Yıl: 2015 Cilt: 37 Sayı: 4 Sayfa Aralığı: 138 - 142 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media

Öz:
Objective: The aim of the present study was to investigate the diagnostic confidence level of preoperative 160-slice computed tomography (CT) findings compared with that of perioperative findings about anatomic variations in the structure of the facial canal, lateral semicircular canal, and dural plate. Materials and Methods: Fifty-five patients who presented with middle ear pathology to Department of Otolaryngology, Afyon Kocatepe University Faculty of Medicine were included in the study, and the mean age was 42 (±15.55) years. Preoperative CT images of the temporal bone were obtained by an 80-detector row CT scanner.Results: The sensitivity, specificity, and positive and negative predictive values of preoperative high-resolution CT (HRCT) were 52%, 88%, 73%, and 75%, respectively, for determining the presence of facial canal dehiscence; 50%, 89%, 71%, and 76%, respectively, for determining the presence of tympanic segment dehiscence; 71%, 96%, 71%, and 96%, respectively, for determining the presence of lateral semicircular canal dehiscence; and 100%, 96%, 50%, and 100%, respectively, for detecting the presence of dural plate defects. Conclusion: The compatibility of HRCT findings with surgical findings in determining the presence of dehiscence of the facial canal and its tympanic segment was moderate, while it was good in determining the presence of dehiscence of the lateral semicircular canal and the defect of the dural plate.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Bucak A, Ulu S, Yucedag F, Okur E, Kemal Kahveci O, Said Tekin, M, et al. Facial Canal Dehiscence and Tympano-mastoid Surgery. J Int Adv Otol 2013; 9(3): 319-26.
  • Lin JC, Ho KY, Kuo WR, Wang LF, Chai CY, Tsai SM. Incidence of dehiscence of the facial nerve at surgery for middle ear cholesteatoma. Otolaryngol Head Neck Surg 2004; 131(4): 452-6. [CrossRef]
  • Yu Z, Wang Z, Yang B, Han D, Zhang L. The value of preoperative CT scan of tympanic facial nerve canal in tympanomastoid surgery. Acta Otolaryngol 2011; 131(7): 774-8. [CrossRef]
  • Màru N, Cheità AC, Mogoantà CA, Prejoianu B. Intratemporal course of the facial nerve: morphological, topographic and morphometric features. Rom J Morphol Embryol 2010; 51(2): 243-8.
  • Egeli E, Arslan H, Akkaya S. Comparison of the Computed Tomog- raphy and Surgical Findings in Chronic Otitis Media. Türk Otolaren- goloji Arşivi 1999; 37(3-4): 117-20.
  • Sancak B, Cumhur M, Vakfı OG. Fonksiyonel anatomi: baş-boyun ve iç organlar. ODTÜ Geliştirme Vakfı; 2002.
  • Magliulo G, Colicchio MG, Ciniglio M. Facial nerve dehiscence and cho- lesteatoma. Ann Otol Rhinol Laryngol 2011; 120(4): 261-7. [CrossRef]
  • Şen A, İynen İ, Şan İ, Bozkuş F, Çeçe H. Kronik Otitis Media Tanısı ile Opere Edilen Olgularda Preoperatif Bilgisayarlı Tomografi Bulguları ile Operasyon Bulgularının Karşılaştırılması. KBB ve BBC Derg 2010; 18(3): 104-11.
  • Gül A, Akdağ M, Kiniş V, Yilmaz B, Sengül E, Teke M, et al. Radiolog- ic and surgical findings in chronic suppurative otitis media. J Craniofac Surg 2014; 25(6): 2027-9. [CrossRef]
  • Blevins NH, Carter BL. Routine preoperative imaging in chronic ear surgery. Am J Otol 1998; 19(4): 527-35; discussion 535-8.
  • Özbay S, Sütbeyaz Y, Okur A, Selimoğlu E, Aktan B, Ertaş A. The value of preoperatively computed tomography in chronic suppurative otitis media. KBB ve Baş Boyun Cerrahisi Derg 1994; 2(2): 106-10.
  • Gerami H, Naghavi E, Wahabi-moghadam M, Forghanparast K, Ak- bar MH. Comparison of preoperative computerized tomography scan imaging of temporal bone with the intra-operative findings in patients undergoing mastoidectomy. Saudi Med J 2009; 30(1): 104-8.
  • Keskin S, Cetin H, Tore HG. The Correlation of temporal bone CT with surgery findings in evaluation of chronic inflammatory diseases of the middle ear. Eur J Gen Med 2011; 8(1): 24-30.
  • Yildirim-Baylan M, Ozmen CA, Gun R, Yorgancilar E, Akkuş Z, Topcu I. An evaluation of preoperative computed tomography on patients with chronic otitis media. Indian J Otolaryngol Head Neck Surg 2012; 64(1): 67-70. [CrossRef]
  • Tatlipinar A, Tuncel A, Öğredik EA, Gökçeer T, Uslu C. The role of computed tomography scanning in chronic otitis media. Eur Arch Otorhinolaryngol 2012; 269(1): 33-8. [CrossRef]
  • Mahmutoğlu AS, Celebi I, Sahinoğlu S, Cakmakçi E, Sözen E. Reli- ability of preoperative multidetector computed tomography scan in patients with chronic otitis media. J Craniofac Surg 2013; 24(4): 1472-6. [CrossRef]
  • Payal G, Pranjal K, Gul M, Mittal MK, Rai a K. Computed tomography in chronic suppurative otitis media: value in surgical planning. Indian J Otolaryngol Head Neck Surg 2012; 64(3): 225-9. [CrossRef]
  • Ng JH, Zhang EZ, Soon SR, Tan VYJ, Tan TY, Mok PKH, et al. Pre-operative high resolution computed tomography scans for cho- lesteatoma: has anything changed? Am J Otolaryngol 2014; 35(4): 508-13. [CrossRef]
  • Gün R. Kronik Süpüratif Otitis Mediyada Preoperatif Temporal Kemik Tomografisinin Tanı Ve Tedavideki Yeri [Internet]. library.cu.edu.tr. [Adana]: Çukurova Üniversitesi; 2005 [cited 2014 Dec 14].
  • Rogha M, Hashemi SM, Mokhtarinejad F, Eshaghian A. Comparison of Preoperative Temporal Bone CT with Intraoperative Findings in Patients with Cholesteatoma. Iran J Otorhinolaryngol 2014; 26(74): 7-12.
  • Rai T. Radiological study of the temporal bone in chronic otitis media: Prospective study of 50 cases. Indian J Otol 2014; 20(2): 48. [CrossRef]
  • Chen G, Xie D, Xu H, Wu W, Liu Q. The incidence of facial nerve dehiscence at mastoidectomy and its risk factors. J Clin Otorhinolar- yngol Head, Neck Surg 2009; 23: 289-92.
APA MADAN G, TURAMANLAR O, BUCAK A, BEKER ACAY M, GONUL Y, Yıldız E, GÜLSARI Y (2015). Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. , 138 - 142.
Chicago MADAN GÜLAY,TURAMANLAR Ozan,BUCAK ABDULKADİR,BEKER ACAY MEHTAP,GONUL Yucel,Yıldız Erkan,GÜLSARI YUSUF Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. (2015): 138 - 142.
MLA MADAN GÜLAY,TURAMANLAR Ozan,BUCAK ABDULKADİR,BEKER ACAY MEHTAP,GONUL Yucel,Yıldız Erkan,GÜLSARI YUSUF Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. , 2015, ss.138 - 142.
AMA MADAN G,TURAMANLAR O,BUCAK A,BEKER ACAY M,GONUL Y,Yıldız E,GÜLSARI Y Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. . 2015; 138 - 142.
Vancouver MADAN G,TURAMANLAR O,BUCAK A,BEKER ACAY M,GONUL Y,Yıldız E,GÜLSARI Y Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. . 2015; 138 - 142.
IEEE MADAN G,TURAMANLAR O,BUCAK A,BEKER ACAY M,GONUL Y,Yıldız E,GÜLSARI Y "Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media." , ss.138 - 142, 2015.
ISNAD MADAN, GÜLAY vd. "Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media". (2015), 138-142.
APA MADAN G, TURAMANLAR O, BUCAK A, BEKER ACAY M, GONUL Y, Yıldız E, GÜLSARI Y (2015). Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. Erciyes Medical Journal, 37(4), 138 - 142.
Chicago MADAN GÜLAY,TURAMANLAR Ozan,BUCAK ABDULKADİR,BEKER ACAY MEHTAP,GONUL Yucel,Yıldız Erkan,GÜLSARI YUSUF Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. Erciyes Medical Journal 37, no.4 (2015): 138 - 142.
MLA MADAN GÜLAY,TURAMANLAR Ozan,BUCAK ABDULKADİR,BEKER ACAY MEHTAP,GONUL Yucel,Yıldız Erkan,GÜLSARI YUSUF Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. Erciyes Medical Journal, vol.37, no.4, 2015, ss.138 - 142.
AMA MADAN G,TURAMANLAR O,BUCAK A,BEKER ACAY M,GONUL Y,Yıldız E,GÜLSARI Y Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. Erciyes Medical Journal. 2015; 37(4): 138 - 142.
Vancouver MADAN G,TURAMANLAR O,BUCAK A,BEKER ACAY M,GONUL Y,Yıldız E,GÜLSARI Y Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media. Erciyes Medical Journal. 2015; 37(4): 138 - 142.
IEEE MADAN G,TURAMANLAR O,BUCAK A,BEKER ACAY M,GONUL Y,Yıldız E,GÜLSARI Y "Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media." Erciyes Medical Journal, 37, ss.138 - 142, 2015.
ISNAD MADAN, GÜLAY vd. "Comparison of Preoperative Temporal Bone HRCT and Intraoperative Findings in Patients with Chronic Otitis Media". Erciyes Medical Journal 37/4 (2015), 138-142.