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Jurnal Reading: Radiological Study of The Temporal Bone in Chronic Otitis Media

The document summarizes a study on using HRCT (high resolution computed tomography) scans to evaluate chronic otitis media (COM). HRCT was found to be 84% sensitive and 88.8% specific in identifying soft tissue abnormalities. It could detect various bony erosions like ossicular, scutum, and mastoid pneumatization. HRCT was also able to identify complications like facial canal dehiscence and low-lying dura. The study concluded that HRCT is a reliable tool for evaluating the extent of disease in COM and identifying anatomical variations to guide surgical treatment planning.

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Putri Hakim
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67 views26 pages

Jurnal Reading: Radiological Study of The Temporal Bone in Chronic Otitis Media

The document summarizes a study on using HRCT (high resolution computed tomography) scans to evaluate chronic otitis media (COM). HRCT was found to be 84% sensitive and 88.8% specific in identifying soft tissue abnormalities. It could detect various bony erosions like ossicular, scutum, and mastoid pneumatization. HRCT was also able to identify complications like facial canal dehiscence and low-lying dura. The study concluded that HRCT is a reliable tool for evaluating the extent of disease in COM and identifying anatomical variations to guide surgical treatment planning.

Uploaded by

Putri Hakim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

JURNAL READING

RADIOLOGICAL STUDY OF THE TEMPORAL BONE


IN CHRONIC OTITIS MEDIA
INTRODUCTION

INFLAMATION

LONG MIDDLE EAR


STANDING CLEFT

COM
INTRODUCTION
TYPES OF
RESULT OF
COM
Earlier acute otitis
media The chronic
mucosal disease
Negative middle
ear pressure
The COM with
Otitis media with cholesteatoma
effusion
CHRONIC OTITIS MEDIA
Schuler described the first view to visualize pathologic
lesions
The helical (or spiral) CT allows for continuous rotation of
gantry and thus, continuous acquisition of images.
INTRODUCTION

CT SCAN SOFT TISSUE

SCHULLER PATHOLOGIC LESION

RADIOLOGICAL EARLY RECOGNIZE


SURGICAL
PROCEDURE
FINDING
MATERIALS AND METHOD
Prospective study with total of 50 cases of COM
Comparing and evaluating pathological variations with
intraoperative findings
MATERIAL AND METHODS
Aim was:
To study the radiological findings of the temporal bone in patients with
COM with and without cholesteatoma
Extent and sites of involvement of the middle ear and the mastoid air
cell system in these patients
Inter-relationships of the tympanomastoid compartment with the
adjacent, critical and important neurovascular structures
To evaluate the results and compare data with similarly published
studies.
MATERIALS AND METHODS
All the HRCT scans were performed on the high speed dual
slice fast CT machines. Patients were scanned in axial and
coronal (supine and prone) axes.
All the patients underwent mastiodectomy by a post-aural
approach
Results
HRCT

scutum erosion, ossicular erosion, tegmen tympani erosion and


mastoid pneumatisation, low lying dura, posterior fossa dural plate
anterior lying sigmoid, erosion
Korners septum, cholesteatoma
extension in the middle ear and mastoid
and presence of complications and
intracranial complications with a P < 0.05
DISCUSSION
RADIOLOGICAL STUDY OF THE
TEMPORAL BONE IN CHRONIC OTITIS
MEDIA
MALE : FEMALE
RATIO = 0,923 : 1

THE MOST COMMON


SYMPTOM : OTORRHEA

HEARING LOSS & OTALGIA


HRCT

84%
SENSITIVE

IDENTIFYING
SOFT
TISSUE

88.8%
SPECIFIC
HRCT DETECTED EROSION

OSICULAR BONY
EROSION EROSION

STAPES SCUTUM
EROSION EROSION

INCUS MALLEUS
EROSION EROSION
MASTOID HRCT

WELL
PNEUMATISED
MASTOID

HRCT
HRCT
FACIAL CANAL 33.33 %
DEHISCEMCE SENSITIVE
HAD 4 FALSE 100 %
NEGATIVE SPECIFICITY

MAFEE :
HRCT 100 %
ACCURATE
HRCT

EXCELENT TO
25 % DETECT
100 %
SENSITIVE : COMPLIACTION
SENSITIVE &
LATERAL :
SPECIFIC :
SEMICIRCULAR
COCHLEAR MASTOIDITIS &
CANAL
PROMONTORY MASTOID
EROSION
ABSCESS
HRCT
Low lying dura was correctly detected in 2% which of
patients by HRCT giving it 100% sensitivity and specificity
HRCT DETECTED KORNERS SEPTUM
HRCT
HRCT
HRCT

ALL THE
P<0,05
PARAMETER

EXCEPT : TEGMEN
TYMPANI & POST
FOSSA DURAL
PLATE EROSION
HRCT
Conclusions

HRCT can be recommended not only in cases


suspected with potential complications but also in all cases of
COM to know the extent of disease, varied pneumatization
and the presence of anatomical variations, which should alert
the clinician and guide in surgical approach and treatment
plan.

HRCT is highly reliable and findings are in par with intraoperative findings in this study
THANK YOU

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