The Importance of Radiological Examination

Oct 13, 2025 by wbrum.org 108 views

The Importance of Early Detection: Understanding Chronic Suppurative Otitis Media (OMSK) with Cholesteatoma through Plain Photos of Mastoid

Introduction

Chronic suppurative otitis media (OMSK) is a recurring middle ear infection that can cause significant damage to the structure of the middle ear, including the formation of cholesteatoma. Cholesteatoma is an abnormal growth of skin that can damage the bones and cause serious complications. Early diagnosis of OMSK with cholesteatoma is crucial to prevent more severe complications. In this article, we will discuss the importance of radiological examination, specifically plain photos of mastoid, in diagnosing OMSK with cholesteatoma.

Understanding Chronic Suppurative Otitis Media (OMSK) with Cholesteatoma

OMSK is a recurring middle ear infection that can cause damage to the structure of the middle ear. This condition can lead to the formation of cholesteatoma, an abnormal growth of skin that can damage the bones and cause serious complications. Cholesteatoma can cause hearing loss, facial paralysis, and even meningitis if left untreated.

The Importance of Radiological Examination

Radiological examination, specifically plain photos of mastoid, can be an effective tool in diagnosing OMSK with cholesteatoma. The study conducted at RSUP. H. Adam Malik Medan examines the effectiveness of the plain photos of Mastoid Schüller and Mayer in detecting CSOM with cholesteatoma.

Study at RSUP. H. Adam Malik Medan

A study conducted at RSUP. H. Adam Malik Medan examines the effectiveness of the plain photos of Mastoid Schüller and Mayer in detecting CSOM with cholesteatoma. This study uses data from 40 patients who also undergo surgery to confirm findings.

Study Results

The results showed that Schüller's projection was more effective in detecting the presence of cholesteatoma compared to Mayer projections. Schüller's projection has 70% accuracy, sensitivity of 71.88%, and positive prediction value of 88.46%, while Mayer projections have an accuracy of 67.50%, sensitivity of 68.75%, and positive predictions 88%.

Mastoid Pneumatization Assessment

In addition to detecting cholesteatoma, plain photos of mastoid can also be used to assess mastoid pneumatization, namely the amount of air cavity in the mastoid bone. Sclerotic mastoid pneumatization (reduced or closed) can be a sign of chronic CSOs.

Conclusion

This study shows that the plain photo of Mastoid Projection Schüller is an effective tool in diagnosing OMSK with cholesteatoma. Schüller projection is more effective than Mayer's projection in detecting cholesteatoma, but both projections have a high diagnostic value in assessing mastoid pneumatization.

The Importance of Radiological Examination

The results of this study emphasize the importance of radiological examination in diagnosing CSOs with cholesteatoma. Although the physical examination and endoscopy of the ear are important, plain photos of mastoid can provide additional information to determine the appropriate therapeutic approach.

Operating Approach

Information obtained from plain mastoid photos, especially regarding the existence of cholesteatoma and mastoid pneumatization conditions, can help the medical team in planning the right operation approach. Knowledge of the location and size of cholesteatoma, as well as the condition of mastoid bone, is very important to determine the right type of operation and minimize the risk of complications.

The Importance of Public Awareness

It is essential for the community to realize the importance of Early Detection of CSOs and Cholesteatoma. If you experience complaints in the ear, such as repetitive ear pain, discharge from the ear, or decreased hearing, consult an ENT specialist to get the right diagnosis and treatment.

Disclaimer

This article is only for informative purposes and is not intended as a substitute for professional medical advice. If you have a health problem, consult an ENT specialist.

References

[1] Study conducted at RSUP. H. Adam Malik Medan
[2] Radiological examination in diagnosing CSOs with cholesteatoma
[3] Mastoid pneumatization assessment
[4] Operating approach
[5] Public awareness

Keywords

Chronic suppurative otitis media (OMSK)
Cholesteatoma
Radiological examination
Plain photos of mastoid
Mastoid pneumatization
Operating approach
Public awareness

Abstract

Chronic suppurative otitis media (OMSK) is a recurring middle ear infection that can cause significant damage to the structure of the middle ear, including the formation of cholesteatoma. Early diagnosis of OMSK with cholesteatoma is crucial to prevent more severe complications. This study examines the effectiveness of the plain photos of Mastoid Schüller and Mayer in detecting CSOM with cholesteatoma. The results show that Schüller's projection is more effective in detecting the presence of cholesteatoma compared to Mayer projections. This study emphasizes the importance of radiological examination in diagnosing CSOs with cholesteatoma and highlights the importance of public awareness in early detection.
Frequently Asked Questions: Chronic Suppurative Otitis Media (OMSK) with Cholesteatoma

Q: What is Chronic Suppurative Otitis Media (OMSK)?

A: Chronic suppurative otitis media (OMSK) is a recurring middle ear infection that can cause significant damage to the structure of the middle ear, including the formation of cholesteatoma.

Q: What is Cholesteatoma?

A: Cholesteatoma is an abnormal growth of skin that can damage the bones and cause serious complications. It can cause hearing loss, facial paralysis, and even meningitis if left untreated.

Q: What are the symptoms of OMSK with Cholesteatoma?

A: The symptoms of OMSK with cholesteatoma can include:

Repetitive ear pain
Discharge from the ear
Decreased hearing
Feeling of fullness in the ear
Itching or discomfort in the ear

Q: How is OMSK with Cholesteatoma diagnosed?

A: OMSK with cholesteatoma can be diagnosed through a combination of physical examination, endoscopy of the ear, and radiological examination, including plain photos of mastoid.

Q: What is the importance of radiological examination in diagnosing OMSK with Cholesteatoma?

A: Radiological examination, specifically plain photos of mastoid, can provide additional information to determine the appropriate therapeutic approach. It can help in assessing the severity of CSOs based on mastoid pneumatization conditions.

Q: What is Mastoid Pneumatization?

A: Mastoid pneumatization is the amount of air cavity in the mastoid bone. Sclerotic mastoid pneumatization (reduced or closed) can be a sign of chronic CSOs.

Q: How can plain photos of mastoid help in diagnosing OMSK with Cholesteatoma?

A: Plain photos of mastoid can help in detecting the presence of cholesteatoma and assessing mastoid pneumatization. It can provide information on the location and size of cholesteatoma, as well as the condition of mastoid bone.

Q: What is the operating approach for OMSK with Cholesteatoma?

A: The operating approach for OMSK with cholesteatoma depends on the severity of the condition and the presence of cholesteatoma. It may involve surgical removal of the cholesteatoma and repair of the middle ear bones.

Q: Why is public awareness important in early detection of OMSK with Cholesteatoma?

A: Public awareness is essential in early detection of OMSK with cholesteatoma. If you experience complaints in the ear, such as repetitive ear pain, discharge from the ear, or decreased hearing, consult an ENT specialist to get the right diagnosis and treatment.

Q: What is the prognosis for OMSK with Cholesteatoma?

A: The prognosis for OMSK with cholesteatoma depends on the severity of the condition and the effectiveness of treatment. Early detection and treatment can improve the prognosis and prevent more severe complications.

Q: Can OMSK with Cholesteatoma be prevented?

A: While OMSK with cholesteatoma cannot be completely prevented, early detection and treatment can help prevent more severe complications. Maintaining good ear hygiene, avoiding exposure to loud noises, and getting regular check-ups with an ENT specialist can help prevent OMSK with cholesteatoma.

Q: What is the role of ENT specialists in diagnosing and treating OMSK with Cholesteatoma?

A: ENT specialists play a crucial role in diagnosing and treating OMSK with cholesteatoma. They can provide a proper diagnosis, recommend the right treatment, and perform surgical procedures to remove the cholesteatoma and repair the middle ear bones.

Q: What are the complications of OMSK with Cholesteatoma if left untreated?

A: If left untreated, OMSK with cholesteatoma can lead to serious complications, including:

Hearing loss
Facial paralysis
Meningitis
Brain abscess
Death

Q: What is the treatment for OMSK with Cholesteatoma?

A: The treatment for OMSK with cholesteatoma depends on the severity of the condition and the presence of cholesteatoma. It may involve surgical removal of the cholesteatoma and repair of the middle ear bones, as well as antibiotics and other medications to treat the infection.

Q: Can OMSK with Cholesteatoma be treated with antibiotics alone?

A: No, OMSK with cholesteatoma cannot be treated with antibiotics alone. Surgical removal of the cholesteatoma and repair of the middle ear bones are usually necessary to treat the condition effectively.

Q: What is the cost of treatment for OMSK with Cholesteatoma?

A: The cost of treatment for OMSK with cholesteatoma can vary depending on the severity of the condition and the type of treatment required. It may include the cost of surgical procedures, antibiotics, and other medications.

Q: Can OMSK with Cholesteatoma be treated with alternative therapies?

A: No, OMSK with cholesteatoma cannot be treated with alternative therapies. Surgical removal of the cholesteatoma and repair of the middle ear bones are usually necessary to treat the condition effectively.

Q: What is the importance of follow-up care after treatment for OMSK with Cholesteatoma?

A: Follow-up care is essential after treatment for OMSK with cholesteatoma to ensure that the condition does not recur. Regular check-ups with an ENT specialist can help monitor the condition and prevent more severe complications.