Correlation of HRCT mastoid with clinical presentation and operative findings in ear diseases


  • Sambhaji G. Chintale Department of ENT, JIIUS, IIMSR Warudi, Tq, Badnapur, Jalna, Maharashtra, India
  • Vilas R. Kirdak Department of ENT, JIIUS, IIMSR Warudi, Tq, Badnapur, Jalna, Maharashtra, India
  • Sonali P. Jatale Department of ENT, JIIUS, IIMSR Warudi, Tq, Badnapur, Jalna, Maharashtra, India
  • Kaleem Shaikh Department of ENT, JIIUS, IIMSR Warudi, Tq, Badnapur, Jalna, Maharashtra, India



HRCT mastoid, Ear diseases, CSOM


Background: HRCT is found to be extremely useful for evaluating the ear diseases involving the external auditory canal, middle ear cavity, vertical segment of facial nerve canal, vestibular aqueduct, tegmen tympani, sigmoid sinus plate, sinodural angle, carotid canal, jugular fossa, infra and supralabrynthine air cells and temporomandibular joint. Our main objective was to correlate the clinical presentation and operative findings of ear diseases with HRCT mastoid.

Methods: This study is done in our institute otorhinolaryngology dept. from April 2014 to April 2016. This is prospective study involves 36 patient belonging to different age and sex groups with high suspicious of ear diseases. We have taken detail history of each patient with complete ear nose throat examination done and after that all patient were investigated with routine blood investigation, X-ray and HRCT mastoid to correlate clinical finding and subjected for operation to compare operative findings with HRCT finding.  

Results: Determined using Pearson chi square test indicated a statistically significant correlation between HRCT temporal bone with clinical presentation and operative findings of ear diseases (p<0.05).

Conclusions: With the advent of modern high-resolution CT scanners, detailed demonstration of temporal bone anatomy is practically possible now. We have been able to identify many significant structures not demonstrated by any of the known imaging modalities. The improved contrast and soft tissue a definition possible with HRCT has resulted in production of excellent images of soft tissue lesions in air spaces. Hence HRCT appears to be the diagnostic modality of choice for cholesteatomas and other soft tissue lesions in middle ear.

Author Biography

Sambhaji G. Chintale, Department of ENT, JIIUS, IIMSR Warudi, Tq, Badnapur, Jalna, Maharashtra, India

Ent deprtmnt


Mafee MF, Kumar A, Tahmoressi CN, Levin CB, James CF, Kriz R, et al. Direct Sagittal CT in the Evaluation of Temporal Bone Disease. Am J Roentgenol. 1988;150:1403-10.

Johnson DW, Voorhees RL, Lufkin RB, Hanafee W, Canalis R. Cholesteatomas of the temporal bone: Role of computed tomography. Radiol. 1983;148:733-7.

Gaurano JL, Joharjy IA. Middle ear cholesteatoma: characteristic CT findings in 64 patients. Ann Saudi Med. 2004;24(6):442-7.

Chee NWC, Tan TY. The Value of preoperative high resolution CT scan in cholesteatoma surgery. Singapore Med J. 2001;42(4):155-9.

Johnson DW, Hasso AN, Stewart CE, Thompson JR, Hinshaw DB. Temporal bone trauma: High resolution computed tomographic evaluation. Radiol. 1984;151:411-5.

Ulug T, ArifUlubil S. Management of facial paralysis in temporal bone fractures: a prospective study analyzing 11 operated fractures. Am J Otolaryngol. 2005;26(4):230-8.

Mafee MF, Valvassori GE, Deitch RL, Norouzi P, Henrikson GC, Capek V, et al. Use of CT in the evaluation of cochlear otosclerosis. Radiol. 1985;156(3):703-8.

Mayer TE, Brueckman H, Siegert R. HRCT of the temporal bone in dysplasia of the auricle and external auditory canal. Am J Neuroradiol. 1997;18:53-7.

Curtin HD. CT of acoustic neuroma and other tumors of the ear. Radiol Clin North Am. 1984;22(1):77-105.

Valavanis A, Dabir K, Hamdi R, Oguz M, Wellauer J. The current state of the radiological diagnosis of acoustic neuroma. Neuroradiology. 1982;23(1):7-13.

Gold S, Som PM, Lucente FE, Lawson W, Mendelson M, Parisier SC. Radiographic findings in progressive necrotizing 'malignant' external otitis. Laryngoscope. 1984;94:363-6.

Bird CR, Hasso AN, Stewart CE, Hinshaw DB, Thompson JT. Malignant primary neoplasms of the ear and temporal bone studied by high resolution computed tomography. Radiol. 1983;149:171-4.

Oslen KD, DeSanto LW, Forbes GS. Radiographic assessment of squamous cell carcinoma of the temporal bone. Laryngoscope. 1983;93(9):1162-7.






Original Research Articles