Cholesteatoma is a potentially risky disorder since it can spread and wear away nearby structures, leading to numerous severe problems. Temporal bone HRCT provides a clear depiction of the anatomy of several tiny and significant structures within the middle and inner ear cavity. Therefore, it is a highly effective method and preferred approach for diagnosing and determining the size of cholesteatoma. It has become crucial research in preoperative planning for surgeons. The current study demonstrates a strong association between different preoperative HRCT findings and intraoperative findings. The purpose of this study is to investigate how effective pre‐operative HRCT is in evaluating disease in patients with middle ear cholesteatoma. Pre‐surgical high‐resolution temporal bone CT scans were performed and compared with findings after the operation. This was a study that comprised 70 individuals in a row with chronic suppurative otitis media with hazardous type cholesteatomas. Every patient underwent a complete clinical evaluation and HRCT examination. Some patients with probable intracranial consequence received intravenous contrast media. Radiological data before surgery were compared with data from the postoperative findings. The most prevalent pathology observed was infection (otomastoiditis), accounting for 29 cases (41.5%). The erosion of the scutum and lateral attic wall was the most often observed finding, occurring in 20.3% of patients. This was followed by the erosion of Korner’s septum, which was identified in 617.2% of patients. Table 4 displays the erosion in the middle ear cavity. Based on the findings of our research, HRCT scan is a useful imaging technique that otologists can use before surgery to assess the condition of the ossicles and inform the patient about potential hearing outcomes.
Vishal Singh. Assessment of Temporal Bone Cholesteatoma with High Resolution Computed Tomography.
DOI: https://doi.org/10.36478/10.59218/makrjms.2014.160.164
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2014.160.164