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Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
The clinical value of temporal bone tomography in chronic otitis media
Cüneyt Kucur1, Eda Simşek, Ozan Kuduban
1Department of Otolaryngology, Medicine Faculty of Dumlupınar University, Kütahya, Turkey. ckucur@mynet.com
Objectives:
This study aims to investigate the indications, the results and the limits of preoperative computed tomography (CT) scanning in chronic otitis media (COM), and to evaluate the clinical contribution of CT in determining the nature and complications of the disease.
Patients And Methods:
In this cross-sectional study, the results of preoperative CT with operative findings during mastoidectomy in 50 patients with COM (28 males, 22 females; mean age 34 years; range 16 to 69 years) between January 2008 and January 2010 were analyzed.
Results:
Computed tomography was highly sensitive to the presence of soft tissue, mastoid pneumatization, dural height, and temporal bone destruction with nearly 100% sensitivity. Its contribution to detecting lateral canal fistulas, facial canal dehiscence, tegmen tympani erosion, and ossicular integrity was limited.
Conclusion:
Preoperative assessment of COM with CT produce important guidance to evaluate the extent of the disease and to prevent possible intraoperative complications.
