Combining Thin-Section Coronal and Axial Diffusion Weighted Imaging: Good Practice in Middle Ear Cholesteatoma Neuroimaging

Russo, Camilla; Lullo, Antonella Miriam Di; Cantone, Elena; Klain, Michele; Motta, Gaetano; Elefante, Andrea; Cavaliere, Michele

doi:10.3389/fneur.2021.606692

Cited by 4 publications

(4 citation statements)

References 24 publications

(28 reference statements)

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“…So far, medical therapy is generally prescribed preoperatively or when surgery is contraindicated [ 17 , 18 , 19 , 20 ]. Although surgery is a common event in the life of a patient with COM, it is very interesting to investigate all benefits that it will bring to patients’ QoL even if the improvement of QoL after cholesteatoma surgery is important, but it should not be a factor that limits the decision about performing surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the previous publications have focused on QoL based on surgical techniques and/or on the severity of COM (presence or absence of cholesteatoma, extension of the inflammatory process, ossicular chain status, etc.) [ 18 , 19 , 20 ]. These variables have linked each other.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, it can be hypothesized that less invasive surgery, such as closed ones, ensures higher patient satisfaction due to better functional results [ 18 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Quality of Life Assessment of Chronic Otitis Media Patients Following Surgery

Cavaliere

Lullo

Capriglione

et al. 2022

JPM

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Chronic otitis media (COM) is a persistent inflammation of the middle ear. COM often requires surgical management and represents one of the most disabling pathologies in the field of otolaryngology, not only due to hearing loss but also because recurrent otorrhea seriously affects the quality of life (QoL) of patients. The COMOT-15 questionnaire is a reliable, valid and sensitive tool for measuring the QoL of patients with COM. The aim of this study was to evaluate QoL by using the Italian version of the COMOT-15 in COM patients undergoing surgery based on age and different operation techniques. This observational retrospective study involved fifty-two consecutive patients undergoing surgical treatment for COM according to Nadol criteria. Preoperatively (T0) and 12 months after surgery (T1) patients underwent clinical examination, imaging, the Italian version of the COMOT-15 and pure tone audiometry. After surgery, we observed an improvement of QoL in 84.6% of the population. The COMOT-15 overall score, ear symptoms and hearing subscores showed significantly better ratings after surgery in the whole analyzed group. However, the separate analysis of patients operated with open techniques and closed techniques showed a significant improvement in ear symptoms subscore in both groups and a significant improvement in hearing subscore and mental health subscore only in patients operated on with closed techniques. Moreover, we observed a positive correlation between age and Δ-COMOT. This study shows the crucial role of a reliable and suitable questionnaire such as the COMOT-15 in evaluating COM patients, including clinical symptoms, functional and psychological impairments and highlighting a positive correlation between age and COMOT-15 results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Quality of Life Assessment of Chronic Otitis Media Patients Following Surgery

Cavaliere

Lullo

Capriglione

et al. 2022

JPM

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“…In the first group, patients diagnosed with cholesteatomatous chronic otitis media who underwent open tympanoplasty surgery were selected. All patients underwent high-resolution volumetric computed tomography (CT) [9] and magnetic resonance imaging (MRI) with diffusion-weighted sequences [10][11][12][13] and calculation of the ADC parameter [14,15] during the preoperative workup to confirm the diagnosis of cholesteatoma. Only the affected ear was included in the study.…”

Section: Methodsmentioning

confidence: 99%

Temporal bone CT-based anatomical parameters associated with the development of cholesteatoma

Cavaliere,

Ugga,

Monfregola

et al. 2023

Radiol med

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Background Cholesteatoma is caused by disorders of the middle ear ventilation that trigger a progressive series of events responsible for its formation. The aim of this study was to identify possible radiological CT-derived parameters predisposing to ventilation disorders and cholesteatoma. Methods In this retrospective study, patients diagnosed with cholesteatomatous chronic otitis media who underwent temporal bone CT and open tympanoplasty surgery have been included, as well as control patients with clinical examination negative for organic otological pathology who underwent temporal bone CT for other reasons. For each patient, the following parameters have been extracted from CT volumes: degree of mastoid pneumatization, prominence of the cog, patency of the Eustachian tube, antrum width, aditus width, anterior and posterior epitympanic widths, and epitympanic height. Results Sixty patients have been included, thirty of whom belonged to the group of patients with cholesteatoma and the remaining part to the group of patients without organic otological pathology. The prevalence of a low degree of mastoid pneumatization was significantly higher among patients with cholesteatoma, as well as for the prevalence of cog prominence (p < 0.001). All the continuous variables were found to have statistical significance (p < 0.05) in the comparison between groups except for the width of the antrum. Conclusion Mastoid pneumatization degree, prominence of the cog and epitympanic measures based on temporal bone CT could be good radiological correlates of the ventilatory capabilities of the epitympanum which, if compromised, can facilitate the development of cholesteatoma.

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