Erosive changes involving ossicles in absence of cholesteatoma in patient with history of COM
IMAGING
General Features
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Wiatr A et al: Scanning electron microscopy in the evaluation of defects to the ossicular chain in the course of chronic otitis media. Ear Nose Throat J. 100(5):NP248-55, 2021
Akarcay M et al: Ossicular chain erosion in chronic otitis media patients with cholesteatoma or granulation tissue or without those: analysis of 915 cases. Eur Arch Otorhinolaryngol. 276(5):1301-5, 2019
Bayat A et al: Ossicular chain defects in adults with chronic otitis media. Int Tinnitus J. 23(1):6-9, 2019
Kalcioglu MT et al: Facial canal dehiscence rate: a retrospective analysis of 372 chronic otitis media cases. Eur Arch Otorhinolaryngol. 276(1):79-83, 2019
Sarmento KMA Jr et al: Erosion of the long process of the incus with incomplete ossicular discontinuity in simple chronic otitis media: should we reconstruct or leave it be? Clin Otolaryngol. 43(1):300-5, 2018
Albera R et al: Ossicular chain lesions in tympanic perforations and chronic otitis media without cholesteatoma. J Int Adv Otol. 11(2):143-6, 2015
Blom EF et al: Influence of ossicular chain damage on hearing after chronic otitis media and cholesteatoma surgery: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 1-9, 2015
Dinç AE et al: Audiometric correlations with pathologies of ossicular chain in 159 ears with chronic otitis media. Clin Otolaryngol.41(6):817-21, 2015
Gül A et al: Radiologic and surgical findings in chronic suppurative otitis media. J Craniofac Surg. 25(6):2027-9, 2014
Pandey AK et al: Is there a role for virtual otoscopy in the preoperative assessment of the ossicular chain in chronic suppurative otitis media? Comparison of HRCT and virtual otoscopy with surgical findings. Eur Radiol. 19(6):1408-16, 2009
Lemmerling MM et al: Imaging of the opacified middle ear. Eur J Radiol. 66(3):363-71, 2008
Carrillo RJ et al: Probabilities of ossicular discontinuity in chronic suppurative otitis media using pure-tone audiometry. Otol Neurotol. 28(8):1034-7, 2007
Jeng FC et al: Relationship of preoperative findings and ossicular discontinuity in chronic otitis media. Otol Neurotol. 24(1):29-32, 2003
Jung JY et al: Bone resorption in chronic otitis media: the role of the osteoclast. ORL J Otorhinolaryngol Relat Spec. 64(2):95-107, 2002
Li Y et al: Prospective study of tympanic membrane retraction, hearing loss, and multifrequency tympanometry. Otolaryngol Head Neck Surg. 121(5):514-22, 1999
Albu S et al: Prognostic factors in tympanoplasty. Am J Otol. 19(2):136-40, 1998
Lemmerling MM et al: Normal and opacified middle ears: CT appearance of the stapes and incudostapedial joint. Radiology. 203(1):251-6, 1997
Mills RP: Physiological reconstruction of defects of the incus long process. Clin Otolaryngol Allied Sci. 21(6):499-503, 1996
Uno Y et al: Bone resorption in human cholesteatoma: morphological study with scanning electron microscopy. Ann Otol Rhinol Laryngol. 104(6):463-8, 1995
Vartiainen E et al: Hearing results of surgery for acquired cholesteatoma. Ear Nose Throat J. 74(3):160-2, 164, 1995
Vartiainen E et al: Hearing results of surgery for chronic otitis media without cholesteatoma. Ear Nose Throat J. 74(3):165-6, 169, 1995
Lannigan FJ et al: The cellular mechanism of ossicular erosion in chronic suppurative otitis media. J Laryngol Otol. 107(1):12-6, 1993
Swartz JD et al: Ossicular erosions in the dry ear: CT diagnosis. Radiology. 163(3):763-5, 1987
Erosive changes involving ossicles in absence of cholesteatoma in patient with history of COM
IMAGING
General Features
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Wiatr A et al: Scanning electron microscopy in the evaluation of defects to the ossicular chain in the course of chronic otitis media. Ear Nose Throat J. 100(5):NP248-55, 2021
Akarcay M et al: Ossicular chain erosion in chronic otitis media patients with cholesteatoma or granulation tissue or without those: analysis of 915 cases. Eur Arch Otorhinolaryngol. 276(5):1301-5, 2019
Bayat A et al: Ossicular chain defects in adults with chronic otitis media. Int Tinnitus J. 23(1):6-9, 2019
Kalcioglu MT et al: Facial canal dehiscence rate: a retrospective analysis of 372 chronic otitis media cases. Eur Arch Otorhinolaryngol. 276(1):79-83, 2019
Sarmento KMA Jr et al: Erosion of the long process of the incus with incomplete ossicular discontinuity in simple chronic otitis media: should we reconstruct or leave it be? Clin Otolaryngol. 43(1):300-5, 2018
Albera R et al: Ossicular chain lesions in tympanic perforations and chronic otitis media without cholesteatoma. J Int Adv Otol. 11(2):143-6, 2015
Blom EF et al: Influence of ossicular chain damage on hearing after chronic otitis media and cholesteatoma surgery: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 1-9, 2015
Dinç AE et al: Audiometric correlations with pathologies of ossicular chain in 159 ears with chronic otitis media. Clin Otolaryngol.41(6):817-21, 2015
Gül A et al: Radiologic and surgical findings in chronic suppurative otitis media. J Craniofac Surg. 25(6):2027-9, 2014
Pandey AK et al: Is there a role for virtual otoscopy in the preoperative assessment of the ossicular chain in chronic suppurative otitis media? Comparison of HRCT and virtual otoscopy with surgical findings. Eur Radiol. 19(6):1408-16, 2009
Lemmerling MM et al: Imaging of the opacified middle ear. Eur J Radiol. 66(3):363-71, 2008
Carrillo RJ et al: Probabilities of ossicular discontinuity in chronic suppurative otitis media using pure-tone audiometry. Otol Neurotol. 28(8):1034-7, 2007
Jeng FC et al: Relationship of preoperative findings and ossicular discontinuity in chronic otitis media. Otol Neurotol. 24(1):29-32, 2003
Jung JY et al: Bone resorption in chronic otitis media: the role of the osteoclast. ORL J Otorhinolaryngol Relat Spec. 64(2):95-107, 2002
Li Y et al: Prospective study of tympanic membrane retraction, hearing loss, and multifrequency tympanometry. Otolaryngol Head Neck Surg. 121(5):514-22, 1999
Albu S et al: Prognostic factors in tympanoplasty. Am J Otol. 19(2):136-40, 1998
Lemmerling MM et al: Normal and opacified middle ears: CT appearance of the stapes and incudostapedial joint. Radiology. 203(1):251-6, 1997
Mills RP: Physiological reconstruction of defects of the incus long process. Clin Otolaryngol Allied Sci. 21(6):499-503, 1996
Uno Y et al: Bone resorption in human cholesteatoma: morphological study with scanning electron microscopy. Ann Otol Rhinol Laryngol. 104(6):463-8, 1995
Vartiainen E et al: Hearing results of surgery for acquired cholesteatoma. Ear Nose Throat J. 74(3):160-2, 164, 1995
Vartiainen E et al: Hearing results of surgery for chronic otitis media without cholesteatoma. Ear Nose Throat J. 74(3):165-6, 169, 1995
Lannigan FJ et al: The cellular mechanism of ossicular erosion in chronic suppurative otitis media. J Laryngol Otol. 107(1):12-6, 1993
Swartz JD et al: Ossicular erosions in the dry ear: CT diagnosis. Radiology. 163(3):763-5, 1987
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