HRCT TEMPORAL BONE- A MANDATORY PREOPERATIVE INVESTIGATION FOR IMPROVING SURGICAL OUTCOME IN UNSAFE CSOM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 27
Abstract
BACKGROUND Chronic Suppurative Otitis Media (CSOM) is considered to be a slowly progressive destructive disease of the middle ear. It is the most commonly encountered middle ear pathology, which disrupts the normal anatomy and physiological functioning of the ear. Otoscopic evaluation is sufficient to establish the diagnosis of the disease; however, its extent can be determined only on the basis of a High Resolution Computed Tomography (HRCT) of the temporal bone. While the most common presentation of CSOM is a discharging ear. Its complications may be masked by the disease itself, thereby giving a false presentation of a limited extent. HRCT temporal bone can help quantify the extent of the disease and hence prioritise the patients who warrant an urgent management. The aim of this study is to establish the importance of HRCT temporal bone in a patient with unsafe CSOM, even in absence of clinical suspicion of ongoing complication to improve the surgical outcome. MATERIALS AND METHODS This study has been conducted on 50 patients who have presented to the ENT OPD at RGMC, Kalwa. RESULTS Out of 50 patients who presented with complications, 20 patients (40%) did not have any history suggestive of impending complications. The HRCT temporal bone helped in establishing the presence of these complications and allowing for prompt treatment. CONCLUSION It was found that presence of HRCT helps in determining lurking complications and thus helps in deciding the urgency with which tympanomastoidectomy surgery needs to be performed.
Authors and Affiliations
Shweta Baviskar, Laveena Mehta, Tushar Gori, Sandeep Jakhere
Keywords
Related Articles
- EP ID EP467128
- DOI 10.14260/jemds/2018/699
- Views 62
- Downloads 0
TO STUDY THE USEFULNESS OF SERUM AND ASCITIC FLUID C-REACTIVE PROTEIN (CRP) AND ASCITIC FLUID CHOLESTEROL LEVEL IN DIFFERENTIAL DIAGNOSIS OF MALIGNANT, NONMALIGNANT AND TUBERCULAR ASCITES
BACKGROUND Ascites is a common clinical problem. However, the capability to distinguish malignant from non-malignant and tubercular causes of ascites using available biochemical techniques would obviate many expensive an...
AWARENESS OF HAND WASHING AMONG HOUSE-SURGEONS OF GOVERNMENT GENERAL HOSPITAL, VIJAYAWADA
[b]BACKGROUND: [/b]The disease burden contributed by health care associated infections (HCAI) is not negligible. The occurrence of HCAI can be substantially reduced by a simple procedure like hand washing. [b]OBJECTI...
THE BACTERIAL PROFILE AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF URINARY ISOLATES IN A TERTIARY CARE HOSPITAL IN WESTERN U.P.
BACKGROUND Urinary tract infection (UTI) is one of the common infections in the Indian community. Distribution and susceptibility of UTIcausing pathogens change according to time and place. UTI is one of the most common...
A CLINICAL STUDY OF POSTMENOPAUSAL BLEEDING
BACKGROUND Menopause defined as permanent cessation of menstruation from loss of ovarian follicular activity. It is not just cessation of menstruation, it is “depletion of ovarian follicles” leading to decrease in ovaria...
ANALYSIS OF DERMATOLOGY LIFE QUALITY INDEX IN DERMATOPHYTOSIS
BACKGROUND Superficial dermatophytoses are among the most common public health problems in tropical countries like India and account for nearly half the cases in dermatology clinics. A recent increase in number of recalc...