Chronic otitis media: association between computed tomography and intraoperative findings

Authors

  • Joselina Antunes Otorhinolaryngology Department, Hospital Prof. Dr. Fernando Fonseca, Amadora, Portugal
  • Marta Melo Otorhinolaryngology Department, Hospital Prof. Dr. Fernando Fonseca, Amadora, Portugal
  • Liliana Carvalho Otorhinolaryngology Department, Hospital Prof. Dr. Fernando Fonseca, Amadora, Portugal
  • Cristina Adónis Otorhinolaryngology Department, Hospital Prof. Dr. Fernando Fonseca, Amadora, Portugal
  • Filipe Freire Otorhinolaryngology Department, Hospital Prof. Dr. Fernando Fonseca, Amadora, Portugal

DOI:

https://doi.org/10.34631/sporl.978

Keywords:

Ear surgery, Chronic otitis media with cholesteatoma, Computed tomography

Abstract

Objectives: Determine computed tomography (CT) charecteristics in chronic otitis media (COM) with or whitout cholesteatoma, and its association with intraoperative findings.

Methods: Observational study that included patients followed in Professor Doutor Fernando Fonseca Hospital, between 2011 and 2020. COM diagnosis was made based in medical history and phisical examination, confirmed with ear surgery. All patients were submited to preoperative ear CT scan.

Results: The prevalence of COM without cholesteatoma was 65,9% of patients and COM with cholesteatoma in the rest. There were significant statistic differences between patients with COM without cholesteatoma versus with cholesteatoma in erosion in the ossicular chain, Fallopian canal, scutum and lateral semicircular canal. We found concordance in 87,6% between CT and intraoperative findings.

Conclusion: CT scan is na complementary exam in preoperative planning that can help in diferencial diagnosis of COM.

References

- Chole RA, Sharon JD. Chronic Otitis Media, Mastoiditis, and Petrositis. In: Flint PW, Francis HW, Haunghey BH, Lesperance MM. et al. Cummings Otolaryngology: Head and Neck Surgery, 7th ed. Philadelphia: Elsevier; 2021. p. 2118-2134.

- Gaurano JL, Joharjy IA. Middle ear cholesteatoma: characteristic CT findings in 64 patients. Ann Saudi Med. Nov-Dec 2004;24(6):442-7. doi: 10.5144/0256-4947.2004.442.

- Acuin J. Chronic suppurative otitis media: Burden of illness and management options [Internet]. Geneva: World Health Organization; 2004 [cited 2021 Sept 10] 83 p. Available from: http://www.who.int/pbd/deafness/activities/hearing_care/otitis_media.pdf

- Patel VA, Isildak H, Khaku AM. Cholesteatoma [Internet]. [ updated 2020 Oct 26; cited 2021 sept 10] Available from: https://emedicine.medscape.com/article/860080-overview.

- Casazza GC, Gurgel RK, Hamilton BE, Shelton C. et al. Neuroradiology of the Temporal Bone and Skull Base. In: Flint PW, Francis HW, Haunghey BH, Lesperance MM. et al. Cummings Otolaryngology: Head and Neck Surgery 7th ed. Philadelphia: Elsevier; 2021. p. 2042-2062.

- Arendt CT, Leithner D, Mayerhoefer ME, Gibbs P, Czerny C, Arnoldner C. et al. Radiomics of high-resolution computed tomography for the differentiation between cholesteatoma and middle ear inflammation: effects of post-reconstruction methods in a dual-center study. Eur Radiol. 2021 Jun;31(6):4071-4078. doi: 10.1007/s00330-020-07564-4.

- Ng JH, Zhang EZ, Soon SR, Tan VY, Tan TY, Mok PK. et al. Pre-operative high resolution computed tomography scans for cholesteatoma: Has anything changed? Am J Otolaryngol. Jul-Aug 2014;35(4):508-13. doi: 10.1016/j.amjoto.2014.02.015.

- Phelps PD, Lloyd GA. The radiology of cholesteatoma. Clin Radiol. 1980 Sep;31(5):501-12. doi: 10.1016/s0009-9260(80)80034-1.

- Mafee MF, Levin BC, Applebaum EL, Campos M, James CF. Cholesteatoma of the middle ear and mastoid. Otolaryngol Clin North Am. 1988 May;21(2):265-93. doi: 10.1016/S0030-6665(20)31539-5.

- Buckingham RA, Valvassori GE. Tomographic evaluation of cholesteatoma of the middle ear and mastoid. Otolaryngol Clin North Am. 1973 Jun;6(2):363-78. doi: 10.1016/S0030-6665(20)32915-7.

- Buckingham RA, Valvassori GE. Tomographic and surgical pathology of cholesteatoma. Arch Otolaryngol. 1970 May;91(5):464-9. doi: 10.1001/archotol.1970.00770040658014.

- Mafee MF, Kumar A, Yannias DA, Valvassori GE, Applebaum EL. Computed tomography of the middle ear in the evaluation of cholesteatoma and other soft tissue masses: comparison with pluridirectional tomography. Radiology. 1983 Aug;148(2):465-72. doi: 10.1148/radiology.148.2.6867344.

- Liu DP, Bergeron RT. Contemporary radiologic imaging in the evaluation of middle ear-attic-antral complex cholesteatomas. Otolaryngol Clin North Am. 1989 Oct;22(5):897-909 doi: 10.1016/S0030-6665(20)31366-9.

- Swartz JD, Goodman RS, Russell KB, Marlowe FI, Wolfson RJ. High resolution computed tomography of the middle ear and mastoid. Part II: tubotympanic disease. Radiology. 1983 Aug;148(2):455-9. doi: 10.1148/radiology.148.2.6867342.

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Published

2022-03-30

How to Cite

Antunes, J., Melo, M., Carvalho, L., Adónis, C., & Freire, F. (2022). Chronic otitis media: association between computed tomography and intraoperative findings. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 60(1), 29–34. https://doi.org/10.34631/sporl.978

Issue

Vol. 60 No. 1 (2022): March

Section

Original Article

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