scholarly journals Temporal bone computed tomography checklist—TeSLANO: introduction of a standardized preoperative imaging evaluation for middle ear surgery

Author(s):  
Sabrina De Stefano ◽  
Matteo Cavara ◽  
Matteo Goldoni ◽  
Giulia Donati ◽  
Enrico Pasanisi ◽  
...  
2007 ◽  
Vol 122 (9) ◽  
pp. 983-985 ◽  
Author(s):  
A Eryilmaz ◽  
M Dagli ◽  
M Cayonu ◽  
E Dursun ◽  
C Gocer

AbstractObjective:To draw attention to the possibility of an aberrant internal carotid artery behind an intact tympanic membrane presenting as a middle-ear mass.Case:A 48-year-old female patient presented with a hearing impairment in her right ear that had started 10 years ago. Otoscopic examination revealed a retro-tympanic mass. A high resolution computed tomography scan of the temporal bone was performed that showed protrusion of the internal carotid artery into the middle ear. Magnetic resonance angiography provided excellent visualisation of the internal carotid artery. Finally, a diagnosis of an aberrant internal carotid artery was made and the patient was evaluated with a conservative approach.Conclusion:All retro-tympanic masses should ideally be visualised with a computed tomography scan of the temporal bone before any middle-ear surgery, such as tympanotomy and biopsy, and it is essential for every otologist who undertakes myringotomy and middle-ear surgery to know about this rare entity.


ORL ◽  
2010 ◽  
Vol 72 (3) ◽  
pp. 159-167 ◽  
Author(s):  
T. Zahnert ◽  
C. Offergeld

1996 ◽  
Vol 89 (5) ◽  
pp. 561-567
Author(s):  
Etsuo YAMAMOTO ◽  
OHMURA OHMURA ◽  
Yasuyuki TASAKA ◽  
Chikashi MIZUKAMI ◽  
Hiroyuki OIKI ◽  
...  

2020 ◽  
Vol 8 (6) ◽  
pp. 304-304
Author(s):  
Jordan Chauvelot ◽  
Cedric Laurent ◽  
Gaël Le Coz ◽  
Jean-Philippe Jehl ◽  
Nguyen Tran ◽  
...  

1989 ◽  
Vol 103 (4) ◽  
pp. 408-411 ◽  
Author(s):  
P. D. B. West ◽  
A. Gholkar ◽  
R. T. Ramsden

AbstractWe present a case of the Wildervanck (cervico-oculo-acoustic) syndrome exhibiting congenital deafness, Klippel-Feil anomaly and lateral rectus palsy with enophthalmos. Audiometry indicated a predominantly conductive loss which, because of masking difficulties, was assumed to be bilateral: an erroneous assumption supported by results of conventional petrous bone tomography which failed to demonstrate any abnormality of the inner ears. Computed tomography (CT), however, revealed a severe Mondini dysplasia of one ear, a condition which must be assumed to be associated with severe sensorineural hearing loss. Reconstructive middle ear surgery for the conductive loss on the other side was therefore contraindicated.


Author(s):  
Madhuri S. More ◽  
Rahul B. Patel ◽  
Jaymin A. Contractor ◽  
Alpa P. Pipaliya ◽  
Esha J. Desai ◽  
...  

<p class="abstract"><strong>Background:</strong> Importance of HRCT before middle ear surgery is proved by many published articles but most of the studies were done without evaluating the accuracy of clinical judgment at the same time.</p><p class="abstract"><strong>Methods:</strong> All the patients of CSOM in whom the middle ear surgery was planned were included in the study. Total number of sample size was 80 patients. Group A: 20 patients in which HRCT temporal bone was indicated as a routine evaluation before middle ear surgeries. Group B: 60 patients in which HRCT temporal bone was not indicated.  </p><p class="abstract"><strong>Results:</strong> Maximum 43.75% (35) patients belong to 21 to 30 yrs. F: M is 1.5:1. Unilateral ear disease is more common (62.5%). 41.8% had mucosal type while 16.25% had squamosal type of COM. 77.5% ears found to have hearing loss. Conductive hearing loss was the most common (43.13%). HRCT in comparison with Intra-op had Kapa value of 1 (Aditus blockage &amp; Tegmen erosion), 0.6 (sinus plate erosions), 0.5 (malleus, Incus, stapes erosions), 0.48 (Ossicular chain status), 0.46 (Scutum erosion), 0.4 (LSC fistula) and 0.3 (fallopian canal erosions. Clinical judgment in comparison with intra-op had kapa value of 1 (stapes erosion), 0.96 (aditus blockage), 0.79 (Incus erosion), 0.78 (malleus erosion) and 0.76 (ossicular chain status).</p><p class="abstract"><strong>Conclusions:</strong> Clinical judgment is as good as or even better than CT in presuming/detecting at least individual ossicular erosions, ossicular chain status, aditus blockage and HRCT temporal bone should be reserved for high risk and complicated cases.</p>


Author(s):  
Young-Ho Lee ◽  
Mi-Kyung Ye ◽  
Im-Hee Shin

2010 ◽  
Vol 142 (3) ◽  
pp. 405-408 ◽  
Author(s):  
Patrick J. Antonelli ◽  
Edith M. Sampson ◽  
Dustin M. Lang

1995 ◽  
Vol 28 (2) ◽  
pp. 265-272 ◽  
Author(s):  
John R. Emmett

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