Current Trends in Radiological Diagnostics and Treatment of the Temporal Bone Pyramid Pathologies

Marzhan Yernarova 1 * , Tairkhan Dautov 1, Bauyrzhan Kaliyev 1
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1 Department of Radiology and Nuclear Medicine, “University Medical Center” Corporate Fund, Astana, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 21, Issue 4, pp. 6-13. https://doi.org/10.23950/jcmk/14962
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Author Contributions: Conceptualization, M.Y.; methodology, M.Y. and T.D.; validation,  T.D. and B.K.; formal analysis, M.Y. and B.K.; investigation, M.Y.; resources, M.Y. and T.D.; data curation, M.Y. and B.K.; writing – original draft preparation, M.Y., B.K. and T.D.; writing – review and editing,  M.Y., B.K. and T.D ; visualization, M.Y.; supervision, T.D. and B.K.; project administration, T.D. and B.K.; funding acquisition, T.D. All authors have read and agreed to the published version of the manuscript.

ABSTRACT

Diseases of the middle ear and the temporal bone pyramid remain one of the most common diseases in the structure of otorhinolaryngological pathologies, which have a significant impact on the quality of life of adults and children. Exudative processes, as well as their consequences, become one of the main causes of persistent hearing loss and are characterized by an asymptomatic course with a gradual evolution to chronic forms. It should be noted that in childhood the risk of impaired speech and intellectual development increases, leading to changes in the psycho-emotional status, social maladaptation of the child, and a decrease in the quality of life. Timely and complete diagnosis and high-quality follow-up takes a leading role in preventing the development of conductive hearing loss and other complicated pathologies of the temporal bone pyramid.
Purpose of the study. To study the main predisposing factors, methods of radiological diagnosis and dynamic observation of patients, as well as some modern aspects of the treatment of the most common pathologies of the temporal bone pyramid.
Methodology. We conducted an analytical review of open access sources from scientific databases such as Scopus, PubMed, Google Scholar, Web of Science, DisserCat, CyberLeninka. Key words used for the search: “chronic otitis media”, “cholesteatoma”, “mastoiditis”, “complications”, “magnetic resonance imaging”, “DWI”, “computed tomography”. Publications included in the literature review were full-text articles in English and Russian and dissertations in Russian. Exclusion criteria: brief reports, newspaper articles and personal communications. The search range was 5 years (2018-2023). A total of 108 sources were analyzed, of which 50 met the research objectives and inclusion criteria.
Results and conclusions. In the diagnosis of temporal bone pathologies, the gold standard for diagnosis is computed tomography, but non-ionizing research techniques are increasingly used. Indications for the use of magnetic resonance imaging of the temporal bones are constantly expanding, and techniques for merging data with computed tomography data are being increasingly introduced. As a follow-up tool, magnetic resonance therapy is increasingly becoming a priority technique to reduce patient radiation exposure in the long term. In the treatment of complicated forms of diseases, endoscopic and laser correction techniques are used in foreign practice, helping to reduce the risk of recurrence and postoperative complications.
Key words: chronic otitis media, cholesteatoma, magnetic resonance imaging, computed tomography, treatment
Keywords: chronic otitis media, cholesteatoma, magnetic resonance imaging, computed tomography, treatment

CITATION

Yernarova M, Dautov T, Kaliyev B. Current Trends in Radiological Diagnostics and Treatment of the Temporal Bone Pyramid Pathologies. J CLIN MED KAZ. 2024;21(4):6-13. https://doi.org/10.23950/jcmk/14962

REFERENCES

  • Brescia G, Frosolini A, Franz L, Daloiso A, Fantin F, Lovato A, Filippis CD, Marioni G. Chronic otitis media in patients with chronic rhinosinusitis: a systematic review. Medicina. 2023 Jan 8; 59(1):123. https://doi.org/10.3390/medicina59010123
  • Lee D, Kim Y, Kim DK. Sensorineural hearing loss after surgery to treat chronic otitis media. Ear, Nose & Throat Journal. 2021 Jun; 100(3_suppl): 220S-4S. https://doi.org/10.1177/0145561320968929
  • Haile LM, Kamenov K, Briant PS, Orji AU, Steinmetz JD, Abdoli A et al. Hearing loss prevalence and years lived with disability, 1990–2019: findings from the Global Burden of Disease Study 2019. The Lancet. 2021 Mar 13; 397(10278): 996-1009. https://doi.org/10.1016/S0140-6736(21)00516-X
  • Jolink C, Huijsman A, Dreschler WA, de Wolf MJ, Ebbens FA, van Spronsen E. Surgery for chronic otitis media in the elderly. American journal of otolaryngology. 2023 Mar 1; 44(2): 103698. https://doi.org/10.1016/j.amjoto.2022.103698
  • Seo Y, Nonaka M, Pawankar R. Eosinophilic otitis media and comorbid asthma. Current Opinion in Allergy and Clinical Immunology. 2020 Feb 1; 20(1): 9-13. https://doi.org/10.13201/j.issn.2096-7993.2021.01.017
  • Iino Y. Eosinophilic otitis media; state-of-the-art diagnosis and treatment. Auris Nasus Larynx. 2023 Aug 1;50(4): 479-89. https://doi.org/10.1016/j.anl.2022.11.004
  • Andreeva IG. Optimization of treatment of children with exudative otitis media and congenital cleft lip and palate [optimizacziya lecheniya detej s e`kssudativny`m srednim otitom s vrozhdenny`mi rasshhelinami guby` i nyoba]. Dissercat. 2022.
  • Jung Y, Cho A, Yang S, Jeon Y, Bae SH. Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media. Journal of Audiology & Otology. 2022 Jan; 26(1): 31. https://doi.org/10.7874/jao.2021.00549
  • Sadhar B, Ko-Keeney E, Fornelli R, Lipman S. Mycoplasma Hominis: A Rare Case of Acute Otitis Media and Facial Nerve Paralysis. Ear, Nose & Throat Journal. 2022 Aug 30: 01455613221113814. https://doi.org/10.1177/01455613221113814
  • Bouzaher MH, Kilic S, Anne S. Cholesteatoma. Cleveland Clinic Journal of Medicine. 2023 May 1; 90(5): 279-81. https://doi.org/10.3949/ccjm.90a.22064
  • Huang Y, Pan T, Lu Z, Wang Y, Ma F. Clinical analysis of 21 cases of cholesteatoma recidivism after canal-wall-up mastoidectomy with tympanoplasty. Lin Chuang er bi yan hou tou Jing wai ke za zhi= Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery. 2021 Jan 1; 35(1): 66-9. https://doi.org/10.13201/j.issn.2096-7993.2021.01.017
  • Anikin IA, Knyazev NN, Bokuchaeva TA. Massive cholesteatoma of the temporal bone in patients who underwent open debridement surgery [massivnaya kholesteatoma visochnoj kosti u paczientov, perenesshikh saniruyushhuyu operacziyu otkry`togo tipa]. Russkij mediczinskij zhurnal., 2020. 4(4), 247-253. https://doi.org/10.32364/2587-6821-2020-4-4-247-253
  • Ajduk J, Peček M, Gregurić T, Košec A. Post-traumatic cholesteatoma causing a brain abscess presenting 29 years after head injury. European Annals of Otorhinolaryngology, Head and Neck Diseases. 2022 Nov; 139(6): 371-3. https://doi.org/10.1016/j.anorl.2022.03.007
  • Mayer S, Raggio BS, Master A, Lygizos N. Langerhans cell histiocytosis of the temporal bone. Ochsner Journal. 2020 Sep 21; 20(3): 315-8. https://doi.org/10.31486/toj.19.0032
  • Gonçalves DC, Santos TS, Silva VC, Costa HN, Carvalho CM. Frontal Sinus Cholesteatoma Presenting with Intracranial and Orbital Complications: Diagnosis and Treatment. Turkish Archives of Otorhinolaryngology. 2022 Dec; 60(4): 234. https://doi.org/10.4274/tao.2022.2022-7-7
  • Richards E, Muzaffar J, Cho WS, Monksfield P, Irving R. Congenital mastoid cholesteatoma. The journal of international advanced otology. 2022 Jul; 18(4): 308. https://doi.org/10.5152/iao.2022.21450
  • Chernogaeva EA. Clinical and morphological features of congenital and acquired cholesteatoma of the middle ear in children [kliniko- morfologicheskie osobennosti vrozhdenny`kh i priobretenny`kh kholesteatom srednego ukha u detej]. Dissercat. 2021.
  • Racca JM, Lee J, Sikorski F, Crenshaw III EB, Hood LJ. Cholesteatoma is associated with pediatric progressive sensorineural hearing loss. Ear and hearing. 2022 Jul 1; 43(4): 1282-90. https://doi.org/10.1097/AUD.0000000000001176
  • Bovi C, Luchena A, Bivona R, Borsetto D, Creber N, Danesi G. Recurrence in cholesteatoma surgery: what have we learnt and where are we going? A narrative review. ACTA Otorhinolaryngologica Italica. 2023 Apr; 43(2 Suppl 1): S48. https://doi.org/10.14639/0392-100X-suppl.1-43-2023-06
  • Molteni G, Fabbris C, Molinari G, Alicandri-Ciufelli M, Presutti L, Paltrinieri D, Marchioni D. Correlation between pre-operative CT findings and intra-operative features in pediatric cholesteatoma: A retrospective study on 26 patients. European Archives of Oto-Rhino-Laryngology. 2019 Sep 1; 276: 2449-56. https://doi.org/10.1007/s00405-019-05500-x
  • Benyo S, Benn DV, Saadi RA, Gangai L, Kasmire KE, Isildak H, Goyal N. Utility of Temporal Bone Computed Tomography in Pediatric Emergency Medicine. Western Journal of Emergency Medicine. 2022 Mar; 23(2): 238. https://doi.org/10.5811/westjem.2021.11.52704
  • Kosyakov SY, Pchelenok EV, Stepanova EA, Tarasova OY. Combination of CT and MRT in the diagnostic of middle ear cholesteatoma. Fusion technology is precise localization tool. [sovmeshhenie rentgenovskoj komp`yuternoj i magnitno-rezonansnoj tomografii v diagnostike kholesteatomy` srednego ukha. Tekhnologiya Fusion — instrument tochnoj lokalizaczii]. Vestnik otorinolaringologii. 2021; 86(5): 90‑96. https://doi.org/10.17116/otorino20218605190
  • Vergadi E, Velegrakis S, Raissaki M, Bitsori M, Karatzanis A, Galanakis E. Acute mastoiditis complicated by cerebral venous sinus thrombosis in children. International Journal of Pediatric Otorhinolaryngology. 2021 Feb 1; 141: 110508. https://doi.org/10.1016/j.ijporl.2020.110508
  • Bashir U, Baba Y. Diffusion-weighted imaging. Reference article, Radiopaedia. org.(Accessed on 14 Mar 2022) https://doi. org/10.53347/rID-16718. 2012. https://doi.org/10.53347/rID-16718
  • Zuo W, Wang F, Yang S, Han D, Dai P, Shen W, Hou Z, Han W. Clinical characteristics of petrosal cholesteatoma and value of MRI-DWI in the diagnosis. Acta Oto-Laryngologica. 2020 Apr 2; 140(4): 281-5. https://doi.org/10.1080/00016489.2019.1701707
  • Semiz-Oysu A, Oysu C, Kulali F, Bukte Y. PROPELLER diffusion weighted imaging for diagnosis of cholesteatoma in comparison with surgical and histopathological results: emphasis on false positivity and false negativity. European Archives of Oto-Rhino-Laryngology. 2023 Nov; 280(11): 4845-50. https://doi.org/10.1007/s00405-023-08001-0
  • Saju G, Li Z, Mao H, Liu T, Chang Y. Suppressing image blurring of PROPELLER MRI via untrained method. Physics in Medicine & Biology. 2023 Aug 11; 68(17): 175002. https://doi.org/10.1088/1361-6560/acebb1
  • Saat R, Kurdo G, Laulajainen-Hongisto A, Markkola A, Jero J. Detection of coalescent acute mastoiditis on MRI in comparison with CT. Clinical Neuroradiology. 2021 Sep; 31: 589-97. https://doi.org/10.1007/s00062-020-00931-0
  • Tames HL, Padula M, Sarpi MO, Gomes RL, Toyama C, Murakoshi RW, Olivetti BC, Gebrim EM. Postoperative imaging of the temporal bone. RadioGraphics. 2021 May; 41(3): 858-75. https://doi.org/10.1148/rg.2021200126
  • Yazama H, Kunimoto Y, Hasegawa K, Watanabe T, Fujiwara K. Characteristics of repeated recidivism in surgical cases of cholesteatoma requiring canal wall reconstruction. Ear, Nose & Throat Journal. 2024 Apr; 103(4): 234-40. https://doi.org/10.1177/01455613211048575
  • Delrue S, De Foer B, van Dinther J, Zarowski A, Bernaerts A, Vanspauwen R, Casselman JW, Offeciers E, Somers T. The value of diffusion-weighted MRI in the long-term follow-up after subtotal petrosectomy for extensive cholesteatoma and chronic suppurative otitis media. Otology & Neurotology. 2019 Jan 1; 40(1): e25-31. https://doi.org/10.1097/MAO.0000000000002049
  • Balik AO, Seneldir L, Verim A, Toros SZ. The role of fusion technique of computed tomography and non-echo-planar diffusion-weighted imaging in the evaluation of surgical cholesteatoma localization. Medeniyet Medical Journal. 2022 Mar; 37(1): 13. https://doi.org/10.26355/eurrev_202310_34063https://doi.org/10.4274/MMJ.galenos.2022.28928
  • Sun WH, Fan JK, Huang TC. The efficacy of DW and T1-W MRI combined with CT in the preoperative evaluation of cholesteatoma. Journal of Personalized Medicine. 2022 Aug 21; 12(8): 1349. https://doi.org/10.3390/jpm12081349
  • Aslan GG, Aghayarov OY, Pekçevik Y, Arslan IB, Çukurova İ, Aslan A. Comparison of tympanometric volume measurement with temporal bone CT findings in the assessment of mastoid bone pneumatization in chronic otitis media patients. Eur Rev Med Pharmacol Sci. 2023 Oct 1; 27(5 Suppl): 6-10. https://doi.org/10.26355/eurrev_202310_34063
  • Pai KK, Omiunu AO, Peddu DK, Au VH, Baredes S, Jyung RW, Eloy JA, Fang CH. Tuberculosis of the middle ear: A systematic review. American Journal of Otolaryngology. 2022 Sep 1; 43(5): 103571. https://doi.org/10.1016/j.amjoto.2022.103571
  • Bakshi SS, Kaipuzha RR. Tuberculous otitis media. Med. clín (Ed. impr.). 2019: e53-. https://doi.org/10.1016/j.medcli.2018.06.017
  • Sebastian SK, Singhal A, Sharma A, Doloi P. Tuberculous otitis media–series of 10 cases. Journal of otology. 2020 Sep 1; 15(3): 95-8. https://doi.org/10.1016/j.joto.2019.12.00
  • Barkanova ON, Gagarina SG, Kaluzhenina AA. Tuberculous otitis media: a clinical example [Tuberkulezny`j srednij otit: klinicheskij primer]. Vestnik VolgGMU UDK. 2020, issue 4(76), 103-105. https://doi.org/10.19163/1994-9480-2020-4(76)-103-105
  • Din TF, Fagan JJ, Peer S. Profile of paediatric tuberculosis mastoiditis–a case series. South African Journal of Surgery. 2022; 60(1): 62-6. https://doi.org/10.17159/2078-5151/2022/v60n1a3570
  • Solis-Pazmino P, Siepmann T, Scheffler P, Ali N-E-S, Lincango-Naranjo E, Valdez TA, et al. Canal wall up versus canal wall down mastoidectomy techniques in the pediatric population with cholesteatoma: A systematic review and meta-analysis of comparative studies. International Journal of Pediatric Otorhinolaryngology. 2023;173(111658):111658. http://dx.doi.org/10.1016/j.ijporl.2023.111658
  • Nobel GJ, Cushing SL, Papsin BC, James AL. Intraoperative bleeding and the risk of residual cholesteatoma: a multivariate analysis. Otology & Neurotology. 2017;38(4):529–534. http://dx.doi.org/10.1097/mao.0000000000001355
  • Park JH, Ahn J, Moon IJ. Transcanal endoscopic ear surgery for congenital cholesteatoma. Clinical and experimental otorhinolaryngology. 2018 Dec;11(4): 233. https://doi.org/10.21053/ceo.2018.00122
  • Jenks CM, Purcell PL, Federici G, Villari D, Presutti L, James AL, Hoff SR. Transcanal endoscopic ear surgery for congenital cholesteatoma: a multi-institutional series. Otolaryngology–Head and Neck Surgery. 2022 Sep; 167(3): 537-44. https://doi.org/10.1177/01945998211067502
  • Basonbul RA, Ronner EA, Kozin ED, Lee DJ, Cohen MS. Systematic review of endoscopic ear surgery outcomes for pediatric cholesteatoma. Otology & Neurotology. 2021 Jan 1; 42(1): 108-15. https://doi.org/10.1097/MAO.0000000000002876
  • Marchioni D, Villari D, Alicandri-Ciufelli M, Piccinini A, Presutti L. Endoscopic open technique in patients with middle ear cholesteatoma. European archives of oto-rhino-laryngology. 2011 Nov; 268: 1557-63. https://doi.org/10.1007/s00405-011-1533-y
  • Li B, Zhou L, Wang M, Wang Y, Zou J. Endoscopic versus microscopic surgery for treatment of middle ear cholesteatoma: A systematic review and meta-analysis. American Journal of Otolaryngology. 2021;42(2):102451. http://dx.doi.org/10.1016/j.amjoto.2020.102451
  • Choi JE, Kang WS, Lee JD, Chung JW, Kong SK, Lee IW, Moon IJ, Hur DG, Moon IS, Cho HH. Outcomes of endoscopic congenital cholesteatoma removal in South Korea. JAMA Otolaryngology–Head & Neck Surgery. 2023 Mar 1; 149(3): 231-8. https://doi.org/10.1001/jamaoto.2022.4660
  • Nishiike S, Oshima K, Imai T, Uetsuka S. A novel endoscopic hydro-mastoidectomy technique for transcanal endoscopic ear surgery. The Journal of Laryngology & Otology. 2019 Mar; 133(3): 248-50. https://doi.org/10.1017/S002221511900046X