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Imaging of the postoperative middle ear

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Abstract

The aim of this article is twofold: (a) to present the principles and the indications of surgical treatment of middle ear pathologies; and (b) to review the imaging findings after middle ear surgery, including the normal postoperative aspects and imaging findings in patients presenting with unsatisfactory surgical results or with suspicion of postoperative complications. This review is intentionally restricted to the most common diseases involving the middle ear: chronic otitis media and otosclerosis. In these specific fields of interest, CT and MR imaging play a very important role in the postoperative follow-up and in the work-up of surgical failures and complications.

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References

  1. Kösling S, Bootz F (2001) CT and MR imaging after middle ear surgery. Eur J Radiol 40:113–118

    Article  PubMed  Google Scholar 

  2. Casselman JW, Kuhweide R, Deimling M, Ampe W, Dehaene I, Meeus L (1993) Constructive interference in steady-state 3DFT MR imaging of the inner ear and cerebellopontine angle. Am J Neuroradiol 14:47–57

    PubMed  Google Scholar 

  3. Fitzek C, Mewes T, Fitzek S, Mentzel HJ, Hunsche S, Stoeter P (2002) Diffusion-weighted MR imaging of cholesteatomas of the petrous bone. J Magn Reson Imaging 15:636–641

    Article  PubMed  Google Scholar 

  4. Bluestone CD, Gates GA, Klein JO, Lim DJ, Mogi G, Ogra PL, Pararella MM, Paradise JL, Tos M (2002) Recent advances in otitis media. 1. Definitions, terminology, and classification of otitis media. Ann Otol Rhinol Laryngol (Suppl) 188:8–18

    Google Scholar 

  5. Harkness P, Topham J (1998) Classification of otitis media. Laryngoscope 108:1539–1543

    Article  CAS  PubMed  Google Scholar 

  6. Yanagisawa E (1991) Infection of the ear. In: Lee KJ (ed) Essential otolaryngology head and neck surgery, 5th edn. MEPC, New York, pp 581–616

  7. Schmid H, Dort JC, Fisch U (1991) Long-term results of treatment for children’s cholesteatoma. Am J Otol 12:83–87

    CAS  PubMed  Google Scholar 

  8. Sheehy JL, Brackmann DE, Graham MD (1977) Cholesteatoma surgery: residual and recurrent disease. A review of 1024 cases. Ann Otol Rhinol Laryngol 86:451–462

    CAS  PubMed  Google Scholar 

  9. Brackmann DE (1993) Tympanoplasty with mastoidectomy: canal wall up procedures. Am J Otol 14:380–382

    CAS  PubMed  Google Scholar 

  10. Darrouzet V, Duclos JY, Portmann D, Bebear JP (2000) Preference for the closed technique in the management of cholesteatoma of the middle ear in children: a retrospective study of 215 consecutive patients treated over 10 years. Am J Otol 21:474–481

    CAS  PubMed  Google Scholar 

  11. Vartiainen E, Nuutinen J (1993) Long-term results of surgical treatment in different cholesteatoma types. Am J Otol 14:507–511

    CAS  PubMed  Google Scholar 

  12. Syms MJ, Luxford WM (2003) Management of cholesteatoma: status of the canal wall. Laryngoscope 113:443–448

    Article  PubMed  Google Scholar 

  13. Mukherji SK, Mancuso AA, Kotzur IM, Slattery WH III, Swartz JD, Tart RP, Nall A (1994) CT of the temporal bone: findings after mastoidectomy, ossicular reconstruction, and cochlear implantation. Am J Roentgenol 163:1467–1471

    CAS  PubMed  Google Scholar 

  14. Shinohara T, Gyo K, Saiki T, Yanagihara N (2000) Ossiculoplasty using hydroxyapatite prostheses: long-term results. Clin Otolaryngol 25:287–292

    Article  CAS  PubMed  Google Scholar 

  15. Chakeres DW, Mattox DE (1985) Computed tomographic evaluation of non-metallic middle ear prostheses. Invest Radiol 20:596–600

    CAS  PubMed  Google Scholar 

  16. Swartz JD, Berger AS, Zwillenberg S, Granoff DW, Popky GL (1987) Synthetic ossicular replacements: normal and abnormal CT appearance. Radiology 163:766–768

    CAS  PubMed  Google Scholar 

  17. Stone JA, Mukherji SK, Jewett BS, Carrasco VN, Castillo M (2000) CT evaluation of prosthetic ossicular reconstruction procedures: what the otologist needs to know. Radiographics 20:593–605

    CAS  PubMed  Google Scholar 

  18. Syms MJ, Petermann GW (2000) Magnetic resonance imaging of stapes prostheses. Am J Otol 21:494–498

    CAS  PubMed  Google Scholar 

  19. Williams MD, Antonelli PJ, Williams LS, Moorhead JE (2001) Middle ear prosthesis displacement in high-strength magnetic fields. Otol Neurotol 22:158–16

    Article  CAS  PubMed  Google Scholar 

  20. Thomassin JM, Bracchini F (1999) Role of imaging and endoscopy in the follow-up and management of cholesteatomas operated by closed technique. Rev Laryngol Otol Rhinol 120:75–81

    CAS  Google Scholar 

  21. Wake M, Robinson JM, Witcombe JB, Bazerbach S (1992) Detection of recurrent cholesteatoma by computerized tomography after “closed cavity” mastoid surgery. J Laryngol Otol 106:393–395

    CAS  PubMed  Google Scholar 

  22. Torizuka T, Hayakawa K, Satoh Y, Tanaka F, Okuno Y, Maeda M, Mitsumori M, Mimaki S, Konishi J (1992) Evaluation of high-resolution CT after tympanoplasty. J Comput Assist Tomogr 16:779–783

    CAS  PubMed  Google Scholar 

  23. Denoyelle F, Silberman B, Garabedian EN (1994) Value of MR imaging associated with X-ray computed tomography in the screening of residual cholesteatoma after primary surgery. Ann Otolaryngol Chir Cervicofac 111:85–88

    CAS  PubMed  Google Scholar 

  24. Van den Abeele D, Coen E, Parizel PM, Van de Heyning P (1999) Can MRI replace a second look operation in cholesteatoma surgery? Acta Otolaryngol 119:555–561

    PubMed  Google Scholar 

  25. Timitsuki T, Suda Y, Kawano H, Tono T, Komune S (2001) Correlation between MRI findings and second-look operation in cholesteatoma surgery. J Otorhinolaryngol Relat Spec 63:291–293

    CAS  PubMed  Google Scholar 

  26. Williams MT, Ayache D, Alberti C, Héran F, Lafitte F, Elmaleh-Berges M, Piekarski JD (2003) Detection of postoperative residual cholesteatoma with delayed contrast-enhanced MR imaging: initial findings. Eur Radiol 13:169–174

    PubMed  Google Scholar 

  27. Maheshwari S, Mukherji SK (2002) Diffusion-weighted imaging for differentiating recurrent cholesteatoma from granulation tissue after mastoidectomy: case report. Am J Neuroradiol 23:847–849

    PubMed  Google Scholar 

  28. Shea JJ (1998) Forty years of stapes surgery. Am J Otol 19:52–55

    PubMed  Google Scholar 

  29. Bailey HA Jr, Pappas JJ, Graham SS (1981) Small fenestra stapedectomy: a preliminary report. Laryngoscope 91:1304–1321

    Google Scholar 

  30. Roland PS, Meyerhoff WL (1998) Otosclerosis. In: Bailey BJ (ed) Head and neck surgery/otolaryngology, 2nd edn. Lippincott-Raven, Philadelphia, pp 2083–2096

  31. Derlacki EL (1985) Revision stapes surgery: problems with some solutions. Laryngoscope 95:1047–1053

    CAS  PubMed  Google Scholar 

  32. Lesinski SG (2002) Causes of conductive hearing loss after stapedectomy or stapedotomy: a prospective study of 279 consecutive surgical revisions. Otol Neurotol 23:281–288

    PubMed  Google Scholar 

  33. Hammerschlag PE, Fishman A, Scheer AA (1998) A review of 308 cases of revision stapedectomy. Laryngoscope 108:1794–1800

    Article  CAS  PubMed  Google Scholar 

  34. Han WW, Incesulu A, McKenna MJ, Rauch SD, Nadol JB Jr, Glynn RJ (1997) Revision stapedectomy: intraoperative findings, results, and review of the literature. Laryngoscope 107:1185–1192

    Article  CAS  PubMed  Google Scholar 

  35. Ayache D, El Kihel M, Betsch C, Bou Malhab F, Elbaz P (2000) Les réinterventions dans la chirurgie de l’otospongiose: A propos de 26 cas. Ann Otolaryngol Chir Cervicofac 117:281–290

    CAS  PubMed  Google Scholar 

  36. Subotic R, Mladina R, Rivasi R (1998) Congenital bony fixation of the malleus. Acta Otolaryngol 118:833–836

    Article  CAS  PubMed  Google Scholar 

  37. Langman AW, Lindeman RC (1993) Revision stapedectomy. Laryngoscope 103:954–958

    CAS  PubMed  Google Scholar 

  38. Swartz JD, Lansman AK, Berger AS, Wolfson RJ, Bell G, Popky GL, Swartz NG (1986) Stapes prosthesis: evaluation with CT. Radiology 158:179–182

    CAS  PubMed  Google Scholar 

  39. Rangheard AS, Marsot-Dupuch K, Mark AS, Meyer B, Tubiana JM (2001) Postoperative complications in otospongiosis: usefulness of MR imaging. Am J Neuroradiol 22:1171–1178

    CAS  PubMed  Google Scholar 

  40. Bordure P, Legent F, Calais C, Loheac D, Beauvillain C (1990) Pneumolabyrinth and perilymphatic fistula after stapedectomy. Ann Otolaryngol Clin Cervicofac 107:359–362

    CAS  Google Scholar 

  41. Seicshnaydre ME, Sismanis A, Hughes GB (1994) Update of reparative granuloma: survey of the American Otological Society and the American Neurotology Society. Am J Otol 15:155–160

    CAS  PubMed  Google Scholar 

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Correspondence to Marc T. Williams.

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Williams, M.T., Ayache, D. Imaging of the postoperative middle ear. Eur Radiol 14, 482–495 (2004). https://doi.org/10.1007/s00330-003-2198-8

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  • DOI: https://doi.org/10.1007/s00330-003-2198-8

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