Modern aspects of diagnosing purulent pathology of the ear(Review of cases of middle ear cholesteatoma using non-EPI DWI MRI)
Asel Imangalieva1
Dina Kussainova2
Otabek Tajibaev3
Segizbayeva Aliya3
1.S D Asfendiyaroy Kazakh National Medical University,Almaty Multidisciplinary Clinical Hospital;Almaty,Republic of Kazakhstan2.Asfendiyarov Kazakh National Medical University,Otolaryngology Department Assistant;Almaty,Republic of Kazakhstan3.Asfendiyarov Kazakh National Medical University;Almaty,Republic of Kazakhstan
摘要：Chronic suppurative otitis media(CSOM)is a prevalent condition in otolaryngology with significant medical and social implications,including hearing loss and severe intracranial complications.This article discusses the challenges in diagnosing cholesteatoma,a common complication of CSOM,particularly when using computed tomography(CT)and magnetic resonance imaging(MRI).We present three clinical cases where MRI,particularly in the non-EPI diffusion-weighted imaging(DWI)and apparent diffusion coefficient(ADC)modes,effectively identified the presence and extent of cholesteatoma that CT could not reliably distinguish due to overlapping features with other soft tissue formations.The high sensitivity of MRI,highlight its value in both primary diagnosis and assessment of recurrence.Our findings advocate for the incorporation of MRI into the diagnostic protocols for CSOM in the Republic of Kazakhstan,emphasizing the need for reliable epidemiological data to inform future research and prevent potential intracranial complications.
机标关键词：aspectsmiddlereviewmoderncasescholesteatomadiagnosingpathology
论文发表日期：2025-04-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 117-122 )
英文信息