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Correlation of Preoperative High-resolution Computed Tomography Temporal Bone Findings with Intra-operative Findings in Various Ear Pathologies

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Abstract

High resolution computed tomography (HRCT) is a tool which provide fine details of temporal bone and its associated pathologies which are of extreme use in making diagnosis, to evaluate extension of disease and most important to plan surgical approach. Aim of the present study was to correlate HRCT findings with operative findings in different ear pathologies. This observational, prospective study enrolled 70 patients of different ear pathologies required surgical intervention. They were subjected to HRCT temporal bone and its findings were correlated with surgical findings. Mean age of the study population was 20.3 ± 12.04 years with M: F = 1.12: 1. HRCT showed specificity and sensitivity of 100% and 92.31% respectively in detecting ossicular erosion. It was 100% sensitive and 98.51% specific in detecting LSCC erosion, 85.71% sensitive and 96.83% specific in detecting facial canal dehiscence, 100% sensitive and 98.11% specific in detecting scutum erosion, 75% sensitive and 96.97% specific to detect tegmen erosion, 100% sensitive and 97.01% specific in detecting sinus plate erosion, 100% sensitive and 95.38% specific in detecting high jugular bulb, sensitivity and specificity both are 100% in detecting labyrinthitis ossificans and 100% sensitive in detecting otosclerotic foci. HRCT findings showed a good association with operative findings in terms of sensitivity and specificity. Thus, HRCT is a acceptable tool to make diagnosis and to plan surgical approach.

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References

  1. Brogan M, Chakeres DW (1986) Computed tomography and magnetic resonance imaging of the normal anatomy of the temporal bone. In: Seminars in ultrasound, CT, and MR 1989, vol 10, no 3, pp 178–194

  2. Thukral CL, Singh A, Singh S, Sood AS, Singh K (2015) Role of high resolution computed tomography in evaluation of pathologies of temporal bone. Journal of Clinical and Diagnostic Research: JCDR. 9(9):TC07

    PubMed  PubMed Central  Google Scholar 

  3. Parida S, Routray PN, Mohanty J, Pattanaik S (2018) Role of HRCT in temporal bone diseases-a study of 100 cases. JK Science 20(1):34

    Google Scholar 

  4. Dashottar S, Bucha A, Sinha S, Nema D (2019) Preoperative temporal bone HRCT and intra-operative findings in middle ear cholesteatoma: a comparative study. Int J Otorhinolaryngol Head Neck Surg 5(1):77

    Article  Google Scholar 

  5. Kanotra S, Gupta R, Gupta N, Sharma R, Gupta S, Kotwal S (2015) Correlation of high-resolution computed tomography temporal bone findings with intra-operative findings in patients with cholesteatoma. Indian J Otolo 21(4):280

    Article  Google Scholar 

  6. Prakash MD, Tarannum A (2018) Role of high resolution computed tomography of temporal bone in preoperative evaluation of chronic suppurative otitis media. Int J Otorhinolaryngol Head Neck Surg 4(5):1287

    Article  Google Scholar 

  7. Mandal S, Muneer K, Roy M (2019) High resolution computed tomography of temporal bone: the predictive value in atticoantral disease. Indian J Otolaryngol Head Neck Surg 71(2):1391–1395

    Article  Google Scholar 

  8. Payal G, Pranjal K, Gul M, Mittal MK, Rai AK (2012) Computed tomography in chronic suppurative otitis media: value in surgical planning. Indian J Otolaryngol Head Neck Surg 64(3):225–229

    Article  Google Scholar 

  9. Mahmutoglu AS, Çelebi I, Sahinoglu S, Çakmakçi E, Sözen E (2013) Reliability of preoperative multidetector computed tomography scan in patients with chronic otitis media. J Craniofacial Surg 24(4):1472–1476

    Article  Google Scholar 

  10. Gül A, Akdag M, Kinis V, Yilmaz B, Sengül E, Teke M, Meriç F (2014) Radiologic and surgical findings in chronic suppurative otitis media. J Craniofacial Surg 25(6):2027–2029

    Article  Google Scholar 

  11. Rogha M, Hashemi SM, Mokhtarinejad F, Eshaghian A, Dadgostar A (2014) Comparison of preoperative temporal bone CT with intraoperative findings in patients with cholesteatoma. Iran J Otorhinolaryngol 26(74):7

    PubMed  PubMed Central  Google Scholar 

  12. Tatlipinar A, Tuncel A, Öğredik EA, Gökçeer T, Uslu C (2012) The role of computed tomography scanning in chronic otitis media. Eur Arch Otorhinolaryngol 269(1):33–38

    Article  Google Scholar 

  13. Gerami H, Naghavi E, Wahabi-Moghadam M, Forghanparast K, Akbar MH (2009) Comparison of preoperative computerized tomography scan imaging of temporal bone with the intra-operative findings in patients undergoing mastoidectomy. Saudi Med J 30(1):104–108

    PubMed  Google Scholar 

  14. Keskin S, Çetin H, Gürkan Töre H (2011) The correlation of temporal bone CT with surgery findings in evaluation of chronic inflammatory diseases of the middle ear. Eur J General Med 8(1)

  15. Yildirim-Baylan M, Ozmen CA, Gun R, Yorgancilar E, Akkuş Z, Topcu I (2012) An evaluation of preoperative computed tomography on patients with chronic otitis media. Indian J Otolaryngol Head Neck Surg 64(1):67–70

    Article  Google Scholar 

  16. Ng JH, Zhang EZ, Soon SR, Tan VY, Tan TY, Mok PK, Yuen HW (2014) Pre-operative high resolution computed tomography scans for cholesteatoma: has anything changed? Am J Otolaryngol 35(4):508–513

    Article  Google Scholar 

  17. Rai T (2014) Radiological study of the temporal bone in chronic otitis media: prospective study of 50 cases. Indian J Otol 20(2):48

    Article  Google Scholar 

  18. Gaurano JL, Joharjy IA (2004) Middle ear cholesteatoma: characteristic CT findings in 64 patients. Ann Saudi Med 24(6):442–447

    Article  Google Scholar 

  19. Karki S, Pokharel M, Suwal S, Poudel R (2017) Correlation between preoperative high resolution computed tomography (CT) findings with surgical findings in chronic otitis media (com) squamosal type. Kathmandu Univ Med J 15(57):84–87

    Google Scholar 

  20. Jackler RK, Dillon WP, Schindler RA (1984) Computed tomography in suppurative ear disease: a correlation of surgical and radiographic findings. Laryngoscope 94(6):746–752

    Article  CAS  Google Scholar 

  21. Alam-Eldeen MH, Rashad UM (2017) Radiological requirements for surgical planning in cochlear implant candidates. Indian J Radiol Imaging 27(3):274

    Article  Google Scholar 

  22. Júnior LR, Rocha MD, Walsh PV, Antunes CA, Calhau CM (2008) Evaluation by imaging methods of cochlear implant candidates: radiological and surgical correlation. Braz J Otorhinolaryngol 74(3):395–400

    Article  Google Scholar 

  23. Digge P, Solanki RN, Shah DC, Vishwakarma R, Kumar S (2016) Imaging modality of choice for pre-operative cochlear imaging: HRCT vs. MRI temporal bone. J Clin Diagn Res: JCDR 10(10):1

    Google Scholar 

  24. Westerhof JP, Rademaker J, Weber BP, Becker H (2001) Congenital malformations of the inner ear and the vestibulocochlear nerve in children with sensorineural hearing loss: evaluation with CT and MRI. J Comput Assist Tomogr 25(5):719–726

    Article  CAS  Google Scholar 

  25. Naumann IC, Porcellini B, Fisch U (2005) Otosclerosis: incidence of positive findings on high-resolution computed tomography and their correlation to audiological test data. Ann Otol Rhinol Laryngol 114(9):709–716

    Article  Google Scholar 

  26. Swartz JD, Faerber EN, Wolfson RJ, Marlowe FI (1984) Fenestral otosclerosis: significance of preoperative CT evaluation. Radiology 151(3):703–707

    Article  CAS  Google Scholar 

  27. Shin YJ, Calvas P, Deguine O, Charlet JP, Cognard C, Fraysse B (2001) Correlations between computed tomography findings and family history in otosclerotic patients. Otol Neurotol 22(4):461–464

    Article  CAS  Google Scholar 

  28. Kanzara T, Virk JS (2017) Diagnostic performance of high resolution computed tomography in otosclerosis. World J Cli Cases 5(7):286

    Article  Google Scholar 

  29. Gomaa MA, Karim AR, Ghany HS, Elhiny AA, Sadek AA (2013) Evaluation of temporal bone cholesteatoma and the correlation between high resolution computed tomography and surgical finding. Clin Medi Insights: Ear Nose Throat 6: CMENT–S10681

  30. Buckingham RA, Valvassori GE (1970) Tomographic and surgical pathology of cholesteatoma. Arch Otolaryngol. 91(5):464–469

    Article  CAS  Google Scholar 

  31. Maqsood S, Dar IH, Bhat SA (2018) Role of high resolution computed tomography in evaluation of temporal bone diseases. IAIM 5(12):15–22

    Google Scholar 

  32. Sankhla AK, Dubey N. Assessment of temporal bone diseases by high resolution computed tomography–institution based study

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Authors and Affiliations

  1. Department of Otorhinolaryngology, SMS Medical College, B-10 Tapovan Vihar, Jagatpura, Jaipur, Rajasthan, India

    Tanmaya Kataria, Ritu Sehra, Mohnish Grover, Shitanshu Sharma & Man Prakash Sharma

  2. Department of Otorhinolaryngology, AIIMS, Bhatinda, Bathinda, Punjab, India

    Namita Verma

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  1. Tanmaya Kataria
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  2. Ritu Sehra
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  4. Shitanshu Sharma
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Correspondence to Ritu Sehra.

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Kataria, T., Sehra, R., Grover, M. et al. Correlation of Preoperative High-resolution Computed Tomography Temporal Bone Findings with Intra-operative Findings in Various Ear Pathologies. Indian J Otolaryngol Head Neck Surg 74 (Suppl 1), 190–199 (2022). https://doi.org/10.1007/s12070-020-01950-6

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  • DOI: https://doi.org/10.1007/s12070-020-01950-6

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