Romanian Journal of Oral Rehabilitation (Dec 2023)
SURGICAL AND CBCT CORRELATION IN ACQUIRED CHOLESTEATOMA IN THE NORTH-EAST REGION OF ROMANIA
Abstract
Aim of the study The aim of the study is to showcase the surgical and cone-beam computer-tomography (CBCT) aspects in patients with acquired cholesteatoma. Material and methods We retrospectively study 61 patients CBCT diagnosed with acquired cholesteatoma from January 2020 – December 2022. Results Our study showed that from 60 patients: 48 cholesteatomas were formed due to chronic middle ear infection, 7 from trauma and 5 had prior surgical manipulations. The pathology affected females more (54,1% of the lot) and was treated with closed technic. Cholesteatoma had a predilection for the right ear (45%) but in 13,3% of cases had bilateral involvement and in more than half of the cases (53,3%) involved both the atical and the atrium. 35 patients had complications such as ossicular lesions (osteolisis) to the incus (58,3%), to the incus and malleus (21,7%) or to all three (incus, malleus and stapes) (15%). A small percentage had extension into the facial canal (5,9%) or in sigmoid dural sinus (1,5%). Conclusions CBCT alongside surgical diagnostics significantly deepened our comprehension of the cholesteatoma’s extension into the structures of the middle ear.
