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Evaluation of Temporal Bone Cholesteatoma and the Correlation Between High Resolution Computed Tomography and Surgical Finding

BACKGROUND: Acquired cholesteatomas are commonly seen in patients less than 30 years. There is a typical history of recurrent middle ear infections with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. OBJECTIVE: The aim of the work was to study...

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Autores principales: Gomaa, Mohammed A., Abdel Karim, Abdel Rahim A., Abdel Ghany, Hosny S., Elhiny, Ahmed A., Sadek, Ahmed A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Libertas Academica 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791954/
https://www.ncbi.nlm.nih.gov/pubmed/24179410
http://dx.doi.org/10.4137/CMENT.S10681
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author Gomaa, Mohammed A.
Abdel Karim, Abdel Rahim A.
Abdel Ghany, Hosny S.
Elhiny, Ahmed A.
Sadek, Ahmed A.
author_facet Gomaa, Mohammed A.
Abdel Karim, Abdel Rahim A.
Abdel Ghany, Hosny S.
Elhiny, Ahmed A.
Sadek, Ahmed A.
author_sort Gomaa, Mohammed A.
collection PubMed
description BACKGROUND: Acquired cholesteatomas are commonly seen in patients less than 30 years. There is a typical history of recurrent middle ear infections with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. OBJECTIVE: The aim of the work was to study the role of high resolution computed tomography (HRCT) in detecting, evaluating, and diagnosing middle ear cholesteatoma. PATIENTS AND METHODS: This was a prospective study that included 56 consecutive patients with chronic suppurative otitis media, unsafe type cholesteatomas. Each patient was subjected to full clinical evaluation, and HRCT examination. Intravenous contrast media was used in some patients with suspected intracranial complication. Preoperative radiological data were correlated with data related to surgical findings. RESULTS: The study showed that a high incidence of cholesteatoma in the third decade of life. The scutum and lateral attic wall were the most common bony erosions in the middle ear bony wall (64.3%), and the incus was the most eroded ossicle in the middle ear (88.2%). Sclerosing of mastoid air cells were encountered in 60.7% of patients and the lateral semicircular canal was affected in 9%, while facial canal erosion was found in 21.4%. Temporal bone complications are more common than intracranial complications. HRCT findings were compared with operative features; the comparative study included the accuracy and sensitivity of HRCT in detecting cholesteatoma (92.8%), its location and extension (96.4%), ossicular chain erosion (98%), labyrinthine fistula and intracranial complications (100%). CONCLUSION: The important role of HRCT scannig lies on the early detection of cholesteatoma, and more conservative surgical procedures can be used to eradicate the disease.
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spelling pubmed-37919542013-10-31 Evaluation of Temporal Bone Cholesteatoma and the Correlation Between High Resolution Computed Tomography and Surgical Finding Gomaa, Mohammed A. Abdel Karim, Abdel Rahim A. Abdel Ghany, Hosny S. Elhiny, Ahmed A. Sadek, Ahmed A. Clin Med Insights Ear Nose Throat Original Research BACKGROUND: Acquired cholesteatomas are commonly seen in patients less than 30 years. There is a typical history of recurrent middle ear infections with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. OBJECTIVE: The aim of the work was to study the role of high resolution computed tomography (HRCT) in detecting, evaluating, and diagnosing middle ear cholesteatoma. PATIENTS AND METHODS: This was a prospective study that included 56 consecutive patients with chronic suppurative otitis media, unsafe type cholesteatomas. Each patient was subjected to full clinical evaluation, and HRCT examination. Intravenous contrast media was used in some patients with suspected intracranial complication. Preoperative radiological data were correlated with data related to surgical findings. RESULTS: The study showed that a high incidence of cholesteatoma in the third decade of life. The scutum and lateral attic wall were the most common bony erosions in the middle ear bony wall (64.3%), and the incus was the most eroded ossicle in the middle ear (88.2%). Sclerosing of mastoid air cells were encountered in 60.7% of patients and the lateral semicircular canal was affected in 9%, while facial canal erosion was found in 21.4%. Temporal bone complications are more common than intracranial complications. HRCT findings were compared with operative features; the comparative study included the accuracy and sensitivity of HRCT in detecting cholesteatoma (92.8%), its location and extension (96.4%), ossicular chain erosion (98%), labyrinthine fistula and intracranial complications (100%). CONCLUSION: The important role of HRCT scannig lies on the early detection of cholesteatoma, and more conservative surgical procedures can be used to eradicate the disease. Libertas Academica 2013-07-23 /pmc/articles/PMC3791954/ /pubmed/24179410 http://dx.doi.org/10.4137/CMENT.S10681 Text en © 2013 the author(s), publisher and licensee Libertas Academica Ltd. This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
spellingShingle Original Research
Gomaa, Mohammed A.
Abdel Karim, Abdel Rahim A.
Abdel Ghany, Hosny S.
Elhiny, Ahmed A.
Sadek, Ahmed A.
Evaluation of Temporal Bone Cholesteatoma and the Correlation Between High Resolution Computed Tomography and Surgical Finding
title Evaluation of Temporal Bone Cholesteatoma and the Correlation Between High Resolution Computed Tomography and Surgical Finding
title_full Evaluation of Temporal Bone Cholesteatoma and the Correlation Between High Resolution Computed Tomography and Surgical Finding
title_fullStr Evaluation of Temporal Bone Cholesteatoma and the Correlation Between High Resolution Computed Tomography and Surgical Finding
title_full_unstemmed Evaluation of Temporal Bone Cholesteatoma and the Correlation Between High Resolution Computed Tomography and Surgical Finding
title_short Evaluation of Temporal Bone Cholesteatoma and the Correlation Between High Resolution Computed Tomography and Surgical Finding
title_sort evaluation of temporal bone cholesteatoma and the correlation between high resolution computed tomography and surgical finding
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791954/
https://www.ncbi.nlm.nih.gov/pubmed/24179410
http://dx.doi.org/10.4137/CMENT.S10681
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