High resolution CT scanning for detection of cholesteatoma and complications in the postoperative ear.
Otologists who prefer intact canal wall surgery for removal of cholesteatoma recognize a 12.25% return rate. Revisions often indicated to correct hearing loss are frequently negative for recurrent cholesteatoma. To determine the reliabiity of a noninvasive method of diagnosing recurrent disease and possible complications, 40 patients previously operated on for cholesteatoma using the intact canal wall technique were scanned with a General Electric 8800 scanner. Second procedures were performed on 24 patients and findings compared with preoperative film interpretations. Scans correctly predicted no significant masses in 6 patients and cholesteatoma recurrence in 11; the remaining 6 with diffuse soft tissue changes were incorrectly diagnosed. Focal areas of bone erosion were detectable in 3 cases, indicating active or potential complications. Scans were reliable in detecting cholesteatoma depending upon the pathology.
D002781:Cholesteatoma / Q000000981:diagnostic imaging* / Q000601:surgery; D004427:Ear Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012008:Recurrence; D012086:Reoperation; D014057:Tomography, X-Ray Computed