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Correlation between pre-operative CT findings and intra-operative features in pediatric cholesteatoma: a retrospective study on 26 patients

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

To assess the predictive value of pre-operative CT imaging in pediatric patients affected by cholesteatoma of the middle ear, comparing pre-operative CT findings to intra-operative features.

Methods

A retrospective study was performed on a population of 26 pediatric patients who underwent tympanoplasty for middle ear cholesteatoma at the Otorhinolaryngology Departments of Verona and Modena University Hospitals between December 2011 and June 2018. Comparison between pre-operative CT images and intra-operative findings (assessed from video recording) was made focusing on the involvement of specific structures: ossicular chain, tegmen tympani, labyrinthine fistula, facial nerve, and temporal bone involvement. CT sensitivity, specificity, positive and negative predictive values were calculated.

Results

Overall, 28 surgical procedures were evaluated. No statistically significant differences were encountered between CT images and intra-operatory findings regarding the selected parameters.

Conclusions

Based on our study, pre-operative temporal bone CT scan is a valuable tool for the assessment of pediatric patient candidates for cholesteatoma surgery given the absence of statistically significant differences between radiologic and intra-operative findings. The present findings might support the indication to routinely perform temporal bone CT scan in children with cholesteatoma as part of pre-surgical plan.

Level of evidence

III.

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Authors and Affiliations

  1. Otorhinolaryngology-Head and Neck Surgery Department, University Hospital of Verona, Piazzale Aristide Stefani, 1, 37126, Verona, Italy

    Gabriele Molteni, Cristoforo Fabbris & Daniele Marchioni

  2. Otorhinolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Largo del Pozzo, 71, 41125, Modena, Italy

    Giulia Molinari, Matteo Alicandri-Ciufelli & Livio Presutti

  3. IT Department, University Hospital of Verona, Piazzale Aristide Stefani, 1, 37126, Verona, Italy

    Daniele Paltrinieri

Authors
  1. Gabriele Molteni
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  2. Cristoforo Fabbris
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  3. Giulia Molinari
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  4. Matteo Alicandri-Ciufelli
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  5. Livio Presutti
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  6. Daniele Paltrinieri
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  7. Daniele Marchioni
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Correspondence to Cristoforo Fabbris.

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The authors have no conflicts of interest, funding or financial relationships. The manuscript has not been submitted to more than one journal for simultaneous consideration. The manuscript has not been published previously (partly or in full). All of the authors have participated in the planning, writing or revising the manuscript.

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Molteni, G., Fabbris, C., Molinari, G. et al. Correlation between pre-operative CT findings and intra-operative features in pediatric cholesteatoma: a retrospective study on 26 patients. Eur Arch Otorhinolaryngol 276, 2449–2456 (2019). https://doi.org/10.1007/s00405-019-05500-x

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  • DOI: https://doi.org/10.1007/s00405-019-05500-x

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