{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T14:48:57Z","timestamp":1780152537494,"version":"3.54.0"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Ear Nose Throat"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Acquired cholesteatomas are commonly seen in patients less than 30 years. There is a typical history of recurrent middle ear infections with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> The aim of the work was to study the role of high resolution computed tomography (HRCT) in detecting, evaluating, and diagnosing middle ear cholesteatoma. <\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p> This was a prospective study that included 56 consecutive patients with chronic suppurative otitis media, unsafe type cholesteatomas. Each patient was subjected to full clinical evaluation, and HRCT examination. Intravenous contrast media was used in some patients with suspected intracranial complication. Preoperative radiological data were correlated with data related to surgical findings. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> The study showed that a high incidence of cholesteatoma in the third decade of life. The scutum and lateral attic wall were the most common bony erosions in the middle ear bony wall (64.3%), and the incus was the most eroded ossicle in the middle ear (88.2%). Sclerosing of mastoid air cells were encountered in 60.7% of patients and the lateral semicircular canal was affected in 9%, while facial canal erosion was found in 21.4%. Temporal bone complications are more common than intracranial complications. HRCT findings were compared with operative features; the comparative study included the accuracy and sensitivity of HRCT in detecting cholesteatoma (92.8%), its location and extension (96.4%), ossicular chain erosion (98%), labyrinthine fistula and intracranial complications (100%). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> The important role of HRCT scannig lies on the early detection of cholesteatoma, and more conservative surgical procedures can be used to eradicate the disease. <\/jats:p><\/jats:sec>","DOI":"10.4137\/cment.s10681","type":"journal-article","created":{"date-parts":[[2013,7,24]],"date-time":"2013-07-24T15:57:15Z","timestamp":1374681435000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Evaluation of Temporal Bone Cholesteatoma and the Correlation between High Resolution Computed Tomography and Surgical Finding"],"prefix":"10.4137","volume":"6","author":[{"given":"Mohammed A.","family":"Gomaa","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Minia University, Egypy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdel Rahim A. Abdel","family":"Karim","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Minia University, Egypy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hosny S. Abdel","family":"Ghany","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Medicine, Minia University, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed A.","family":"Elhiny","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Minia University, Egypy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed A.","family":"Sadek","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Minia University, Egypy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,7,23]]},"reference":[{"key":"bibr1-CMENT.S10681","unstructured":"SeidenA.M., TamiT.A., PenssakM.L., CottonR.T., GluckmanJ.L. Otorhinolaryngology, The Essentials. New York, NY: Thieme; 2002: 44\u201358."},{"key":"bibr2-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2006.08.003"},{"issue":"4","key":"bibr3-CMENT.S10681","first-page":"155","volume":"2","author":"Chee N.C.","year":"2001","journal-title":"Singapore Med J."},{"key":"bibr4-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-003-0623-x"},{"key":"bibr5-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.75.898.750847"},{"key":"bibr6-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.148.2.6867344"},{"key":"bibr7-CMENT.S10681","unstructured":"WhiteD. Aquired middle ear cholesteatoma complicated by ossicular erosion and SSC fistula. Presentation at: Wilford Hall medical center resources 4\/9\/1997 brighamrad.harvard.edu\/cases\/mcr\/hcache\/259\/full.html."},{"key":"bibr8-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.1080\/00016489950180801"},{"key":"bibr9-CMENT.S10681","unstructured":"BallenegerJ. Diseases of the Nose, Throat, Ear, Head and Neck. 13th ed. Philadelphia, PA: Lea & Febiger; 1985: 1135."},{"key":"bibr10-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31539-5"},{"key":"bibr11-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31366-9"},{"key":"bibr12-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2004.442"},{"key":"bibr13-CMENT.S10681","unstructured":"HasscoN., BirdR. Pathology of the temporal bone and mastoid. 1988; Rave press New York Chap.5; 1\u201345."},{"key":"bibr14-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.1258\/002221503321892280"},{"key":"bibr15-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.3109\/00016489009125151"},{"issue":"3","key":"bibr16-CMENT.S10681","first-page":"370","volume":"12","author":"Martins G.","year":"2008","journal-title":"Intl Arch Otorhinolaryngol, S\u00e3o Paulo."},{"issue":"1","key":"bibr17-CMENT.S10681","first-page":"161","volume":"23","author":"El-Essawy S.","year":"1992","journal-title":"Egyptian Journal of Radiology and Nuclear Medicine."},{"key":"bibr18-CMENT.S10681","first-page":"243","volume":"57","author":"Hassman-Poznanska E.","year":"2003","journal-title":"Otorhinolaryngol Pol."},{"key":"bibr19-CMENT.S10681","first-page":"72","volume":"15","author":"Prata A.","year":"2011","journal-title":"Inter Arch Otorhinolaryngol."},{"key":"bibr20-CMENT.S10681","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1545-7"},{"issue":"3","key":"bibr21-CMENT.S10681","first-page":"248","volume":"89","author":"Sethom A.","year":"2011","journal-title":"Tunis Med."}],"container-title":["Clinical Medicine Insights: Ear, Nose and Throat"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4137\/CMENT.S10681","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4137\/CMENT.S10681","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4137\/CMENT.S10681","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T02:38:21Z","timestamp":1729046301000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4137\/CMENT.S10681"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":21,"alternative-id":["10.4137\/CMENT.S10681"],"URL":"https:\/\/doi.org\/10.4137\/cment.s10681","relation":{},"ISSN":["1179-5506","1179-5506"],"issn-type":[{"value":"1179-5506","type":"print"},{"value":"1179-5506","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1]]},"article-number":"CMENT.S10681"}}