Otitis externa CT: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Otitis externa}} | {{Otitis externa}} | ||
{{CMG}} {{AE}} {{LRO}} | {{CMG}}; {{AE}} {{LRO}}; {{TarekNafee}} | ||
==Overview== | ==Overview== | ||
CT imaging is essential in establishing a diagnosis of malignant necrotizing otitis externa by revealing the extent of infection past the [[ear canal]] and | CT imaging is essential in establishing a diagnosis of malignant necrotizing otitis externa by revealing the extent of infection past the [[ear canal]] and extension to adjacent tissues. | ||
==Key CT Findings in Otitis Externa== | ==Key CT Findings in Otitis Externa== | ||
CT scan of the head is essential in diagnosing malignant necrotizing otitis externa by revealing the extent of [[infection]] into the [[temporal]] or intracranial [[soft tissue]].<ref name="pmid12892351">{{cite journal |vauthors=Handzel O, Halperin D |title=Necrotizing (malignant) external otitis |journal=Am Fam Physician |volume=68 |issue=2 |pages=309–12 |year=2003 |pmid=12892351 |doi= |url=}}</ref> CT scan of the head in cases of malignant otitis externa may reveal:<ref name="urlNecrotising otitis externa | Radiology Reference Article | Radiopaedia.org">{{cite web |url=http://radiopaedia.org/articles/necrotising-otitis-externa-1 |title=Necrotising otitis externa | Radiology Reference Article | Radiopaedia.org |format= |work= |accessdate=}}</ref> | |||
*Thickening and enhancing soft tissue in the region of the [[external auditory canal]] with or without formation of a [[phlegmon]] or [[abscess]] | |||
**In the case of an abscess, cartilaginous border enhancing collection(s) with a low attenuation (necrotic) center may be observed. | |||
*The route of infection: | |||
**Anteroinferiorly to involve the [[suprahyoid]] neck spaces | |||
**Direct intracranial spread by erosion of the cartilaginous-bone in the [[external auditory canal]] | |||
*Destruction of [[temporal]] bones and opacified [[mastoid]] air cells | |||
*Destruction of the [[cortex]] of the [[mastoid]]<ref name="CurtinWolfe1982">{{cite journal|last1=Curtin|first1=H D|last2=Wolfe|first2=P|last3=May|first3=M|title=Malignant external otitis: CT evaluation.|journal=Radiology|volume=145|issue=2|year=1982|pages=383–388|issn=0033-8419|doi=10.1148/radiology.145.2.7134442}}</ref> | |||
*Underlying ause of [[facial palsy]] by localization of [[inflammation]] relative to the [[cranial nerves]] | |||
* | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:FinalQCRequired]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Otolaryngology]] | [[Category:Otolaryngology]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Immunology]] | |||
Latest revision as of 23:29, 29 July 2020
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Otitis externa CT On the Web |
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American Roentgen Ray Society Images of Otitis externa CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.; Tarek Nafee, M.D. [2]
Overview
CT imaging is essential in establishing a diagnosis of malignant necrotizing otitis externa by revealing the extent of infection past the ear canal and extension to adjacent tissues.
Key CT Findings in Otitis Externa
CT scan of the head is essential in diagnosing malignant necrotizing otitis externa by revealing the extent of infection into the temporal or intracranial soft tissue.[1] CT scan of the head in cases of malignant otitis externa may reveal:[2]
- Thickening and enhancing soft tissue in the region of the external auditory canal with or without formation of a phlegmon or abscess
- In the case of an abscess, cartilaginous border enhancing collection(s) with a low attenuation (necrotic) center may be observed.
- The route of infection:
- Anteroinferiorly to involve the suprahyoid neck spaces
- Direct intracranial spread by erosion of the cartilaginous-bone in the external auditory canal
- Destruction of temporal bones and opacified mastoid air cells
- Destruction of the cortex of the mastoid[3]
- Underlying ause of facial palsy by localization of inflammation relative to the cranial nerves
References
- ↑ Handzel O, Halperin D (2003). "Necrotizing (malignant) external otitis". Am Fam Physician. 68 (2): 309–12. PMID 12892351.
- ↑ "Necrotising otitis externa | Radiology Reference Article | Radiopaedia.org".
- ↑ Curtin, H D; Wolfe, P; May, M (1982). "Malignant external otitis: CT evaluation". Radiology. 145 (2): 383–388. doi:10.1148/radiology.145.2.7134442. ISSN 0033-8419.