Association Between Vestibular Aqueduct Morphology and Meniere's Disease

Objective To investigate the relationship between vestibular aqueduct (VA) morphology and Meniere's disease (MD) using ultrahigh‐resolution computed tomography (U‐HRCT). Methods Retrospective data were collected from 34 patients (40 ears) diagnosed with MD in our hospital who underwent temporal bone U‐HRCT with isotropic 0.05‐mm resolution, magnetic resonance with gadolinium‐enhanced, and pure‐tone audiometry; 34 age‐ and sex‐matched controls (68 ears) who underwent U‐HRCT were also included. VA patency was qualitatively classified as locally not shown (grade 1), locally faintly shown (grade 2), or clearly shown throughout (grade 3). The width of the outer orifice and VA length and angle were quantitatively measured. Differences in VA morphology between the MD and control groups were analyzed. The correlations between VA morphology and the degrees of hearing loss and endolymphatic hydrops (EH) were also analyzed. Results VA was classified as grades 1–3 in 11, 17, and 12 ears in the MD group and 5, 26, and 37 ears in the control group, respectively. The patency differed significantly between the groups (p