DETECTION OF TEMPORAL BONE CHOLESTEATOMA BY MULTIDETECTOR COMPUTED TOMOGRAPHY

Main Article Content

Seema Gul
Ummara Siddique Umer
Shahjehan Alam
Syed Ghaus
Muhammad Saleem Khan
Sarah Javed

Abstract

Objective: To determine the CT patterns of temporal bone cholesteatoma in
patients presenting with chronic discharge from ear.
Methodology: This was a cross-sectional study conducted at Department
of Radiology, Rehman Medical Institute Peshawar from January 2013 to June
2014. 78 patients with chronic discharging ear, who were referred from E.N.T
outpatient department, were included in the study. All scans were performed
on 128 slice Multidetector Computed tomography (MDCT) scanner.0.5mm reconstructed
images in bone window and 3mm images in soft tissue window
were viewed on 5.1 vitrea workstation in axial, coronal and sagittal planes.
The CT studies were correlated with clinical examination findings, surgical and
histopathology. Basic radiologic patterns of cholesteatoma described on CT
scan were assessed. The data was processed using Microsoft excel 2007.
Results: Cholesteatoma was present in 48 (61%) cases. The disease was bilateral
in 7 cases (14 %), 39 (81 %) were unilateral. 25(52%) were left sided and
14 (29%) right-sided. 24 (30 %) patients were characterized as having otomastoiditis
whereas 7(8%) patients were radiologically difficult to characterize if
they were cholesteatoma or not.
Conclusion: Cholesteatomas can cause bone erosions and should be detected
early. The important role of MDCT lies in the early detection of cholesteatoma,
and more conservative surgical procedures can be used to eradicate
the disease.

Article Details

How to Cite
1.
Gul S, Siddique Umer U, Alam S, Ghaus S, Khan MS, Javed S. DETECTION OF TEMPORAL BONE CHOLESTEATOMA BY MULTIDETECTOR COMPUTED TOMOGRAPHY. J Postgrad Med Inst [Internet]. 2016 Apr. 28 [cited 2022 Jul. 6];30(2). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1724
Section
Original Article
Author Biographies

Seema Gul

Associate Professor Radiology

Ummara Siddique Umer

senior registrar

radiology department

Rehman medical institute

peshawar.

Shahjehan Alam

Assisstant Professor

radiology department

Rehman medical institute

peshawar.

Syed Ghaus

Associate Professor

radiology department

Rehman medical institute

peshawar.

Muhammad Saleem Khan

Deputy director
public health services academy
peshawar.


Sarah Javed

house officer radiology
Hayatabad Medical complex
peshawar.

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