A fracture classification system in which temporal bone fractures detected by computed tomography are delineated based on disruption of the otic capsule has been found to be predictive for complications of temporal bone trauma such as facial nerve injury, sensorineuraldeafness and cerebrospinal fluidotorrhea. On radiographic images, the otic capsule is the densest portion of the temporal bone.[1][2]
In otospongiosis, a leading cause of adult-onset hearing loss, the otic capsule is exclusively affected. This area normally undergoes no remodeling in adult life and is extremely dense. With otospongiosis, the normally dense enchondral bone is replaced by Haversian bone, a spongy and vascular matrix that results in sensorineural hearing loss due to compromise of the conductive capacity of the inner ear ossicles. This results in hypodensity on CT, with the portion first affected usually being the fissula ante fenestram.[3]
The bony labyrinth is studied in paleoanthropology as it is a good indicator for distinguishing Neanderthals and modern humans.[4][5][6][7]