| ORIGINAL ARTICLE |
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| Year : 2015 | Volume
: 21
| Issue : 4 | Page : 280-285 |
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Correlation of high-resolution computed tomography temporal bone findings with intra-operative findings in patients with cholesteatoma
Sonika Kanotra1, Rohan Gupta1, Nitika Gupta1, Rashmi Sharma2, Saurabh Gupta2, Sunil Kotwal1
1 Department of ENT and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, India
2 Department of Radiodiagnosis and Imaging, Government Medical College, Jammu, Jammu and Kashmir, India
Correspondence Address:
Rohan Gupta
Department of ENT and Head and Neck Surgery, SMGS Hospital, Government Medical College, Shalamar Road, Jammu - 180 001, Jammu and Kashmir
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-7749.164550
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Aim: To evaluate the role of high-resolution computed tomography (HRCT) temporal bone in patients with active squamosal chronic otitis media (COM). Materials and Methods: Totally, 47 patients with active squamosal COM underwent preoperative HRCT temporal bone followed by surgery. Their intra-operative findings were considered as the gold standard and were compared and correlated with the radiological findings, to calculate the sensitivity, specificity, positive and negative predictive value of HRCT temporal bone. Results: According to the present study, HRCT was highly sensitive for detecting mastoid pneumatization, soft tissue extension, ossicular erosion, tegmen and sigmoid sinus erosion, and less sensitive for fallopian canal erosion and lateral sinus fistula. It was specific for all these parameters. Conclusion: The present study concludes that 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. |
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