Araştırma Makalesi
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Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma

Yıl 2022, , 87 - 91, 24.01.2023
https://doi.org/10.26650/Tr-ENT.2022.1151579

Öz

Objective: The present study aims to investigate the role of high-resolution computed tomography (HRCT) in temporal bone cholesteatoma. Materials and Methods: Eighty-two patients with a pathological diagnosis of chronic otitis media with cholesteatoma were included in this retrospective study. All patients had a complete preoperative otorhinolaryngologic examination, audiological assessment, and HRCT. Preoperative radiological findings were evaluated together with the findings obtained during surgery. Results: In HRCT, cholesteatoma was most common in pars flaccida (36.25%). The most common localization of cholesteatoma was holotympanic (36.25%). Erosion was most common in all ossicles (43.75%), but solitary erosion was most common in the incus (35%). The facial nerve canal was intact in 58 (72.5%) of the patients. The diagnostic sensitivities of HRCT in cholesteatoma cases were 97.6% for tissue mass, 97.6% for localization, 100% for malleus erosion, 84.8% for incus erosion, 100% for malleus and incus erosion, 40% for incus and stapes erosion, 94.6% for the erosion of all ossicles, and 100% for facial nerve canal erosion. Conclusion: Preoperative HRCT evaluation in patients with cholesteatoma may be considered indispensable for the location of the disease and the detection of destructive structures.

Destekleyen Kurum

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Proje Numarası

Not applicable

Teşekkür

Not applicable

Kaynakça

  • 1. Brennan-Jones CG, Chong LY, Head K, Burton MJ, Schilder AG, Bhutta MF. Topical antibiotics with steroids for chronic suppurative otitis media. Cochrane Database Syst Rev 2020;8:CD013054. google scholar
  • 2. Rutkowska J, Özgirgin N, Olszewska E. Cholesteatoma Definition and Classification: A Literature Review. J Int Adv Otol 2017;13(2):266-71. google scholar
  • 3. Morris P. Chronic suppurative otitis media. BMJ Clin Evid 2012;2012:0507. google scholar
  • 4. Peng T, Ramaswamy AT, Kim AH. Common Otologic Surgical Procedures: Clinical Decision-Making Pearls and the Role of Imaging. Neuroimaging Clin N Am 2019;29(1):183-96. google scholar
  • 5. Banerjee A, Flood LM, Yates P, Clifford K. Computed tomography in suppurative ear disease: Does it influence management? J Laryngol Otol 2003;117:454-8. google scholar
  • 6. Casazza G, Carlson ML, Shelton C, Gurgel RK. The Medially-Invasive Cholesteatoma: An Aggressive Subtype of a Common Pathology. Ann Otol Rhinol Laryngol 2021;130(1):38-46. google scholar
  • 7. Merkus P, Kemp P, Ziylan F, Yung M. Classifications of mastoid and middle ear surgery: A scoping review. J Int Adv Otol 2018;14:227-32. google scholar
  • 8. Jones JW, Archbold R, Hillman TA, Chen DA. The Role of Mastoidectomy in Draining Ventilation Tubes. Ear Nose Throat J 2020;99(1_suppl):35-8. google scholar
  • 9. Watts S, Flood LM, Clifford K. A systematic approach to interpretation of computed tomography scans prior to surgery of middle ear cholesteatoma. J Laryngol Otol 2000;114(4):248-53. google scholar
  • 10. Castle JT. Cholesteatoma Pearls: Practical Points and Update. Head Neck Pathol 2018;12(3):419-29. google scholar
  • 11. Gilberto N, Custodio S, Colaço T, Santos R, Sousa P, Escada P. Middle ear congenital cholesteatoma: systematic review, meta-analysis and insights on its pathogenesis. Eur Arch Otorhinolaryngol 2020;277(4):987-98. google scholar
  • 12. Gomaa MA, Abdel Karim AR, Abdel Ghany HS, Elhiny AA, Sadek AA. Evaluation of temporal bone cholesteatoma and the correlation between high resolution computed tomography and surgical finding. Clin Med Insights Ear Nose Throat 2013;6:21-8. google scholar
  • 13. Sethom A, Akkari K, Dridi I, Tmimi S, Mardassi A, Benzarti S, et al. Apport de la tomodensitometrie dans le bilan pre operatoire de l’otite moyenne chronique cholesteatomateuse. A propos de 60 cas [Preoperative CT Scan in middle ear cholesteatoma]. Tunis Med 2011;89(3):248-53. google scholar
  • 14. Manik S, Dabholkar Y, Bhalekar S, Velankar H, Chordia N, Saberwal A. Sensitivity and specificity of high-resolution computed tomography (HRCT) of temporal bone in diagnosing cholesteatoma and ıts correlation with ıntraoperative findings. Indian J Otolaryngol Head Neck Surg 2021;73(1):25-9. google scholar
  • 15. Bozan N, Fidan B, Tiren Ö, Arslan A, Kundi P, Özkan H, et al. Kronik Süpüratif Otitis Media Hastalarında Radyolojik ve Cerrahi Bulguların Karşılaştırılması [Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis Media] Van Tıp Derg 2017;24(4):293-7. google scholar
  • 16. Kamalden TMIT, Yusof ANM, Misron K. A review of delayed facial nerve paresis as complication following total endoscopic ear surgery. J Int Adv Otol 2021;17(6):570-3. google scholar
  • 17. Eryılmaz A, Uyar M, Oğuz O, İriz A, Boynueğri S, Acar A, et al. Hearing results according to ossiculoplasty techniques in chronic otitis media. Praxis of ORL 2014;2(1):11-7. google scholar
  • 18. Demir D, Güven M, Yılmaz M, Çelik B, Kara A. Hearing Results According To Ossiculoplasty Techniques In Chronic Otitis Media. Kbb-Forum 2018;17(4):117-22. google scholar
Yıl 2022, , 87 - 91, 24.01.2023
https://doi.org/10.26650/Tr-ENT.2022.1151579

Öz

Proje Numarası

Not applicable

Kaynakça

  • 1. Brennan-Jones CG, Chong LY, Head K, Burton MJ, Schilder AG, Bhutta MF. Topical antibiotics with steroids for chronic suppurative otitis media. Cochrane Database Syst Rev 2020;8:CD013054. google scholar
  • 2. Rutkowska J, Özgirgin N, Olszewska E. Cholesteatoma Definition and Classification: A Literature Review. J Int Adv Otol 2017;13(2):266-71. google scholar
  • 3. Morris P. Chronic suppurative otitis media. BMJ Clin Evid 2012;2012:0507. google scholar
  • 4. Peng T, Ramaswamy AT, Kim AH. Common Otologic Surgical Procedures: Clinical Decision-Making Pearls and the Role of Imaging. Neuroimaging Clin N Am 2019;29(1):183-96. google scholar
  • 5. Banerjee A, Flood LM, Yates P, Clifford K. Computed tomography in suppurative ear disease: Does it influence management? J Laryngol Otol 2003;117:454-8. google scholar
  • 6. Casazza G, Carlson ML, Shelton C, Gurgel RK. The Medially-Invasive Cholesteatoma: An Aggressive Subtype of a Common Pathology. Ann Otol Rhinol Laryngol 2021;130(1):38-46. google scholar
  • 7. Merkus P, Kemp P, Ziylan F, Yung M. Classifications of mastoid and middle ear surgery: A scoping review. J Int Adv Otol 2018;14:227-32. google scholar
  • 8. Jones JW, Archbold R, Hillman TA, Chen DA. The Role of Mastoidectomy in Draining Ventilation Tubes. Ear Nose Throat J 2020;99(1_suppl):35-8. google scholar
  • 9. Watts S, Flood LM, Clifford K. A systematic approach to interpretation of computed tomography scans prior to surgery of middle ear cholesteatoma. J Laryngol Otol 2000;114(4):248-53. google scholar
  • 10. Castle JT. Cholesteatoma Pearls: Practical Points and Update. Head Neck Pathol 2018;12(3):419-29. google scholar
  • 11. Gilberto N, Custodio S, Colaço T, Santos R, Sousa P, Escada P. Middle ear congenital cholesteatoma: systematic review, meta-analysis and insights on its pathogenesis. Eur Arch Otorhinolaryngol 2020;277(4):987-98. google scholar
  • 12. Gomaa MA, Abdel Karim AR, Abdel Ghany HS, Elhiny AA, Sadek AA. Evaluation of temporal bone cholesteatoma and the correlation between high resolution computed tomography and surgical finding. Clin Med Insights Ear Nose Throat 2013;6:21-8. google scholar
  • 13. Sethom A, Akkari K, Dridi I, Tmimi S, Mardassi A, Benzarti S, et al. Apport de la tomodensitometrie dans le bilan pre operatoire de l’otite moyenne chronique cholesteatomateuse. A propos de 60 cas [Preoperative CT Scan in middle ear cholesteatoma]. Tunis Med 2011;89(3):248-53. google scholar
  • 14. Manik S, Dabholkar Y, Bhalekar S, Velankar H, Chordia N, Saberwal A. Sensitivity and specificity of high-resolution computed tomography (HRCT) of temporal bone in diagnosing cholesteatoma and ıts correlation with ıntraoperative findings. Indian J Otolaryngol Head Neck Surg 2021;73(1):25-9. google scholar
  • 15. Bozan N, Fidan B, Tiren Ö, Arslan A, Kundi P, Özkan H, et al. Kronik Süpüratif Otitis Media Hastalarında Radyolojik ve Cerrahi Bulguların Karşılaştırılması [Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis Media] Van Tıp Derg 2017;24(4):293-7. google scholar
  • 16. Kamalden TMIT, Yusof ANM, Misron K. A review of delayed facial nerve paresis as complication following total endoscopic ear surgery. J Int Adv Otol 2021;17(6):570-3. google scholar
  • 17. Eryılmaz A, Uyar M, Oğuz O, İriz A, Boynueğri S, Acar A, et al. Hearing results according to ossiculoplasty techniques in chronic otitis media. Praxis of ORL 2014;2(1):11-7. google scholar
  • 18. Demir D, Güven M, Yılmaz M, Çelik B, Kara A. Hearing Results According To Ossiculoplasty Techniques In Chronic Otitis Media. Kbb-Forum 2018;17(4):117-22. google scholar
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kulak Burun Boğaz
Bölüm Araştırma Makalesi
Yazarlar

Doğan Çakan 0000-0002-6283-2916

Semih Uşaklıoğlu Bu kişi benim 0000-0003-3181-2346

Proje Numarası Not applicable
Yayımlanma Tarihi 24 Ocak 2023
Gönderilme Tarihi 31 Temmuz 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA Çakan, D., & Uşaklıoğlu, S. (2023). Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma. The Turkish Journal of Ear Nose and Throat, 32(4), 87-91. https://doi.org/10.26650/Tr-ENT.2022.1151579
AMA Çakan D, Uşaklıoğlu S. Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma. Tr-ENT. Ocak 2023;32(4):87-91. doi:10.26650/Tr-ENT.2022.1151579
Chicago Çakan, Doğan, ve Semih Uşaklıoğlu. “Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients With Temporal Bone Cholesteatoma”. The Turkish Journal of Ear Nose and Throat 32, sy. 4 (Ocak 2023): 87-91. https://doi.org/10.26650/Tr-ENT.2022.1151579.
EndNote Çakan D, Uşaklıoğlu S (01 Ocak 2023) Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma. The Turkish Journal of Ear Nose and Throat 32 4 87–91.
IEEE D. Çakan ve S. Uşaklıoğlu, “Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma”, Tr-ENT, c. 32, sy. 4, ss. 87–91, 2023, doi: 10.26650/Tr-ENT.2022.1151579.
ISNAD Çakan, Doğan - Uşaklıoğlu, Semih. “Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients With Temporal Bone Cholesteatoma”. The Turkish Journal of Ear Nose and Throat 32/4 (Ocak 2023), 87-91. https://doi.org/10.26650/Tr-ENT.2022.1151579.
JAMA Çakan D, Uşaklıoğlu S. Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma. Tr-ENT. 2023;32:87–91.
MLA Çakan, Doğan ve Semih Uşaklıoğlu. “Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients With Temporal Bone Cholesteatoma”. The Turkish Journal of Ear Nose and Throat, c. 32, sy. 4, 2023, ss. 87-91, doi:10.26650/Tr-ENT.2022.1151579.
Vancouver Çakan D, Uşaklıoğlu S. Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma. Tr-ENT. 2023;32(4):87-91.