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. 2007 Mar;28(3):493–496.

HRCT findings for tuberculous otomastoiditis and nontuberculous otomastoiditis

CT findings TOM (n = 19) COM (n = 30) CHOM (n = 30)
Soft tissue location
    Mastoid antrum 19 (100%) 29 (97%) 26 (87%)
    Middle ear cavity
        Entire middle ear cavity 18 (95%) 7 (23%)* 12 (40%)*
        Epitympanum 19 28 25
        Mesotympanum 18 11 12
        Hypotympanum 19 11 12
Preservation of mastoid air cells without sclerotic change 14 (74%) 4 (13%)* 3 (10%)*
Soft tissue extension to the EAC or mucosal thickening of EAC 12 (63%) 0* 5 (17%)*
    Erosion of ossicles 6 (32%) 12 (40%) 26 (87%)*
        Malleus 2 4 26
        Incus 6 11 25
        Stapes 3 5 14
    Erosion of scutum 0 3 (10%) 15 (50%)*
    Erosion of bony labyrinth 1 0 2
    Erosion of facial nerve canal 0 0 3
    Erosion of tegmen tympani 1 2 2

Note:— TOM indicates tuberculous otomastoiditis; COM, chronic otomastoiditis; CHOM, chronic otomastoiditis with cholesteatoma; EAC, external auditory canal.

*

Statistically significant compared with tuberculous otomastoiditis by χ 2 test (P < .05).