The new classification system for inner ear malformations: the INCAV system.
CONCLUSIONS
The proposed INCAV system standardizes reporting of inner ear malformations; gives adequate information about the structures of inner ear; defines the ears which could not be classified before; and helps in the selection of the ear as the cochlear implant candidate. Also it is easy-to-use for radiologists, and useful to the referring otolaryngologists.


OBJECTIVE
This study was conducted to explore a more specific, definitive classification system which was based on radiological criteria for inner ear malformations.


METHODS
This study found 43 patients who had inner ear malformations, magnetic resonance (MR), and computed tomography (CT) imaging, together with the retrospective evaluation of the medical records between August 2010 and February 2015. It analyzed inner ear structures by dividing five sub-groups and each sub-group was given a letter: internal acoustic canal (I), cochlear nerve (N), cochlea (C), vestibular aqueduct (A) and vestibule (V). Based on their malformations, these anatomical structures have been assigned grades and have been classified by using increasing numbers which were dependent to increasing order of severity of the malformation.


RESULTS
Among these 43 patients, there were six normal (I0N0C0A0V0) and 80 inner ear malformations. All of the ears were defined successfully by the INCAV system.
a Department of Radiology , Bozyaka Training and Research Hospital , Izmir , Turkey.
Zehra Hilal
ZH
Adibelli
a Department of Radiology , Bozyaka Training and Research Hospital , Izmir , Turkey.
Leyla
L
Isayeva
a Department of Radiology , Bozyaka Training and Research Hospital , Izmir , Turkey.
Ali Murat
AM
Koc
b Department of Otorhinolaryngology , Bozyaka Training and Research Hospital , Izmir , Turkey.
Tolgahan
T
Catli
c Department of Otorhinolaryngology , Dr. Behçet Uz Children's Hospital , Izmir , Turkey.
Hamit
H
Adibelli
b Department of Otorhinolaryngology , Bozyaka Training and Research Hospital , Izmir , Turkey.
Levent
L
Olgun
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D000013:Congenital Abnormalities / Q000145:classification / Q000000981:diagnostic imaging; D007758:Ear, Inner / Q000002:abnormalities* / Q000000981:diagnostic imaging; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000151:congenital* / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
Classification of inner ear malformations; computed tomography; congenital sensorineural hearing loss; magnetic resonance imaging