Computed tomography staging of middle ear cholesteatoma

2015
journal article
article
29
cris.lastimport.wos2024-04-10T01:56:00Z
dc.abstract.enBACKGROUND: To establish computed tomography (CT) staging of middle ear cholesteatoma and assess its impact on the selection of the surgical procedure. MATERIAL AND METHODS: Prospective study was conducted on 61 consecutive patients (mean age 26.8 years) with middle ear cholesteatoma. CT scan of the temporal bone and surgery were performed in all patients. CT staging classified cholesteatoma according to its location in the tympanic cavity (T); extension into the mastoid (M); and associated complications (C). Cholesteatoma was staged as stage I (T1, T2), stage II (T3, M1, M2, C1), and stage III (C2). RESULTS: The overall sensitivity of CT staging of cholesteatoma compared to surgery was 88% with excellent agreement and correlation between CT findings and intra-operative findings (K=0.863, r=0.86, P=0.001). There was excellent agreement and correlation of CT staging with surgical findings for T location (K=0.811, r=0.89, P=0.001), good for M extension (K=0.734, r=0.88, P=0.001), and excellent for associated C complications (K=1.00, r=1.0, P=0.001). Atticotympanotomy was carried out in stage I (n=14), intact canal wall surgery was performed in stage II (n=38), and canal wall down surgery was done in stage III (n=5) and stage II (n=4). CONCLUSIONS: We established CT staging of middle ear cholesteatoma that helps surgeons to select an appropriate surgery.pl
dc.contributor.authorAbdel Razek, Ahmed Abdel Khalekpl
dc.contributor.authorGhonim, Mohamed Rashadpl
dc.contributor.authorAshraf, Bassempl
dc.date.accessioned2017-07-17T07:12:57Z
dc.date.available2017-07-17T07:12:57Z
dc.date.issued2015pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 333pl
dc.description.physical328-333pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume80pl
dc.identifier.doi10.12659/PJR.894155pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttp://ruj.uj.edu.pl/xmlui/handle/item/42818
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enadenovirus infectionspl
dc.subject.enhumanpl
dc.subject.enanatomypl
dc.subject.encomparativepl
dc.subject.enimagingpl
dc.subject.enthree-dimensionalpl
dc.subject.enpainpl
dc.subtypeArticlepl
dc.titleComputed tomography staging of middle ear cholesteatomapl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T01:56:00Z
dc.abstract.enpl
BACKGROUND: To establish computed tomography (CT) staging of middle ear cholesteatoma and assess its impact on the selection of the surgical procedure. MATERIAL AND METHODS: Prospective study was conducted on 61 consecutive patients (mean age 26.8 years) with middle ear cholesteatoma. CT scan of the temporal bone and surgery were performed in all patients. CT staging classified cholesteatoma according to its location in the tympanic cavity (T); extension into the mastoid (M); and associated complications (C). Cholesteatoma was staged as stage I (T1, T2), stage II (T3, M1, M2, C1), and stage III (C2). RESULTS: The overall sensitivity of CT staging of cholesteatoma compared to surgery was 88% with excellent agreement and correlation between CT findings and intra-operative findings (K=0.863, r=0.86, P=0.001). There was excellent agreement and correlation of CT staging with surgical findings for T location (K=0.811, r=0.89, P=0.001), good for M extension (K=0.734, r=0.88, P=0.001), and excellent for associated C complications (K=1.00, r=1.0, P=0.001). Atticotympanotomy was carried out in stage I (n=14), intact canal wall surgery was performed in stage II (n=38), and canal wall down surgery was done in stage III (n=5) and stage II (n=4). CONCLUSIONS: We established CT staging of middle ear cholesteatoma that helps surgeons to select an appropriate surgery.
dc.contributor.authorpl
Abdel Razek, Ahmed Abdel Khalek
dc.contributor.authorpl
Ghonim, Mohamed Rashad
dc.contributor.authorpl
Ashraf, Bassem
dc.date.accessioned
2017-07-17T07:12:57Z
dc.date.available
2017-07-17T07:12:57Z
dc.date.issuedpl
2015
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 333
dc.description.physicalpl
328-333
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
80
dc.identifier.doipl
10.12659/PJR.894155
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.uri
http://ruj.uj.edu.pl/xmlui/handle/item/42818
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode
dc.share.type
otwarte czasopismo
dc.subject.enpl
adenovirus infections
dc.subject.enpl
human
dc.subject.enpl
anatomy
dc.subject.enpl
comparative
dc.subject.enpl
imaging
dc.subject.enpl
three-dimensional
dc.subject.enpl
pain
dc.subtypepl
Article
dc.titlepl
Computed tomography staging of middle ear cholesteatoma
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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