Comparative Study between CT Findings and Intra-Operative Findings in Patients with CSOM (Attico-Antral Disease)
Khaled, A., Saeed, A., Abdeltawab, M., Ahmed, O. (2022). Comparative Study between CT Findings and Intra-Operative Findings in Patients with CSOM (Attico-Antral Disease). EKB Journal Management System, 3(3), 167-181. doi: 10.21608/ejmr.2022.258995
Ashraf Mahmoud Khaled; Ahmed Hesham Mohamed Saeed; Mohamed Ahmed Abdeltawab; Omar Ramadan Ahmed. "Comparative Study between CT Findings and Intra-Operative Findings in Patients with CSOM (Attico-Antral Disease)". EKB Journal Management System, 3, 3, 2022, 167-181. doi: 10.21608/ejmr.2022.258995
Khaled, A., Saeed, A., Abdeltawab, M., Ahmed, O. (2022). 'Comparative Study between CT Findings and Intra-Operative Findings in Patients with CSOM (Attico-Antral Disease)', EKB Journal Management System, 3(3), pp. 167-181. doi: 10.21608/ejmr.2022.258995
Khaled, A., Saeed, A., Abdeltawab, M., Ahmed, O. Comparative Study between CT Findings and Intra-Operative Findings in Patients with CSOM (Attico-Antral Disease). EKB Journal Management System, 2022; 3(3): 167-181. doi: 10.21608/ejmr.2022.258995

Comparative Study between CT Findings and Intra-Operative Findings in Patients with CSOM (Attico-Antral Disease)

Egyptian Journal of Medical Research
Volume 3, Issue 3, July 2022, Page 167-181  XML PDF (403.84 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2022.258995
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Authors
Ashraf Mahmoud Khaled1; Ahmed Hesham Mohamed Saeedorcid 2; Mohamed Ahmed Abdeltawab1; Omar Ramadan Ahmed1
1Otorhinolaryngology department, Faculty of Medicine, Beni-Suef University, Egypt
2Radiology department, Faculty of Medicine, Beni-Suef University, Egypt
Abstract
The goal of th study is to evaluate the role of high‑resolution computed tomography (HRCT) temporal bone in patients with active squamosal chronic otitis media (COM). 30 patients with active squamosal COM underwent preoperative HRCT temporal bone followed by surgery. Their intra‑operative findings were compared and correlated with the radiological findings, to calculate the predictive value of HRCT temporal bone. According to the present study, HRCT was highly sensitive for detecting mastoid pneumatization, soft tissue extension, ossicular erosion, tegmen and sigmoid sinus erosion, and less sensitive for fallopian canal erosion and lateral sinus fistula. It was specific for all these parameters.The present study concludes that HRCT can be recommended not only in cases suspected with potential complications but also in all cases of COM to know the extent of disease, varied pneumatization, and the presence of anatomical variations, which should alert the clinician and guide in surgical approach and treatment plan.
Keywords
Cholesteatoma; mastoidectomy; attico-antral
References
  1. William B (2001): Outcome of 22 cases of perforated tympanic membrane caused by otomycosis. Journal of Laryngol and Otol; 115: 879-880.
  2. Alabbasi A, Alsaimary I and Najim J (2010): Prevalence and patterns of chronic suppurative otitis media and hearing impairment in Basrah city. J Med Med Sci; 1(4): 129–133.
  3. Zeifer B. (2006): Radiology  of  the  temporal    In: Thomas R. Staecker H. Otolaryngology, basic science and clinical review.1stedition;  Thieme medical publishers: 431–42.
  4. Crandall MA,  Neiberg  MN,  Seger  (2010): Neuroophthalmic  manifestations  of  a  complicated cholesteatoma. Optometry. 81(3): 137–41
  5. Mohammadi Gh, Naderpour M, (2012): Ossicular  Erosion  in  Patients  Requiring  Surgery  for Cholesteatoma.  Iranian  Journal  of  Otorhinolaryngology. 24(68): 125-8.
  6. Hassmann-Poznańska E,  Gościk  E,  Oleński  J, Skotnicka     (2003): Computerised  tomography  in  preoperative  imaging  of  middle  ear  cholesteatoma. Otolaryngol Pol  57(2): 243–9).
  7. Meyer TA,  Strunker  JR,  Chester  L,  Lambert  (2006): Cholesteatoma.   In:  Bailey  BJ,  Johnson  JT.  Head  and neck  surgery  otolaryngology.  4th edition, Philadelphia, Lippincott Williams and Wilkins. Vol (2): 2081–91.
  8. Gaurano JL, Joharjy IA. (2004): Middle ear cholesteatoma: characteristic CT  findings  in 64 patients.  Ann  Saudi Med ; 24(6): 442–7.
  9. O'Donoghue GM, Bates GJ, Anslow P, Rothera MP. (2014) The predictive  value  of  high  resolution  computerized tomography  in  chronic  suppurative  ear    Clin Otolaryngol Allied Sci   12(2): 89–96.
  10. Meimanejahromi  A, Hoseinnejadariani  F, ArabKhani R, Hosein nejadariani Sh. (2010): Evaluation of cholesteatoma frequency in patients with chronic otitis media. Iranian Journal of Otorhinolaryngology; 22 (59):21–4.
  11. Valvassori GE, Potter GD, Hanafee WN, Carter BL, Buckingham RA., (1984): Radiology of the ear, nose and throat. Philadelphia: WB Saunders; p. 222-8
  12. Walshe P, McConn Walsh R, Brennan P, Walsh M. (2002): The role of computerized tomography in the preoperative assessment of chronic suppurative otitis media. Clin Otolaryngol Allied Sci ; 27(2): 95–7
  13. Sirigiri RR, Dwaraknath K., (2011): Correlative study of HRCT in attico‑antral disease. Indian J Otolaryngol Head Neck Surg ;63:155‑8.
  14. O’Reilly BJ, Chevretton EB, Wylie I, Thakkar C, Butler P, Sathanathan N, et al., (1991): The value of CT scanning in chronic suppurative otitis media. J Laryngol Otol ;105:990‑4.
  15. Jackler RK, Dillon WP, Schindler RA., (1984): Computed tomography in suppurative ear disease: A correlation of surgical and radiographic findings. Laryngoscope ;94:746-52.
  16. Garber LZ, Dort JC., (1994): Cholesteatoma: Diagnosis and staging by CT scan. J Otolaryngol ;23:121‑
  17. Mafee MF, Levin BC, Applebaum EL, Campos M, James CF., (1988) : Cholesteatoma of the middle ear and mastoid. A comparison of CT scan and operative findings. Otolaryngol Clin North Am ;21:265‑93
  18. Johnson DW, Voorhees RL, Lufkin RB, Hanafee W, Canalis R., (1983): Cholesteatomas of the temporal bone: Role of computed tomography. Radiology ;148:733‑
  19. O’Donoghue GM., (1987): Cholesteatoma: Diagnosis and staging by CT scan. J Otolaryngol ;12:157‑60
  20. Vlastarakos PV, Kiprouli C, Pappas S, Xenelis J, Maragoudakis P, Troupis G, et al., (2012): CT scan versus surgery: How reliable is the preoperative radiological assessment in patients with chronic otitis media? Eur Arch Otorhinolaryngol;269:81‑6.
  21. Rai T., (2014): Radiological study of the temporal bone in chronic otitis media:
  22. Datta G, Mohan C, Mahajan M, Mendiratta V., (2014): Correlation of preoperative HRCT findings with surgical findings in Unsafe CSOM. J Dent Med Sci ;13:120‑5.
  23. Gerami H, Naghavi E, Wahabi‑Moghadam M, Forghanparast K, Akbar MH., (2009): Comparison of preoperative computerized tomography scan imaging of temporal bone with the intra‑operative findings in patients undergoing mastoidectomy. Saudi Med J ;30:104‑8
  24. Prata AA, Antunes ML,  Abreu CE,  Frazatto R,  Lima BT., (2011): Comparative study between radiological and surgical findings of chronic otitis media. Int Arch Otolaryngol ;15:72‑8
  25. Rocher P, Carlier R, Attal P, Doyon D, Bobin S., (1995): Contribution and role of the scanner in the preoperative evaluation of chronic otitis. Radiosurgical correlation apropos of 85 cases. Ann Otolaryngol Chir Cervicofac ;112:317‑23
  26. Zhang X, Chen Y, Liu Q, Han Z, Li X., (2004): The role of high‑resolution CT in the preoperative assessment of chronic otitis media. Lin Chuang Er Bi Yan Hou Ke Za Zhi ;18:396‑8
  27. Alzoubi FQ, Odat HA, Al‑Balas HA, Saeed SR., (2009): The role of preoperative CT scan in patients with chronic otitis media. Eur Arch Otorhinolaryngol ;266:807‑9.
  28. Chee NW, Tan TY., (2001): The value of pre‑operative high resolution CT scans in cholesteatoma surgery. Singapore Med J ;42:155‑9.
  29. Rogha M, Hashemi SM, Mokhtarinejad F, Eshaghian A, Dadgostar A., (2014): Comparison of preoperative temporal bone CT with Intraoperative findings in patients with cholesteatoma. Iran J Otorhinolaryngol 2014;26:7‑12
  30. Tok S, Adapinar B,  Incesulu A,  Gurbuz MK., (2013):  The  examination of middle ear ossicles with preoperative 64‑detector computed tomography in cases with chronic otitis media and cholesteatoma and comparison of operation findings. Int Adv Otol ;9:349‑52
  31. Magliulo G, Colicchio MG, Appiani MC. (2011): Facial nerve dehiscence and cholesteatoma. Ann Otol Rhinol Laryngol;120:261‑7.
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