Abstract
Objective:
Chronic otitis media is the infection of the middle ear and mastoid air cells. Cholesteatoma is keratinized squamous epithelium formation in the middle ear. Although the two diseases may be recognized with clinical examination, sometimes it may not be possible. While treatment of chronic otitis media includes antibiotic therapy or surgery, cholesteatoma is treated surgically. In this study, we aimed whether quantitative measurement of the soft tissue density in the middle ear on temporal bone CT may be used as a criterion for discrimination of chronic otitis media and cholesteatoma.
Materials and Methods:
A total of 45 patients were included in the study. Multi-slice CT images were obtained in supine position for temporal bone CT. The soft tissue density was measured using free hand and circle region of interest (ROI) techniques on temporal bone CT examinations.
Results:
A statistically significant difference was not detected between cholesteatoma and COM with regard to HU values on temporal bone CT in ROC curve. P value and Mann Whitney U was not statistically significant.
Conclusion:
As a result, soft tissue density measurement is not statistically significant for differential diagnosis of COM and cholesteatoma.
References
- 1. Rogha M, Hashemi SM, Mokhtarinejad F, Eshaghian A, Dadgostar A. Comparison of PreoperativeTemporal Bone CT withIntraoperativeFindings in Patients with Cholesteatoma. Iran J Otorhinolaryngol. 2014; 26: 7-12.
- 2. Manasawala M, Cunnane ME, Curtin HD, Moonis G. Imaging findings in auto-atticotomy. AJNR. 2014; 35: 182-5.
- 3. Maniu A, Harabagiu O, Perde Schrepler M, Cătană A, Fănuţă B, Mogoantă CA. Molecularbiology of cholesteatoma. Rom J Morphol Embryol. 2014; 55: 7-13.
- 4. Scott M. Epidermoid tumour (tumorperlée, cholesteatoma) of the fourth ventricle: case report and review of literature. J Neurol Neurosurg Psychiatry. 1974; 37: 1329-32.
- 5. Valvassori’s Imaging of the Head and Neck. 2005; 2ndedition: 68-89
- 6. Yildirim M, Ozmen CA, Gun R, Yorgancılar E, Akkus Z, Topcu I. An Evaluation of Preoperative Computed Tomography on Patients with Chronic Otitits Media. Indian J Otolaryngol Head Neck Surg. 2012, 64: 67-70.
- 7. Jerbi Omezzine S, Dakkem M, Ben Hmida N, Saidi M, Ben Rhouma K, Driss N et al. Spontaneous cholesteatoma of the external auditory canal: the utility of CT. Diagn Interv Imaging. 2013; 94: 438-42.
- 8. Wathen CA, Foje N, van Avermaete T, Miramontes B, Chapaman SE, Sasser TA et al. In vivo X-ray computed tomographic imaging of soft tissue with native, intravenous, or oral contrast. Sensors (Basel). 2013; 27;13: 6957-80.
- 9. Baráth K, Huber AM, Stämpfli P, Varga Z, Kollias S. Neuroradiology of cholesteatomas. AJNR. 2011;32:221-9
Abstract
References
- 1. Rogha M, Hashemi SM, Mokhtarinejad F, Eshaghian A, Dadgostar A. Comparison of PreoperativeTemporal Bone CT withIntraoperativeFindings in Patients with Cholesteatoma. Iran J Otorhinolaryngol. 2014; 26: 7-12.
- 2. Manasawala M, Cunnane ME, Curtin HD, Moonis G. Imaging findings in auto-atticotomy. AJNR. 2014; 35: 182-5.
- 3. Maniu A, Harabagiu O, Perde Schrepler M, Cătană A, Fănuţă B, Mogoantă CA. Molecularbiology of cholesteatoma. Rom J Morphol Embryol. 2014; 55: 7-13.
- 4. Scott M. Epidermoid tumour (tumorperlée, cholesteatoma) of the fourth ventricle: case report and review of literature. J Neurol Neurosurg Psychiatry. 1974; 37: 1329-32.
- 5. Valvassori’s Imaging of the Head and Neck. 2005; 2ndedition: 68-89
- 6. Yildirim M, Ozmen CA, Gun R, Yorgancılar E, Akkus Z, Topcu I. An Evaluation of Preoperative Computed Tomography on Patients with Chronic Otitits Media. Indian J Otolaryngol Head Neck Surg. 2012, 64: 67-70.
- 7. Jerbi Omezzine S, Dakkem M, Ben Hmida N, Saidi M, Ben Rhouma K, Driss N et al. Spontaneous cholesteatoma of the external auditory canal: the utility of CT. Diagn Interv Imaging. 2013; 94: 438-42.
- 8. Wathen CA, Foje N, van Avermaete T, Miramontes B, Chapaman SE, Sasser TA et al. In vivo X-ray computed tomographic imaging of soft tissue with native, intravenous, or oral contrast. Sensors (Basel). 2013; 27;13: 6957-80.
- 9. Baráth K, Huber AM, Stämpfli P, Varga Z, Kollias S. Neuroradiology of cholesteatomas. AJNR. 2011;32:221-9
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | August 31, 2018 |
| Submission Date | February 14, 2018 |
| Acceptance Date | March 25, 2018 |
| Published in Issue | Year 2018 Volume: 8 Issue: 2 |