ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    Role of HRCT Temporal Bones as a Predictor of Intra-Operative Findings in Cases of CSOM: A Prospective Study


    Vamshi Krishna Noule, Sri Harsha Samala, Prashanth Yenganti, Saai Ram Thejas, Varsha Ejanthkar
    JCDR. 2023: 313-318

    Abstract

    The temporal bone, a part of the skull, is the most complex single bone in the human body and carries various nerves, muscles, tendons and bones which help in hearing and balance. Diseases of the temporal bone are a common entity in daily practice. Chronic Suppurative Otitis Media (CSOM) and complications of CSOM account for a large section of diseases which need surgery in the Department of Otorhinolaryngology. Computed Tomography is an important tool in drawing the surgical plan. Material and Methods: 100 patients presenting to the ENT OPD with hard of hearing, ear discharge, headache and/or vertigo and tinnitus were taken to be part of study. Special attention was given to otoscopic/endoscopic examination and radiological assessment by means of High Resolution Computed Tomography. A strict inclusion and exclusion criteria was used. All patients taken up for Mastoid Exploration under General Anaesthesia. All surgeries were performed by the same surgeon using the same instruments to avoid bias. Results: The average age of presentation was 42.3. The most common finding on the CT was erosion of the Incus which was seen in 43 cases and the least common finding was fistula of LSCC which was seen in 1 case. 48 patients underwent surgery in Right ear and 52 in Left ear. 100% of cases showed the same status of the Incus on table which was the most and only 62% of the cases showed positive association for disease in the attic. Conclusions: HRCT is a very easy tool in today’s age and generation. It helps to see the extent of disease, predict complications and also help understand anatomy better. It should be performed on the patient 48 hours before surgery (whenever available) to make sure that the findings do not change grossly because of the issued medical management.

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    Volume & Issue

    Volume 14 Issue 5

    Keywords