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Kosiakov S.Ia.

Kafedra otorinolaringologii Rossiĭskoĭ meditsinskoĭ akademii poslediplomnogo obrazovaniia, Moskva

Lazebnyĭ V.V.

Rentgenodiagnosticheskoe otdelenie TsKB grazhdanskoĭ aviatsii

Korshok V.V.

Kafedra otorinolaringologii uchebno-nauchnogo meditsinskogo tsentra Upravleniia delami Prezidenta Rossii, Moskva

Pchelenok E.V.

Kafedra otorinolaringologii RMAPO

The role of MRI in the preoperative examination and postoperative follow up of the patients presenting with a combination of chronic otitis media and cholesteatoma

Authors:

Kosiakov S.Ia., Lazebnyĭ V.V., Korshok V.V., Pchelenok E.V.

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Journal: Russian Bulletin of Otorhinolaryngology. 2012;77(5): 14‑19

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To cite this article:

Kosiakov SIa, Lazebnyĭ VV, Korshok VV, Pchelenok EV. The role of MRI in the preoperative examination and postoperative follow up of the patients presenting with a combination of chronic otitis media and cholesteatoma. Russian Bulletin of Otorhinolaryngology. 2012;77(5):14‑19. (In Russ.)

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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The objective of the present work was to estimate the possibilities of application of different MRI modalities for the diagnostics of cholesteatoma and to develop the criteria for the verification of the proposed protocols. The study was carried out in the standard T1 and T2 regimes as well as in the non-EPI DWI regime. The patients available for the examination presented with both primary cholesteatoma and with residual and recurrent cholesteatoma. The principal radiodiagnostic algorithm for cholesteatoma included the use of a signal of low-intensity in the T1 regime and a high-intensity signal in the T2 and non-EPI DWI regimes. Three clinical observations are reported in this paper. All the patients were examined by MRI in the T1, T2, and non-EPI DWI modalities. The presence of cholesteatoma was confirmed in 2 patients; this finding was verified during surgery. In one case, the use of the proposed method allowed cholesteatoma to be excluded.

Keywords:

cholesteatoma
MRI
non-EPI DWI modality
post-operative monitoring

Authors:

Kosiakov S.Ia.

Kafedra otorinolaringologii Rossiĭskoĭ meditsinskoĭ akademii poslediplomnogo obrazovaniia, Moskva

Lazebnyĭ V.V.

Rentgenodiagnosticheskoe otdelenie TsKB grazhdanskoĭ aviatsii

Korshok V.V.

Kafedra otorinolaringologii uchebno-nauchnogo meditsinskogo tsentra Upravleniia delami Prezidenta Rossii, Moskva

Pchelenok E.V.

Kafedra otorinolaringologii RMAPO

List of references:

  1. Sade J. Surgical planning of the treatment of cholesteatoma and postoperative follow-up. Ann Otol Rhinol Laryngol 2000; 109: 4: 372-376.
  2. Schwartz K.M., Lane J.I., Bolster B.D. The utility of diffusion-weighted imaging for cholesteatoma evaluation. Am J Neuroradiol 2011; 32: 3: 430-436.
  3. Somers T., De Foer B., Zarowski A., Offeciers E. Resuits, hearing rehabilitation, and follow-up with magnetic resonance imaging after tympanomastoid exenteration, obliteration, and external canal overclosure for severe chronic otitis media. Ann Otol Rhinol Laryngol 2008; 116: 705-711.
  4. Zelikovich E.I. KT visochnoi kosti v diagnostike priobretennoi kholesteatomy srednego ukha. Vestn otorinolar 2004; 5: 28-32.
  5. De Foer B., Vercruysse J.-Ph., Bernaerts A., Maes J., Deckers F., Michiels J., Somers T., Pouillon M., Offeciers E., Casselman J.W. The value of Single-Shot Turbo Spin-Echo Diffusion-Weighted MR imaging in the Detection of Middle Ear Cholesteatoma. Neuroradiology 2007; 49: 841-848.
  6. De Foer B., Vercruysse J.-Ph., Pouillon M., Somers T., Casselman J.W. Letter to the editor: comment on Trojanowska. Differentiation between cholesteatoma and inflammatory process of the middle ear, based on contrast-enhanced computed tomography imaging. J Laryngol Otol 2008; 122: 540-542.
  7. De Foer B., Vercruysse J.-Ph., Bernaerts A., Deckers F., Pouillon M. Detection of Postoperative Residual Cholesteatoma with Non-Echo-Planar Diffusion-Weighted Magnetic Resonance Imaging. Otol Neurol 2008; 29: 513-517.
  8. De Foer B., Vercruysse J.-Ph., Bernaerts A., Deckers F., Somers T., Hermans R., Offeciers E. Value of non-echo-planar diffusion-weighted magnetic resonance imaging versus delayed post-gadolinium T1-weighted magnetic resonance imaging for the detection of middle ear cholesteatoma. Radiology 2010; 255: 866-872.
  9. Aikele P., Kittner T., Offergeld C. Diffusion-weighted MR imaging of cholesteatoma in pediatric and adult patients who have undergone middle ear surgery. AJR 2003; 181: 261-265.
  10. De Foer B., Vercruysse J.-P., Somer T., Offeciers E., Casselman J.W. MRT of cholesteatoma. ENTNews 2007; 16: 43-45.
  11. De Foer B., Vercruysse J.-P., Pilet B., Michiels J., Vertriest R., Pouillon M., Somers T., Casselman J.W., Offeciers E. Single-shot, turbo spin-echo, diffusion-weighted imaging in the detection of acquired middle ear cholesteatoma. Am J Neuroradiol 2006; 27: 1480-1482.
  12. Casselman J. Diffusion weighted MRI (DW-MRI) techniques. Foreword. Neuroradiology 2010; 52: 9: 771-772.

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