Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis Media

INTRODUCTION: To retrospectively evaluate the data of patients with chronic suppurative otitis media (CSOM) who were operated and who also had routine preoperative temporal bone computed tomography (CT) inorder to determine the role of preoperative CT in CSOM surgery. METHODS: Preoperative CT resul...

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Main Authors: Nazim Bozan, Burcu Fidan, Özlem Tiren, Ayşe Arslan, Pınar Kundi, Hüseyin Özkan, Abdurrahman Ayral, Semra Ağırbaş, Harun Arslan, Abdussamet Batur, Mahfuz Turan, Ahmet Faruk Kıroğlu
Format: Article
Language:English
Published: Van Yuzuncu Yil University, School of Medicine 2017-11-01
Series:Van Tıp Dergisi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-39205
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author Nazim Bozan
Burcu Fidan
Özlem Tiren
Ayşe Arslan
Pınar Kundi
Hüseyin Özkan
Abdurrahman Ayral
Semra Ağırbaş
Harun Arslan
Abdussamet Batur
Mahfuz Turan
Ahmet Faruk Kıroğlu
author_facet Nazim Bozan
Burcu Fidan
Özlem Tiren
Ayşe Arslan
Pınar Kundi
Hüseyin Özkan
Abdurrahman Ayral
Semra Ağırbaş
Harun Arslan
Abdussamet Batur
Mahfuz Turan
Ahmet Faruk Kıroğlu
author_sort Nazim Bozan
collection DOAJ
description INTRODUCTION: To retrospectively evaluate the data of patients with chronic suppurative otitis media (CSOM) who were operated and who also had routine preoperative temporal bone computed tomography (CT) inorder to determine the role of preoperative CT in CSOM surgery. METHODS: Preoperative CT results and intraoperative data of 42 patients with chronic suppurative otitis media were retrospectively evaluated. RESULTS: Cholesteatoma was determined in 23 cases (54.76%) during operation and in 21 of those cases cholesteatoma presence was reported in preoperative CT evaluations. CT evaluation had a 91.30% (confidence interval (CI): 71.96%-98.93%) sensitivity and 78.95% (CI: 54.43%-93.95%) specificity regarding determination of cholesteatoma. Intraoperative ossicular chain destruction was reported in 32 (76.19%) patients and in 27 of them, CT reported ossicular chain destruction. CT evaluation had a 84.38% (CI: 67.21%-98.93%) sensitivity and 80% (CI: 44.39%-97.48%) specificity regarding determination of ossicular chain destruction. DISCUSSION AND CONCLUSION: We believe that, preoperative CT provides important data in surgical management of CSOM and for that reason all patients should be evaluated with CT in preoperative period.
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spelling doaj.art-9832db8463f94388a6b3216c7879eb272023-12-02T21:08:28ZengVan Yuzuncu Yil University, School of MedicineVan Tıp Dergisi2587-03512017-11-0124429329710.5505/vtd.2017.39205VTD-39205Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis MediaNazim Bozan0Burcu Fidan1Özlem Tiren2Ayşe Arslan3Pınar Kundi4Hüseyin Özkan5Abdurrahman Ayral6Semra Ağırbaş7Harun Arslan8Abdussamet Batur9Mahfuz Turan10Ahmet Faruk Kıroğlu11Department of Otorhinolaryngology, Yuzuncu Yil University Faculty of Medicine, Van, TurkeyYuzuncu Yil University Faculty of Medicine, Van, TurkeyYuzuncu Yil University Faculty of Medicine, Van, TurkeyYuzuncu Yil University Faculty of Medicine, Van, TurkeyDepartment of Otorhinolaryngology, Yuzuncu Yil University Faculty of Medicine, Van, TurkeyDepartment of Otorhinolaryngology, Yuzuncu Yil University Faculty of Medicine, Van, TurkeyDepartment of Otorhinolaryngology, Yuzuncu Yil University Faculty of Medicine, Van, TurkeyDepartment of Otorhinolaryngology, Yuzuncu Yil University Faculty of Medicine, Van, TurkeyDepartment of Radiology, Yuzuncu Yil University Faculty of Medicine, Van, TurkeyDepartment of Radiology, Yuzuncu Yil University Faculty of Medicine, Van, TurkeyDepartment of Otorhinolaryngology, Yuzuncu Yil University Faculty of Medicine, Van, TurkeyDepartment of Otorhinolaryngology, Yuzuncu Yil University Faculty of Medicine, Van, TurkeyINTRODUCTION: To retrospectively evaluate the data of patients with chronic suppurative otitis media (CSOM) who were operated and who also had routine preoperative temporal bone computed tomography (CT) inorder to determine the role of preoperative CT in CSOM surgery. METHODS: Preoperative CT results and intraoperative data of 42 patients with chronic suppurative otitis media were retrospectively evaluated. RESULTS: Cholesteatoma was determined in 23 cases (54.76%) during operation and in 21 of those cases cholesteatoma presence was reported in preoperative CT evaluations. CT evaluation had a 91.30% (confidence interval (CI): 71.96%-98.93%) sensitivity and 78.95% (CI: 54.43%-93.95%) specificity regarding determination of cholesteatoma. Intraoperative ossicular chain destruction was reported in 32 (76.19%) patients and in 27 of them, CT reported ossicular chain destruction. CT evaluation had a 84.38% (CI: 67.21%-98.93%) sensitivity and 80% (CI: 44.39%-97.48%) specificity regarding determination of ossicular chain destruction. DISCUSSION AND CONCLUSION: We believe that, preoperative CT provides important data in surgical management of CSOM and for that reason all patients should be evaluated with CT in preoperative period.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-39205chronic otitis mediacomputed tomographytympanomastoidectomy
spellingShingle Nazim Bozan
Burcu Fidan
Özlem Tiren
Ayşe Arslan
Pınar Kundi
Hüseyin Özkan
Abdurrahman Ayral
Semra Ağırbaş
Harun Arslan
Abdussamet Batur
Mahfuz Turan
Ahmet Faruk Kıroğlu
Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis Media
Van Tıp Dergisi
chronic otitis media
computed tomography
tympanomastoidectomy
title Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis Media
title_full Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis Media
title_fullStr Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis Media
title_full_unstemmed Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis Media
title_short Comparison of Radiological and Surgical Findings in Patients with Chronic suppurative Otitis Media
title_sort comparison of radiological and surgical findings in patients with chronic suppurative otitis media
topic chronic otitis media
computed tomography
tympanomastoidectomy
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-39205
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