IMAGING ASPECTS OF NON-CHOLESTEATOMATOUS CHRONIC OTITIS AND INTRACEREBRAL COMPLICATIONS OF CHOLESTEATOMA IN PATIENTS HOSPITALIZED AND TREATED AT “PROF. N. OBLU” HOSPITAL IN IAȘI
Intracranial infectious complications (such as abscess) are commonly seen in patients with maxillo-facial area infections/inflammation or temporal bone area (generally ear) infections/inflammation. Cholesteatoma is a mass of soft tissue within the middle ear, consisting of keratinized squamous epith...
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Romanian Dental Association for Education
2024-06-01
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| Series: | Romanian Journal of Medical and Dental Education |
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| Online Access: | https://journal.adre.ro/imaging-aspects-of-non-cholesteatomatous-chronic-otitis-and-intracerebral-complications-of-cholesteatoma-in-patients-hospitalized-and-treated-at-prof-n-oblu-hospital-in-iasi/ |
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| author | Ariadna Mocrei Andreea Diana Ilinca Alexandra Chichirău Teodora Buznea Bianca Vornicu Ana Elena Sirghe Danisia Haba |
| author_facet | Ariadna Mocrei Andreea Diana Ilinca Alexandra Chichirău Teodora Buznea Bianca Vornicu Ana Elena Sirghe Danisia Haba |
| author_sort | Ariadna Mocrei |
| collection | DOAJ |
| description | Intracranial infectious complications (such as abscess) are commonly seen in patients with maxillo-facial area infections/inflammation or temporal bone area (generally ear) infections/inflammation. Cholesteatoma is a mass of soft tissue within the middle ear, consisting of keratinized squamous epithelium and keratin accumulation, with or without inflammation of the surrounding tissue. The study aimed to analyze CT and MRI using conventional and modern techniques for evaluating chronic suppurative cholesteatomatous and non-cholesteatomatous otitis in patients admitted urgently to assess the frequency of intracerebral complications. Material and methods: 30 patients with clinical diagnoses of chronic suppurative otitis media (CSOM) underwent high-resolution CT (HRCT) and MRI to assess the extent of the disease and associated complications. The study involved analyzing imaging elements such as epitympanic lesions, ossicular erosions, and the presence of labyrinthitis ossificans. Results showed that 66.7% of the patients had right ear involvement, while 40% had left ear involvement. Common complications detected during CT included erosion of the sinodural angle and tegmen tympani, with abscesses being a major complication in 96.7% of cases. MRI sequences such as T1, T2, Flair, and advanced diffusion-weighted techniques (non-EPI) were used efficiently, detecting abscesses and complications in the middle cranial fossa in 96.7% of cases. Streptococcus pneumoniae was the most frequently encountered germ, highlighting the need for focused prevention and treatment measures. Conclusions: CT is effective in identifying bone destructions and intracranial complications, while MRI, especially with diffusion-weighted sequences, offers superior differentiation of cholesteatoma from other soft tissue lesions and evaluation of its extent. Combining CT and MRI provides a comprehensive and precise evaluation, facilitating efficient clinical management and improving patient prognosis. |
| format | Article |
| id | doaj-art-995ca911a10b45b69e6df0af21aae221 |
| institution | Kabale University |
| issn | 2393-1531 2393-1108 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Romanian Dental Association for Education |
| record_format | Article |
| series | Romanian Journal of Medical and Dental Education |
| spelling | doaj-art-995ca911a10b45b69e6df0af21aae2212025-01-08T08:11:53ZengRomanian Dental Association for EducationRomanian Journal of Medical and Dental Education2393-15312393-11082024-06-011337887IMAGING ASPECTS OF NON-CHOLESTEATOMATOUS CHRONIC OTITIS AND INTRACEREBRAL COMPLICATIONS OF CHOLESTEATOMA IN PATIENTS HOSPITALIZED AND TREATED AT “PROF. N. OBLU” HOSPITAL IN IAȘIAriadna Mocrei0Andreea Diana Ilinca1 Alexandra Chichirău2Teodora Buznea3Bianca Vornicu4Ana Elena Sirghe5Danisia Haba6Surgical Department, University of Medicine and Pharmacy “Grigore T. Popa” IașiSurgical Department, University of Medicine and Pharmacy “Grigore T. Popa” IașiProf N. Oblu Emergency Hospital IașiProf N. Oblu Emergency Hospital IașiProf N. Oblu Emergency Hospital IașiSurgical Department, University of Medicine and Pharmacy “Grigore T. Popa” IașiSurgical Department, University of Medicine and Pharmacy “Grigore T. Popa” IașiIntracranial infectious complications (such as abscess) are commonly seen in patients with maxillo-facial area infections/inflammation or temporal bone area (generally ear) infections/inflammation. Cholesteatoma is a mass of soft tissue within the middle ear, consisting of keratinized squamous epithelium and keratin accumulation, with or without inflammation of the surrounding tissue. The study aimed to analyze CT and MRI using conventional and modern techniques for evaluating chronic suppurative cholesteatomatous and non-cholesteatomatous otitis in patients admitted urgently to assess the frequency of intracerebral complications. Material and methods: 30 patients with clinical diagnoses of chronic suppurative otitis media (CSOM) underwent high-resolution CT (HRCT) and MRI to assess the extent of the disease and associated complications. The study involved analyzing imaging elements such as epitympanic lesions, ossicular erosions, and the presence of labyrinthitis ossificans. Results showed that 66.7% of the patients had right ear involvement, while 40% had left ear involvement. Common complications detected during CT included erosion of the sinodural angle and tegmen tympani, with abscesses being a major complication in 96.7% of cases. MRI sequences such as T1, T2, Flair, and advanced diffusion-weighted techniques (non-EPI) were used efficiently, detecting abscesses and complications in the middle cranial fossa in 96.7% of cases. Streptococcus pneumoniae was the most frequently encountered germ, highlighting the need for focused prevention and treatment measures. Conclusions: CT is effective in identifying bone destructions and intracranial complications, while MRI, especially with diffusion-weighted sequences, offers superior differentiation of cholesteatoma from other soft tissue lesions and evaluation of its extent. Combining CT and MRI provides a comprehensive and precise evaluation, facilitating efficient clinical management and improving patient prognosis.https://journal.adre.ro/imaging-aspects-of-non-cholesteatomatous-chronic-otitis-and-intracerebral-complications-of-cholesteatoma-in-patients-hospitalized-and-treated-at-prof-n-oblu-hospital-in-iasi/cholesteatomaintracerebral complicationsotitisctmri |
| spellingShingle | Ariadna Mocrei Andreea Diana Ilinca Alexandra Chichirău Teodora Buznea Bianca Vornicu Ana Elena Sirghe Danisia Haba IMAGING ASPECTS OF NON-CHOLESTEATOMATOUS CHRONIC OTITIS AND INTRACEREBRAL COMPLICATIONS OF CHOLESTEATOMA IN PATIENTS HOSPITALIZED AND TREATED AT “PROF. N. OBLU” HOSPITAL IN IAȘI Romanian Journal of Medical and Dental Education cholesteatoma intracerebral complications otitis ct mri |
| title | IMAGING ASPECTS OF NON-CHOLESTEATOMATOUS CHRONIC OTITIS AND INTRACEREBRAL COMPLICATIONS OF CHOLESTEATOMA IN PATIENTS HOSPITALIZED AND TREATED AT “PROF. N. OBLU” HOSPITAL IN IAȘI |
| title_full | IMAGING ASPECTS OF NON-CHOLESTEATOMATOUS CHRONIC OTITIS AND INTRACEREBRAL COMPLICATIONS OF CHOLESTEATOMA IN PATIENTS HOSPITALIZED AND TREATED AT “PROF. N. OBLU” HOSPITAL IN IAȘI |
| title_fullStr | IMAGING ASPECTS OF NON-CHOLESTEATOMATOUS CHRONIC OTITIS AND INTRACEREBRAL COMPLICATIONS OF CHOLESTEATOMA IN PATIENTS HOSPITALIZED AND TREATED AT “PROF. N. OBLU” HOSPITAL IN IAȘI |
| title_full_unstemmed | IMAGING ASPECTS OF NON-CHOLESTEATOMATOUS CHRONIC OTITIS AND INTRACEREBRAL COMPLICATIONS OF CHOLESTEATOMA IN PATIENTS HOSPITALIZED AND TREATED AT “PROF. N. OBLU” HOSPITAL IN IAȘI |
| title_short | IMAGING ASPECTS OF NON-CHOLESTEATOMATOUS CHRONIC OTITIS AND INTRACEREBRAL COMPLICATIONS OF CHOLESTEATOMA IN PATIENTS HOSPITALIZED AND TREATED AT “PROF. N. OBLU” HOSPITAL IN IAȘI |
| title_sort | imaging aspects of non cholesteatomatous chronic otitis and intracerebral complications of cholesteatoma in patients hospitalized and treated at prof n oblu hospital in iasi |
| topic | cholesteatoma intracerebral complications otitis ct mri |
| url | https://journal.adre.ro/imaging-aspects-of-non-cholesteatomatous-chronic-otitis-and-intracerebral-complications-of-cholesteatoma-in-patients-hospitalized-and-treated-at-prof-n-oblu-hospital-in-iasi/ |
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