DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20180707

An evaluation of preoperative high resolution computed tomography of temporal bone in cholesteatoma

Prabhu Khavasi, Santosh Malashetti, Chandrashekarayya S. H.

Abstract


Background: Cholesteatoma is relatively common and potentially dangerous disease of the ear. It is characterised by local destruction and osseous erosion leading to complications. High resolution computed tomography (HRCT) is the imaging modality of choice for evaluation of middle ear structures and pathology. The aim of this study is to evaluate role of preoperative HRCT in the diagnosis of the disease, its extension and complications and plan for surgery.

Methods: This prospective study was conducted at a tertiary referral teaching hospital and 40 cases of cholesteatoma were selected and their pre-operative HRCT temporal bone findings and intraoperative findings were correlated.  

Results: This study showed good correlation between preoperative HRCT findings of cholesteatoma, and intraoperative findings.

Conclusions: We conclude therefore the preoperative HRCT temporal bone is useful guide for the surgeon for the diagnosis and management of cholesteatoma.


Keywords


Cholesteatoma, HRCT temporal bone, Intraoperative, Findings

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References


Barath K, Huber AM, Stampfli P, Varga Z, Kollias S. Neuroradiology of cholesteatomas. AM J Neuroradiol. 2011;32(2):221-9.

Park KH, Park SI, Kwon J, Kim YM, Park IY, Sung KJ. High resolution computed tomography of cholesteatomatous otitis media: significance of preoperative information. Yonsei Med J. 1988;29(4):367-72.

Prata AA, Antunes ML, de Abreu CE, Frazatto R, Lima BT. Comparative study between radiological and surgical findings of chronic otitis media. Intl. Arch. Otorhinolaryngologia. 2011;15(1):72-8.

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

Datta G, Mohan C, Mahajan M, Mendiratta V. Correlation of preoperative HRCT findings with surgical findings in unsafe CSOM. J Dental Med Sci. 2014;13(1):120-5.

Jackler RK, Dillan WP, Schindler RA. Computed tomography in suppurative ear diseases; a correlation of surgical and radiological findings. Laryngoscope. 1984;94(6):746-52.

Abhijeet KS, Mustafa SN, Raushan EA, Kumar G. Role of high resolution computed tomography in cholesteatoma. Int J Sci Study. 2014;2(8):164-8.

Sirigeri RR, Dwaraknath K. Correlative study of HRCT in attico-antral diseases. Indian J Otolaryngol Head Neck Surg. 2011;63(2):155-8.

Baylan MY, Ozmen CA, Gun R, Yorgancilar E, Akkus Z, Topcu I. An evaluation of preoperative computed tomography on patients with chronic otitis media. Indian J Otolaryngol Head Neck Surg. 2012;64(1):67-70.

Shah C, Shah P, Shah S. Role of HRCT temporal bone in preoperative evaluation of cholesteatoma. Int J Med Sci Public Health. 2014;3(1):69-72.

Gomaa MA, Karin AR, Ghany HS, Elhiny AA, Sadek AA. Evaluation of temporal bone cholesteatoma & the correlation between HRCT & surgical finding. Clin Med Insights Ear, Nose Throat. 2013;6:21-8.

Payal G, Pranjal K, Gul M, Mittal MK, Rai AK. Computed tomography in chronic suppurative otitis media: value in surgical planning. Indian J Otolaryngol Head Neck Surg. 2012;64(2):225-9.

Rogha M, Hashemi SM, Mokhtarinejad F, Eshaghian A, Dadgostar A. Comparison of preoperative temporal bone CT with intraoperative findings in patients with cholesteatoma. Iranian J Otorhinolaryngol. 2014;26(1):7-12.


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