A Comparative Study between Preoperative HRCT Scan Findings of Temporal Bone & Peroperative Findings in CSOM Unsafe Ear
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 4
Abstract
Abstract: High resolution CT (HRCT) has an important role in investigating Chronic Suppurative Otitis Media Active Squamosal disease (CSOM Unsafe ear) associated with bone erosions, but its ability for assessing erosions of each structure varies. The objective if this study was to compare the preoperative HRCT findings with peroperative findings in CSOM unsafe ear. In this descriptive diagnostic study, the HRCT findings of 45 patients who attended the Department of Otorhinolaryngology, Government Medical College, Thrissur, Kerala were compared with their peroperative findings and the data was statistically analyzed. In the present study, the sensitivity for the detection of cholesteatoma with the help of HRCT was 80 %. But it could not differentiate cholesteatoma from other soft tissue densities in 18% of the patients. HRCT showed a sensitivity and specificity of 83.8% and 100 % for detecting ossicular erosion. The sensitivity and specificity observed for detecting erosions of lateral semicircular canal, tegmen tympani, facial canal erosion were 50 % and 100 %, 75% and 100% and 60% and 100% respectively. Statistical analysis of the various observations on HRCT and preoperative findings showed significant agreement between both. HRCT is an important armamentarium for the Otorhinolaryngologist for the diagnosis and management of cholesteatoma. With its high sensitivity and extreme specificity, HRCT can pinpoint the damage to the middle ear structures with extreme precision and high accuracy. It also helps to prevent peroperative complications. HRCT remains the gold standard investigation for handling CSOM unsafe ear. Keywords: Comparative Study, HRCT Temporal Bone, CSOM, Unsafe Ear, Mastoidectomy
Authors and Affiliations
Dr. Pramod Menon, Dr. Anoop Babu R
Keywords
Related Articles
- EP ID EP373400
- DOI -
- Views 30
- Downloads 0
To Study the Effect of Pre-Emptive Doses of Gabapentin for Postoperative Analgesia in Patients Undergoing Surgery under General Anaesthesia
Abstract: Postoperative period is very crucial from recovery point of view. For fast and smooth recovery, postoperative period should be free of complications especially pain. Multimodal analgesia is quite effective and...
Pneumatic Lithotriptorvs Holmium:YAG Laser in management of Ureteral Calculus
Abstract: Endoscopic management of ureteral calculi is one of the most important therapies in academic centers. Amongst these Laser and Pneumatic Lithotriptorsare gaining popularity. This study was designed to study the...
Role of Tramadol in Labor Analgesia
The aim of the present study to assess the efficacy and safety of intramuscular tramadol hydrochloride as an analgesic during labor. Its efficacy has compared with placebo group. This is a prospective study conducted for...
Severe Trauma Admitted to Resuscitation Room at Mohammed VI University Hosptital - Marrakesh: Epidemiological, Clinical and Prognostic Aspects
By analyzing 175 cases of severe trauma admitted to resuscitation room at MOHAMMED VI University Hospital in Marrakesh, between 1 June 2016 and 31 May 2017, this study aims to describe epidemiological characteristics, so...
Evaluation of BMW Management and Effect of BMW Audit on NSI Rate
Abstract: In a hospital, biomedical waste (BMW) waste management is of utmost importance, as improper disposal can lead to increased chances of needlestick injury (NSI). The proper management starts at the point of segre...