To Study the Computed Tomography Temporal Bone Findings inPatients with Chronic Suppurative Otitis Media

  • Priyanka Manda Senior Resident, Department of Radio-Diagnosis, Sri Venkateshwaraa MCH and Research Center, Puducherry, India
  • Ratna Vasanthan Associate Professor, Department of Radio-Diagnosis, Sri Venkateshwaraa MCH and Research Center, Puducherry, ,India
  • Krishna Kumar Professor, Department of Radio-Diagnosis, Sri Venkateshwaraa MCH and Research Center, Puducherry, India
  • Velayutham Prabu Professor, Department of Otorhinolaryngology, Sri Venkateshwaraa MCH and Research Center, Puducherry, India
  • Govardhanan Professor, Department of Radio-Diagnosis, Sri Venkateshwaraa MCH and Research Center, Puducherry, India
Keywords: Chronic suppurative otitis media; High Resolution Computed tomography; Cholesteatoma

Abstract

Background: Chronic suppurative otitis media is a chronic inflammation of middle ear cleft. It canpresent with discharging ear and decreased hearing. Diagnosis is mostly on clinical examination withan otoscope or otoendoscope. Our study was undertaken to evaluate role of computed tomographyin defining extent and severity of various pathological changes occurring in temporal bone in case ofchronic suppurative otitis media.

Materials and Methods: Current study was a prospective cross-sectional study was conducted in Sri Venkateshwaraa Medical College and Research Center, Ariyur,Pondicherry from January 2019 to May 2020. Study included 60 patients clinically diagnosed with achronic middle ear infection and who were referred to Department of Radiodiagnosis and Imaging foran HRCT scan of temporal bone. All obtained data were entered in Microsoft Excel and analyzed withSPSS 23.0 software.

Results: In our study, a total number of 60 patients were involved. Youngestpatient was aged 7 years and oldest patient’s age was 63 years. Majority (28.33%) of patients wereaged between 21-30 years followed by 26.67% in 11-20 years age group. Our study found site andextent of involvement of middle ear and mastoid air cell system as follows: protympanum (20.00%);meso-tympanum (26.67%); posterior tympanum (30.00%); epitympanum (60.00%); hypo-tympanum (25.00%); peri-labyrinthine cells (1.67%); aditus (53.33%); antrum (40.00%); mastoidair cells (58.33%).

Conclusion: HRCT scan is a unique method to detect early cholesteatoma andalso to detect cholesteatoma in hidden areas.

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References

1. Nadol JB Jr. Revision mastoidectomy. Otolaryngol Clin North Am. 2006 Aug;39(4):723-40, vi-vii. doi: 10.1016/j.otc.2006.05.003.
2. Kangsanarak J, Fooanant S, Ruckphaopunt K, Navacharoen N, Teotrakul S. Extracranial and intracranial complications of suppurative otitis media. Report of 102 cases. J Laryngol Otol. 1993 Nov;107(11):999-1004. doi: 10.1017/s0022215100125095.
3. Karki S , Pokharel M , Suwal S , Poudel R . Correlation between Preoperative High Resolution Computed Tomography (CT) Findings with Surgical Findings in Chronic Otitis Media (COM) Squamosal Type. Kathmandu Univ Med J (KUMJ). 2017 Jan.-Mar.;15(57):84-87.
4. Monasta L, Ronfani L, Marchetti F, Montico M, Vecchi Brumatti L, Bavcar A, Grasso D, Barbiero C, Tamburlini G. Burden of disease caused by otitis media: systematic review and global estimates. PLoS One. 2012;7(4):e36226. doi: 10.1371/journal.pone.0036226. Epub 2012 Apr 30.
5. Browning GG, Weir J, Kelly G, Swan lain R. Chronic otitis media. In: Watkinson JC, Clarke RW, editors. Scott-Brown’s Otorhinolaryngology-Head and Neck Surgery. 8th ed. Suite: CRC Press; 2018. p. 977–1021.
6. Majeed J, Sudarshan Reddy L. Role of CT Mastoids in the Diagnosis and Surgical Management of Chronic Inflammatory Ear Diseases. Indian J Otolaryngol Head Neck Surg. 2017 Mar;69(1):113-120. doi: 10.1007/s12070-016-1023-z. Epub 2016 Oct 13.
7. Jadia S, Qureshi S, Sharma S, Mishra K. Correlation of Preoperative 'HRCT Temporal Bone' Findings with 'Surgical Findings' in Unsafe CSOM. Indian J Otolaryngol Head Neck Surg. 2021 Mar;73(1):33-40. doi: 10.1007/s12070-020-01932-8. Epub 2020 Jul 6.
8. Rai T. Radiological study of the temporal bone in chronic otitis media: Prospective study of 50 cases. Indian J Otol. 2014 Apr;20(2):48. DOI:10.4103/0971-7749.131865.
9. Rogha M, Hashemi SM, Mokhtarinejad F, Eshaghian A, Dadgostar A. Comparison of Preoperative Temporal Bone CT with Intraoperative Findings in Patients with Cholesteatoma. Iran J Otorhinolaryngol. 2014 Jan;26(74):7-12.
10. Vallabhaneni R, Babu S. HRCT Temporal Bone Findings in CSOM : Our Experience in Rural Population of South India. IOSR J Dent Med Sci. 2016;15(1):49–53. DOI: 10.9790/0853-15124953
11. Dhulipalla S, Choudary S, Nikhil M. A study to evaluate the role of high-resolution CT temporal bone in preoperative assessment of ossicular chain status in chronic suppurative otitis media patients. IOSR J Dent Med Sci. 2018 Jan;17(1):33–47. DOI: 10.9790/0853-1701143337
12. Valvassori GE. Imaging of the temporal bone. In: Glasscock ME, Gulya AJ, editors. Glasscock-Shambaugh Surgery of the Ear. 5th ed. Hamilton, Ontario: BC Decker Inc; 2003. p. 227–63.
13. Tamilarasan V, Yuvabalakumaran G, Ameen M, Jadhav V. Role of CT in Documenting the Extent of Temporal Bone and Middle Ear Involvement among Patients with Chronic Otitis Media. Int J Contemp Med Surg Radiol. 2019 Dec;4(4):D1–5.
14. Sharma VK, Prajapati N, Sharma R, Iqbal Z, Dadoo S. Radiological changes in the anatomy of the temporal bone in cases of unsafe chronic suppurative otitis media: A retrospective study. Indian J Otol. 2017 Jul;23(3):176.
15. Chatterjee P, Khanna S, Talukdar R. Role of High-Resolution Computed Tomography of Mastoids in Planning Surgery for Chronic Suppurative Otitis Media. Indian J Otolaryngol Head Neck Surg Off Publ Assoc Otolaryngol India. 2015 Sep;67(3):275–80.
16. Kanotra S, Gupta R, Gupta N, Sharma R, Gupta S, Kotwal S. Correlation of high-resolution computed tomography temporal bone findings with intraoperative findings in patients with cholesteatoma. Indian J Otol. 2015 Oct;21(4):280.
17. Gül A, Akdağ M, Kiniş V, Yilmaz B, Şengül E, Teke M, et al. Radiologic and surgical findings in chronic suppurative otitis media. J Craniofac Surg. 2014 Nov;25(6):2027–9.
18. Payal G, Pranjal K, Gul M, Mittal MK, Rai AK. Computed Tomography in Chronic Suppurative Otitis Media: Value in Surgical Planning. Indian J Otolaryngol Head Neck Surg. 2012 Sep;64(3):225–9.
19. Thukral CL, Singh A, Singh S, Sood AS, Singh K. Role of High Resolution Computed Tomography in Evaluation of Pathologies of Temporal Bone. J Clin Diagn Res JCDR. 2015 Sep;9(9):TC07-TC10.
20. Bathla M, Doshi H, Kansara A. Is Routine Use of High-Resolution Computerized Tomography of Temporal Bone in Patients of Atticoantral Chronic Suppurative Otitis Media without Intracranial Complications Justified? Indian J Otolaryngol Head Neck Surg. 2018 Mar;70(1):79.
21. Mandal S, Muneer K, Roy M. High Resolution Computed Tomography of Temporal Bone: The Predictive Value in Atticoantral Disease. Indian J Otolaryngol Head Neck Surg Off Publ Assoc Otolaryngol India. 2019 Nov;71(Suppl 2):1391–5.
22. Prakash M, Tarannum A. Role of high resolution computed tomography of the temporal bone in the pre-operative evaluation of chronic suppurative otitis media. Int J Otorhinolaryngol Head Neck Surg. 2018 Aug;4:1287.
23. Kataria T, Sehra R, Grover M, Sharma S, Verma N, Sharma MP. Correlation of Preoperative High-resolution Computed Tomography Temporal Bone Findings with Intra-operative Findings in Various Ear Pathologies. Indian J Otolaryngol Head Neck Surg [Internet]. 2020 Jul 9 [cited 2020 Jul 25]; Available from https://doi.org/10.1007/s12070-020-01950-6
24. Keskin S, Çetin H, Töre HG. The Correlation of Temporal Bone CT With Surgery Findings in Evaluation of Chronic Inflammatory Diseases of The Middle Ear. Electron J Gen Med. 2011 Jan;8(1):24–30.
25. Sirigiri RR, Dwaraknath K. Correlative Study of HRCT in Attico-Antral Disease. Indian J Otolaryngol Head Neck Surg. 2011 Apr;63(2):155–8.
How to Cite
1.
Priyanka Manda, Ratna Vasanthan, Krishna Kumar, Velayutham Prabu, Govardhanan. To Study the Computed Tomography Temporal Bone Findings inPatients with Chronic Suppurative Otitis Media. Int J Med Res Rev [Internet]. 2022Feb.11 [cited 2024Apr.17];10(1):10-6. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1360
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Vol 10 No 1 (2022): Jan-Feb
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Original Article

Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society

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