Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma
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 p...
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Istanbul University Press
2022-12-01
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| Series: | The Turkish Journal of Ear Nose and Throat |
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/8FDA734BD758435FA0D9CDEEDA19C520 |
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| _version_ | 1849323948739657728 |
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| author | Doğan Çakan Semih Uşaklıoğlu |
| author_facet | Doğan Çakan Semih Uşaklıoğlu |
| author_sort | Doğan Çakan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-0a87d24335d74e14a43f6c819f0b3680 |
| institution | Kabale University |
| issn | 2602-4837 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | The Turkish Journal of Ear Nose and Throat |
| spelling | doaj-art-0a87d24335d74e14a43f6c819f0b36802025-08-20T03:48:52ZengIstanbul University PressThe Turkish Journal of Ear Nose and Throat2602-48372022-12-01324879110.26650/Tr-ENT.2022.1151579123456Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone CholesteatomaDoğan Çakan0https://orcid.org/0000-0002-6283-2916Semih Uşaklıoğlu1https://orcid.org/0000-0003-3181-2346İstanbul Üniversitesi-Cerrahpaşa, Istanbul, TurkiyeSağlık Bakanlığı, Ankara, TurkiyeObjective: 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.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/8FDA734BD758435FA0D9CDEEDA19C520cholesteatomadiagnostic imagingotitis mediasurgerytomography |
| spellingShingle | Doğan Çakan 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 cholesteatoma diagnostic imaging otitis media surgery tomography |
| title | Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma |
| title_full | Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma |
| title_fullStr | Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma |
| title_full_unstemmed | Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma |
| title_short | Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma |
| title_sort | comparison of high resolution computed tomography and surgical findings in patients with temporal bone cholesteatoma |
| topic | cholesteatoma diagnostic imaging otitis media surgery tomography |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/8FDA734BD758435FA0D9CDEEDA19C520 |
| work_keys_str_mv | AT dogancakan comparisonofhighresolutioncomputedtomographyandsurgicalfindingsinpatientswithtemporalbonecholesteatoma AT semihusaklıoglu comparisonofhighresolutioncomputedtomographyandsurgicalfindingsinpatientswithtemporalbonecholesteatoma |