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The Role of Preoperative CT Scan in Patients With Chronic Otitis Media

CT scans are commonly used to assess chronic otitis media before surgery but their exact role is controversial. A study of 50 patients compared preoperative CT results to operative findings. The study concluded that CT scans could not reliably differentiate between cholesteatoma and chronic mucosal disease. CT scans should only be used selectively before surgery if complications are suspected based on clinical examination.

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36 views1 page

The Role of Preoperative CT Scan in Patients With Chronic Otitis Media

CT scans are commonly used to assess chronic otitis media before surgery but their exact role is controversial. A study of 50 patients compared preoperative CT results to operative findings. The study concluded that CT scans could not reliably differentiate between cholesteatoma and chronic mucosal disease. CT scans should only be used selectively before surgery if complications are suspected based on clinical examination.

Uploaded by

SontoshMBsmmu
Copyright
© © All Rights Reserved
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Eur Arch Otorhinolaryngol. 2009 Jun;266(6):807-9. doi: 10.1007/s00405-008-0814-6. Epub 2008 Sep 18.

The role of preoperative CT scan in patients with chronic


otitis media.
Alzoubi FQ1, Odat HA, Al-Balas HA, Saeed SR.
Author information
Abstract
Chronic otitis media may be due to chronic mucosal disease or cholesteatoma. Differentiating the
two is usually achieved by clinical examination. The computed tomography (CT) scan is the standard
imaging technique for the temporal bone, but its exact role in the preoperative assessment of
patients with chronic otitis media is controversial. In this retrospective study we compared
preoperative CT results with operative findings in 50 patients who had scan between January 2003
and December 2007. We analyzed the clinical presentation and checked if CT scan confirmed or
excluded the presence of cholesteatoma and if this was affected by previous surgery. We concluded
that CT scan could not be relied on to differentiate cholesteatoma from chronic mucosal disease. It
should be used selectively in the preoperative preparation only if complications of the disease
suspected.

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