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Study of Radiological findings in High resolution computed tomography ( HRCT ) temporal bone in Chronic suppurative otitis Media ( CSOM ) : A hospital Based cross sectional study
| Content Provider | Semantic Scholar |
|---|---|
| Author | Vaidya, Vijay Soni, Hiren Dilip Kumar Ghugare, Balaji Wasudeo Dinkar, Mukesh R. |
| Copyright Year | 2016 |
| Abstract | BACKGROUND AND OBJECTIVES: To study the HRCT temporal bone findings in chronic middle ear infections with reference to its extent and complications. MATERIALS AND METHODS: After an initial clinical assessment, 30 patients diagnosed clinically with chronic suppurative otitis media (CSOM) were referred for a HRCT of temporal bone which was done with a Siemens’ 16 slice MDCT scanner. RESULTS: Of the 30 patients, 60% were males and 40% were females. Otorrhoea (100%) is the most common symptom. Scutum was eroded in 23 cases. Malleus (18 cases) is the most commonly eroded among the ossicles. Mastoiditis and mastoid abscess (22%) was the most common complication of CSOM followed by Malleus head erosion (60%). Intracranial complications like abscess, Dural sinus thrombosis (4%), Facial canal Dehiscence (4%) , Tegmen tympani Erosion (2%). Cochlea erosion, Tegmen mastoideum Erosion, Lateral semicircular canal erosion were not observed in any of the cases. Cholesteatoma were observed in 30 cases out of which 22 (73%) cases exhibited spread in attic, Attico-antral, Mesotympanum and sinus tympanum. Various HRCT findings of temporal bone in chronic suppurative otitis media with cholesteatoma were Non-dependent soft tissue mass in all 30 cases. Scutum erosion in 23 cases, Ossicles erosion in 18 cases, and sigmoid sinus plate erosion in 1 case were observed. Mastoid cortex erosion was seen in 1 case, Sinus erosion in 1 case and Mastoiditis with sub-periosteal abscess in 1 case were also seen. CONCLUSIONS: HRCT of temporal bone is useful in identifying various findings related to the location and extent of disease which are clinically occult and is of great importance in guiding the surgeon in planning the surgical approach. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://ijorim.com/siteadmin/article_issue/147853748230vijay.pdf.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
