Correlation of Pre-operative Temporal Bone CT Scan Findings with Intraoperative Findings in Chronic Otitis Media: Squamous Type

Agarwal, Rajat; Pradhananga, Rabindra Bhakta; Dutta, Heempali; Poudel, Sagar

doi:10.1007/s12070-020-01805-0

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…La otitis media crónica supurada es una carga importante para la salud en los países en desarrollo. La otitis media crónica colesteatomatosa es igualmente prevalente en la población adulta y en la pediátrica 7,[9][10][11] , por lo que en nuestro estudio se vieron implicados ambos grupos etarios con un 67,4% y 32,6% respectivamente.…”

Section: Discussionunclassified

“…Los instrumentos de trabajo utilizados fueron los expedientes clínicos del Departamento de Otología de la Cátedra y Servicio de Otorrinolaringología del Hospital de Clínicas. En el Departamento de Otología se evaluaron las imágenes tomográficas preoperatorias con cortes de 0,6 mm en las proyecciones axiales, coronales y sagitales para recolectar indicios de comprometimiento de la patología hacia estructuras contiguas importantes (cadena osicular, tegmen tympani, canal semicircular lateral, canal del nervio facial) 7 . Todas las tomografías fueron realizadas en el mes previo a la intervención quirúrgica.…”

Section: Materials Y Métodounclassified

“…Agarwal y cols. 7 midieron el índice de concordancia de kappa-Cohen entre erosión osicular observada en tomografía y hallazgos quirúrgicos, dando como resultado una muy buena concordancia para la erosión del CSC lateral y en el resto una correlación razonable a ligera. Los resultados de este estudio fueron de una muy buena concordancia para la erosión del tegmen tympani, una buena concordancia para la erosión de cadena osicular y canal del nervio facial y una correlación razonable para erosión del CSC lateral.…”

Section: Erosión De Tegmen Tympani Sin Erosión De Tegmen Tympani Con ...unclassified

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Concordancia entre hallazgos radiológicos y quirúrgicos en pacientes sometidos a mastoidectomía

C.²

2022

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Section: Discussionunclassified

Section: Materials Y Métodounclassified

Section: Erosión De Tegmen Tympani Sin Erosión De Tegmen Tympani Con ...unclassified

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Concordancia entre hallazgos radiológicos y quirúrgicos en pacientes sometidos a mastoidectomía

C.²

2022

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Diagnostic Accuracy of Plain Computed Tomography Temporal Bone in Detection of Pre-operative Ossicular Status versus Per-operative Findings in Chronic Otitis Media

Altaf,

Ashfaq,

Arshad

et al. 2024

Indian J Otolaryngol Head Neck Surg

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The Correlation of the High-Resolution Ct Scan With the Operative Findings in Patients With Chronic Otitis Media Undergoing Tympano-Mastoidectomy: A Descriptive Study

Baban

2022

JSMC

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Background The prior knowledge of the normal anatomy and disease extension in chronic suppurative otitis media (CSOM) is essential in the decision-making and planning of their surgical approach. Especially with the development of high-resolution computed tomography (HRCT), which provides good topographic viewing without the artefacts caused by the superimposition of structures. Objectives To point out the accuracy of the HRCT scan in correlation to intraoperative findings of CSOM diseases in predicting the disease’s extent and taking surgical decisions. Patients and Methods A Prospective study conducted at the Department of Otolaryngology-Head & Neck Surgery (Sulaimani Teaching Hospital, College of Medicine – the University of Sulaymaniyah, Kurdistan Region –Iraq. Patients who had CSOM and were listed for mastoid surgery were included in the study. All included patients underwent HRCT preoperatively, and each image was analyzed on Osirix software to define the anatomical structures. Evaluation of pathologies of the temporal bone was recorded in a radiology proforma. A similar proforma itemized the intraoperative findings, compared them to the radiological records, and statistically analyzed them using the statistical package for social sciences (SPSS, version 19). Results Thirty-five patients were included in this study, and their findings showed the significance of sensitivity and specificity of HRCT in comparison to surgical findings as follows; scutum erosion was 88.9%, 96.9%, ossicle erosion was 100%, 96%, and 68.4%, 100% for malleus and incus erosion respectively. Moreover, facial nerve canal erosion with a sensitivity of 28.6% and 92.9% specificity. Lateral semicircular canal (LSSC) erosion with a sensitivity of 50% and specificity of 93.9%. Tegmen, posterior canal wall, and sigmoid sinus wall integrity with a sensitivity and specificity of 66.7%/ 96.9%, 83.3%/89.7%, and 100%/ 96%, respectively. Conclusion High-resolution computed tomography scan is a valuable modality in the preoperative assessment of temporal bone pathologies in patients with chronic suppurative otitis media with reasonable accuracy and precision for taking surgical decisions.

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Correlation of Pre-operative Temporal Bone CT Scan Findings with Intraoperative Findings in Chronic Otitis Media: Squamous Type

Cited by 3 publications

References 21 publications

Concordancia entre hallazgos radiológicos y quirúrgicos en pacientes sometidos a mastoidectomía

Concordancia entre hallazgos radiológicos y quirúrgicos en pacientes sometidos a mastoidectomía

Diagnostic Accuracy of Plain Computed Tomography Temporal Bone in Detection of Pre-operative Ossicular Status versus Per-operative Findings in Chronic Otitis Media

The Correlation of the High-Resolution Ct Scan With the Operative Findings in Patients With Chronic Otitis Media Undergoing Tympano-Mastoidectomy: A Descriptive Study

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