cancer cells in it.

Biopsy↗