Correlation between Role of Preoperative Computerized Tomography and Intraoperative Findings in Revision Myringoplasty

Ahmed , Mohammed Abd Elmoneim; Yassin , Abd Ellah Nazeer; Dawood , Yahia Mohammed; Abd Elwahab , Ahmed Ragab

Article Details

Correlation between Role of Preoperative Computerized Tomography and Intraoperative Findings in Revision Myringoplasty

Authors:

Ahmed , Mohammed Abd Elmoneim | Yassin , Abd Ellah Nazeer | Dawood , Yahia Mohammed | Abd Elwahab , Ahmed Ragab

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.75 Issue 1, pp.1969-1975

Document Type:

Article

Publication Date:

4/2019

Document Language:

English

Document ID (Org No.):

143103

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

Keywords:

Abstract:

 Background: The goals of tympanic membrane repair in tubotympanic chronic suppurative otitis media are to close the perforation, remove the disease, and improve hearing of the patient. Myringoplasty is an operation used to repair a perforation of the tympanic membrane and this improves the patient hearing and decreases susceptibility of infection. Objective: To correlate the radiological findings of preoperative CT with intra-operative findings in revision myringoplasty.Patients and Methods: This study included 30 patients suffering from safe type of chronic suppurative otitis media with central tympanic membrane perforations. 23 patients were subjected to underlay revision myringoplasty and 7 patients were subjected to cortical mastoidectomy based on the preoperative CT findings. Diagnosis of the disease was established by clinical, otoscopic, microscopic and endoscopic examination. All patients were studied prospectively. Preoperative history taking, ENT examination, general examination, and assessment of hearing were performed for all cases. All patients complained of history of ear discharge and deterioration of hearing. Surgery was done; operative details were recorded and postoperative follow up was done.Results: This study showed that CT scan temporal bone is 100% accurate in assessment of ossicular chain, aditus ad antrum patency and mastoid pneumatization. While, CT accuracy in assessment of middle ear spaces, middle ear mucosa and fibrous adhesions is 76.7%.Conclusion: Comparing these results with those of other researches using similar techniques, revealed that they are almost similar regarding the accuracy of CT scanning and success rate.

Article Details

Correlation between Role of Preoperative Computerized Tomography and Intraoperative Findings in Revision Myringoplasty

Authors:

Ahmed , Mohammed Abd Elmoneim | Yassin , Abd Ellah Nazeer | Dawood , Yahia Mohammed | Abd Elwahab , Ahmed Ragab

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.75 Issue 1, pp.1969-1975

Document Type:

Article

Publication Date:

4/2019

Document Language:

English

Document ID (Org No.):

143103

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

TYMPANOPLASTY

TYMPANUM

COMPUTED TOMOGRAPHY

INTRAOPERATIVE CARE

PATIENTS

EGYPT

Chronic Otitis Media

Tympanic Membrane

Chronic Suppurative Otitis Media

Issues

Article Details

Authors: Ahmed , Mohammed Abd Elmoneim | Yassin , Abd Ellah Nazeer | Dawood , Yahia Mohammed | Abd Elwahab , Ahmed Ragab

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2019 Vol.75 Issue 1, pp.1969-1975

Document Type: Article

Publication Date: 4/2019

Document Language: English

Document ID (Org No.): 143103

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

Descriptors:

Issues

Authors:

Ahmed , Mohammed Abd Elmoneim | Yassin , Abd Ellah Nazeer | Dawood , Yahia Mohammed | Abd Elwahab , Ahmed Ragab

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.75 Issue 1, pp.1969-1975

Document Type:

Article

Publication Date:

4/2019

Document Language:

English

Document ID (Org No.):

143103

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002