Mastoiditis CT: Difference between revisions
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==CT== | ==CT== | ||
[[High Resolution CT]] scans of the [[temporal bone]] in mastoiditis patients may reveal complications, such as the following: <ref name="pmid19734439">{{cite journal |vauthors=Lin HW, Shargorodsky J, Gopen Q |title=Clinical strategies for the management of acute mastoiditis in the pediatric population |journal=Clin Pediatr (Phila) |volume=49 |issue=2 |pages=110–5 |year=2010 |pmid=19734439 |doi=10.1177/0009922809344349 |url=}}</ref><ref name="pmid17668240">{{cite journal |vauthors=Stähelin-Massik J, Podvinec M, Jakscha J, Rüst ON, Greisser J, Moschopulos M, Gnehm HE |title=Mastoiditis in children: a prospective, observational study comparing clinical presentation, microbiology, computed tomography, surgical findings and histology |journal=Eur. J. Pediatr. |volume=167 |issue=5 |pages=541–8 |year=2008 |pmid=17668240 |doi=10.1007/s00431-007-0549-1 |url=}}</ref><ref name="pmid22695997">{{cite journal |vauthors=Trojanowska A, Drop A, Trojanowski P, Rosińska-Bogusiewicz K, Klatka J, Bobek-Billewicz B |title=External and middle ear diseases: radiological diagnosis based on clinical signs and symptoms |journal=Insights Imaging |volume=3 |issue=1 |pages=33–48 |year=2012 |pmid=22695997 |pmc=3292638 |doi=10.1007/s13244-011-0126-z |url=}}</ref> | [[High Resolution CT]] scans of the [[temporal bone]] in mastoiditis patients may reveal complications, such as the following: <ref name="pmid19734439">{{cite journal |vauthors=Lin HW, Shargorodsky J, Gopen Q |title=Clinical strategies for the management of acute mastoiditis in the pediatric population |journal=Clin Pediatr (Phila) |volume=49 |issue=2 |pages=110–5 |year=2010 |pmid=19734439 |doi=10.1177/0009922809344349 |url=}}</ref><ref name="pmid17668240">{{cite journal |vauthors=Stähelin-Massik J, Podvinec M, Jakscha J, Rüst ON, Greisser J, Moschopulos M, Gnehm HE |title=Mastoiditis in children: a prospective, observational study comparing clinical presentation, microbiology, computed tomography, surgical findings and histology |journal=Eur. J. Pediatr. |volume=167 |issue=5 |pages=541–8 |year=2008 |pmid=17668240 |doi=10.1007/s00431-007-0549-1 |url=}}</ref><ref name="pmid22695997">{{cite journal |vauthors=Trojanowska A, Drop A, Trojanowski P, Rosińska-Bogusiewicz K, Klatka J, Bobek-Billewicz B |title=External and middle ear diseases: radiological diagnosis based on clinical signs and symptoms |journal=Insights Imaging |volume=3 |issue=1 |pages=33–48 |year=2012 |pmid=22695997 |pmc=3292638 |doi=10.1007/s13244-011-0126-z |url=}}</ref>><ref name="pmid21982482">{{cite journal |vauthors=Pellegrini S, Gonzalez Macchi ME, Sommerfleck PA, Bernáldez PC |title=Intratemporal complications from acute otitis media in children: 17 cases in two years |journal=Acta Otorrinolaringol Esp |volume=63 |issue=1 |pages=21–5 |year=2012 |pmid=21982482 |doi=10.1016/j.otorri.2011.06.007 |url=}}</ref><ref name="pmid18617870">{{cite journal |vauthors=van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG |title=A systematic review of diagnostic criteria for acute mastoiditis in children |journal=Otol. Neurotol. |volume=29 |issue=6 |pages=751–7 |year=2008 |pmid=18617870 |doi=10.1097/MAO.0b013e31817f736b |url=}}</ref> | ||
=== Acute mastoiditis === | === Acute mastoiditis === | ||
*Partial-to-complete opacification of mastoid air cells due to fluid accumulation and thickening of the mucosa that lines the middle ear. | *Partial-to-complete opacification of mastoid air cells due to fluid accumulation and thickening of the mucosa that lines the middle ear. | ||
Revision as of 18:06, 28 June 2017
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Mastoiditis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
Overview
CT
High Resolution CT scans of the temporal bone in mastoiditis patients may reveal complications, such as the following: [1][2][3]>[4][5]
Acute mastoiditis
- Partial-to-complete opacification of mastoid air cells due to fluid accumulation and thickening of the mucosa that lines the middle ear.
- Erosion of mastoid air cell bony septum
- Mastoid cortex destruction and irregularity
- Periosteal thickening, periosteal disruption,
- subperiosteal abscess.
Sub acute and chronic mastoiditis
Primary imaging findings for chronic mastoiditis include the following:
- Markers for inflammation.
- Sclerosis or opacification of mastoid process
- Tympanic membrane changes: thickening, retraction, tympanic membrane perforation or calcification
- Ossicle erosion or other possible causes for hearing loss.
- Determination of cholesteatoma.
- Intratemporal complications: petrositis, labyrinthitis, subperiosteal abscess, labyrinthine fistula
- Intracranial complications: brain abscess, meningitis
- Presence of fibrous tissue.
- Tympanosclerosis.
- Formation of new bone matter.
- Ossicle erosion and displacement.
- Extension of cholesteatoma to sinuses
References
- ↑ Lin HW, Shargorodsky J, Gopen Q (2010). "Clinical strategies for the management of acute mastoiditis in the pediatric population". Clin Pediatr (Phila). 49 (2): 110–5. doi:10.1177/0009922809344349. PMID 19734439.
- ↑ Stähelin-Massik J, Podvinec M, Jakscha J, Rüst ON, Greisser J, Moschopulos M, Gnehm HE (2008). "Mastoiditis in children: a prospective, observational study comparing clinical presentation, microbiology, computed tomography, surgical findings and histology". Eur. J. Pediatr. 167 (5): 541–8. doi:10.1007/s00431-007-0549-1. PMID 17668240.
- ↑ Trojanowska A, Drop A, Trojanowski P, Rosińska-Bogusiewicz K, Klatka J, Bobek-Billewicz B (2012). "External and middle ear diseases: radiological diagnosis based on clinical signs and symptoms". Insights Imaging. 3 (1): 33–48. doi:10.1007/s13244-011-0126-z. PMC 3292638. PMID 22695997.
- ↑ Pellegrini S, Gonzalez Macchi ME, Sommerfleck PA, Bernáldez PC (2012). "Intratemporal complications from acute otitis media in children: 17 cases in two years". Acta Otorrinolaringol Esp. 63 (1): 21–5. doi:10.1016/j.otorri.2011.06.007. PMID 21982482.
- ↑ van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG (2008). "A systematic review of diagnostic criteria for acute mastoiditis in children". Otol. Neurotol. 29 (6): 751–7. doi:10.1097/MAO.0b013e31817f736b. PMID 18617870.