Poster électronique

Diagnostic tomodensitométrique de la tympanosclérose
S. Bejjar, E. Menif, S. Miladi, H. Mizouni, M. Ben Messaoud, I. Turki, S. Sahtout, G. Besbes - Tunis - Tunisie
Congrès 2010
Résumé
Objectifs
Décrire les signes tomodensitométriques permettant le diagnostic de tympanosclérose.
Etablir la fiabilité du scanner dans le diagnostic précoce de la tympanosclérose.
Matériels et méthodes
Etude rétrospective sur 20 mois portant sur 60 oreilles chez 30 patients, d'âge moyen de 44,5 ans, qui étaient explorés pour une otite moyenne chronique, non cholestéatomateuse (8 patients), cholestéatomateuse (6 patients), ou pour une surdité de transmission ou mixte (16 patients). Ils ont été explorés par un scanner GE 64 barrettes, en coupes haute résolution.
Résultats
Le scanner trouvait un épaississement dense de la platine avec densification de l’étrier (tous les cas), une fixation de la chaîne ossiculaire par des ostéomes (9 cas), une lyse ossiculaire (7 cas), une dénudation et/ou une procidence du canal facial (6 cas), une oblitération de la fenêtre ovale (3 cas), une déhiscence du tegmen (5 cas), une déhiscence du canal semicirculaire supérieur (1 cas).
Conclusion
La tympanosclérose est une complication de l’atteinte inflammatoire de l’oreille moyenne. Elle constitue un diagnostic différentiel de l’otospongiose. Le scanner multicoupe permet un diagnostic fiable à un stade précoce. L’étude de son extension et des anomalies associées permet d’adapter la stratégie thérapeutique.
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Shana Phillips

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2017-04-12 17.43 :
Scott Jones

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