The Compatibility of Preoperative Temporal Bone CT Scan Interpretation and Intraoperative Findings in Chronic Suppurative Otitis Media at Dr. Zainoel Abidin Hospital Banda Aceh

Abstract

Introduction: Chronic suppurative otitis media (CSOM) is middle ear and mastoid infection that causes hearing loss globally. Computed Tomography (CT)-Scan of the temporal bone is useful for assessing the pathogenesis of the disease and estimating the prognosis. In addition, evaluation of CT-Scan in patients with CSOM is useful for selecting the appropriate surgical procedure to minimize post-surgical complications. This study aims to assess the suitability of temporal CT-Scan interpretation to intraoperatif findings in CSOM patients. Methods: This is an observational study with cross-sectional design conducted at the dr. Zainoel Abidin General Hospital, Banda Aceh. The components of suitability evaluation include cholesteatoma, scutum erosion, ossicles, tegmen tympani, facial canal, posterior wall and sigmoid sinus wall. The interpretation suitability of temporal CT-Scan and intraoperatif findings was performed using the Kappa test. Results: A total of 18 CSOM patients were involved in this study with a mean age of 32.44 years and dominated by the safe type with a percentage of 55.6%. Interpretation of ossicular erosion based on temporal CT scan has very strong suitability with the intraoperatif findings with k=0.88 followed by posterior wall erosion (k=0.684), scutum erosion (k=0.679), tympanic tegmen erosion (k=0.455) and facial canal erosion (k=0.341). The findings of cholesteatoma and erosion of the sigmoid sinus wall had a very low suitability (k<0.001). Conclusion: Temporal CT scan in CSOM patients has relatively good suitability with intraoperatif findings in evaluating erosion of the ossicles, posterior wall, and scutum. Another examination modality is necessary to assess and improve the accuracy of disease pathogenesis.