FINDINGS OF HRCT TEMPORAL BONE VS INTRAOPERATIVE FINDINGS IN CHOLESTEATOMA - A CORRELATIVE STUDY
Main Article Content
Keywords
Abstract
Background: Chronic suppurative otitis media with Cholesteatoma evaluated with HRCT Temporal bones is widely used for anatomical and pathological diagnosis. The Radiological findings are to be correlated with the intraoperative findings to confirm the radiological diagnosis which would help the surgeons in planning the surgeries.
Aim of the Study: ToassesstheusefulnessofapreoperativeHRCTtemporalboneandestablishHRCT as an efficacious tool for diagnosis of the extent and involvement of adjacent structures by Cholesteatoma.
Materials:50 patients diagnosed clinically as chronic suppurative otitis media with acquired cholesteatoma were studied with the help of HRCT temporal bones and intraoperative finding for correlation. Standard operative procedures were applied in undertaking HRCT and Surgical treatment of the Choesteatoma after thorough clinical evaluation and laboratory diagnosis. Results: Among the 50 patients included majority were 15/50 (30%) in the age group of 31-40 years followed by 12/50 (24%) who were in the age group of 21-30 years. Only few were in the extremes of age groups. Disease observed in patients aged more than 60 patients could be due to slow progression. The mean age distribution of the patients is 33.14 ± 13.70 years. The most common ossicle involved was Incus (longprocess)in22/50patients (44%) on HRCT and intraoperatively in 26/50 (52%) with a Sensitivity of 84.6 and specificity 100% (p-value= <0.001).
Conclusions: The results of this study suggest that preoperative HRCT imaging in cases of cholesteatoma, ossicular chain erosion has good correlation with intraoperative findings. However, HRCT is not able to distinguish between cholesteatoma and mucosal disease, Facial canal dehiscence, Incus and Malleuserosions in the early stages.
References
2. Karki S, Pokharel M. Correlation between pre-operative High Resolution Computed Tomography (CT) Findings with Surgical findings in chronic otitis media squamous type. J Kathmandu Med Univ 2017; 579(10):83-6.
3. Galdion E. Vavassori, MD. ‘Imaging of Temporal Bone’.Chapter11, Part 2 in Clinical Evaluation, by Glasscock, Shambaugh, 5 the dition, 2003:227-33.
4. P.D. Phelps,; Imaging and radiology;.Chapter17inBasicsciences, Volume 1, Scott Brown’s Otolaryngology , 6th Edition 1997; 1-7.
5. P.D.Phelps‘Radiologyofear’.Chapter2inOtology,Volume3,Scott Brown’s Otolaryngology, 6th Edition, 1997; 1-9.
6. Gerald B.Brookes and John B Booth. ‘Diseases of temporal bone’.Chapter 15 in Otology, Volume3, Scott Brown’s Otolaryngology, 6th Edition, 1997; 2
7. Jackler RK, Dillon WP.’Computed Tomography insuppurative ear disease; a correlation of surgical and radiographic findings’ Laryngoscope. 1984 Jun; 94(6):746-52.
8. Maffee MF, Almik.’ Chronic Otomastoiditis: a conceptual understanding of CT findings’. Radiology. 1986 Jul; 160(1):193-200
9. Yamasoba T. Kikuchi S. Takeuchi N, Harada T, Nomura Y.’CT evaluation of the anterior epitympanic recess-comparison among non- inflammatory ear, chronic otitis media with central perforation and cholesteatoma’. Nippon Jibinkoka Gakkai Kaiho 1991 Feb; 94(2):177-82
10. Sreedhar S, Pujary K, Agarwal AC, Balakrishnan R. Role of high-resolution computed tomography scan in the evaluation of cholesteatoma: a correlation of high-resolution computed tomography with-intra-operative-findings. Indian J Otol. 2015;21:103–106.[Google Scholar]
11. Rogha M, Hashemi SM, Mokhtarinejad F, Eshaghian A, Dadgostar A. Comparison of preoperative temporal bone CT with Intraoperative findings in patients with cholesteatoma. Iran J Otorhinolaryngol. 2014;26:7–12.
12. Tatlipinar A, TuncelA, Öğredik EA, GökçeerT,UsluC.Theroleof computed tomography scanning in chronic otitis media. Eur Arch Otorhinolaryngol. 2012 Jan;269(1):33-8.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Rajendra Prasad
Assistant Professor of ENT, Department of ENT, Kakatiya Medical College and MGM Hospital, Warangal, Telangana.
Dr. Venkatarathnam Chenumalla
Associate Professor of ENT, Department of ENT, Kakatiya Medical College and MGM Hospital, Warangal, Telangana.
Dr. Nikhil Kumar Billa
Senior Resident, Department of ENT, Kakatiya Medical College and MGM Hospital, Warangal, Telangana.