Hatice KAPLANOĞLU, Levent ALTIN, Mehmet Alp KARADEMİR, Rahşan DAŞAR KARAOĞLANOĞLU, Aysun OKAY ERDOĞAN, Uğur TOPRAK

Kronik İnflamatuar Orta Kulak Hastalıklarında Timpanoskleroz ve Miringoskleroz Sıklığı: BT Bulguları

Amaç: Intratimpanik timpanoskleroz ve miringosklerozun, orta kulak kronik inflamatuar hastalıkları ile koinsidanssıklığının bulunması amaçlanmıştır. Yöntem ve Gereçler: Toplam 156 hastanın BT tetkikinde intratimpanik timpanoskleroz ve miringoskleroz varlığıaraştırıldı. Ameliyat ve patoloji sonuçlarına göre olgular kronik otitis medya, kolesteatom ve kolesteatomatöz kronikotitis medya olmak üzere üç gruba ayrıldı. Hasta gruplarına göre timpanosklerozun dağılımı araştırıldı. Bulgular: Tüm hastalar opere edilmiş olup 76 olguda kronik otitis medya, 40 olguda kolesteatom ve 40 olguda ko- lesteatomatöz kronik otitis medya tanısı konuldu. Intratimpanik timpanoskleroz ve miringoskleroz birlikte ele alın- dığında kronik otitis medya olgularında % 15.8, kolesteatom olgularında % 20, kolesteatomatöz kronik otitis medyaolgularında ise % 22.5 oranında görülmüştür. Hasta gruplarına göre timpanoskleroz sıklığı farklı değildir ( p>0.05).Sonuç: İntratimpanik timpanoskleroz ve miringoskleroz, orta kulaktaki tüm kronik inflamatuar hastalıklar ile birliktegörülebilmektedir. Bilgisayarlı tomografide kolesteatom veya otitis medya tespit edilmişse timpanoskleroz veya tamtersi mutlaka araştırılmalıdır.

The Frequency of Tympanosclerosis And Myringosclerosis In Chronic İnflammatory Middle Ear Diseases: CT Findings

Aim: The purpose was to find the coincidence frequency of middle ear chronic inflamatory diseases and intratym- panic tympanosclerosis and myringosclerosis. Methods: The presence of intratympanic tympanosclerosis and myringosclerosis in the CT s of 156 patient was in- vestigated. The cases were separated into three groups according to the surgical and pathological results as followed,chronic otitis media, cholesteatoma and chronic otitis media with cholesteatoma. The distribution of tympanosclero- sis was investigated according to patient groups. Results: All of the patients were operated and 76 cases diagnosed with chronic otitis media, 40 cases with cholest- eatoma and 40 cases with chronic otitis media with cholesteatoma. Taken together, tympanosclerosis and myringo- sclerosis were seen in 15.8 % of chronic otitits media cases, in 20 % of cholesteatoma cases and in 22.5 % of caseswith chronic otitis media with cholesteatoma. The frequency of tympanosclerosis according to the patient groups isnot different (p>0.05). Conclusion: Intratympanic tympanosclerosis and myringosclerosis can be seen together with all of the chronic in- flammatory diseases of the middle ear. If cholesteatoma or otitis media is detected in CT tympaneosclerosis should beinvestigated and vise versa.

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