Poster électronique

Diagnostic de l’otodpongiose et classification tomodensitométrique pronostique
E. Menif, S. Bejjar, S. Miladi, O. Azaiz, H. Mizouni, I. Turki, M. Ben Messaoud, K. Nouira, S. Kharrat, S. Sahtout - Tunis - Tunisie
Congrès 2010
Résumé
Objectifs
Détailler les signes tomodensitométriques de l’otospongiose. Préciser l’intérêt du scanner dans le bilan préopératoire Proposer une classification tomodensitométrique pronostique.
Matériels et méthodes
Etude rétrospective sur une période de 20 mois au cours desquels 55 patients consultant pour hypoacousie ont été explorés. Une surdité de transmission était notée dans 37 cas, une surdité mixte dans 67 cas et 5 oreilles étaient cliniquement saines. Ils ont bénéficié d’un scanner GE 64 barrettes en coupes haute résolution. La classification tomodensitométrique de Veillon a été adoptée.
Résultats
Le scanner trouvait un type 1A (13 cas), 1B (3 cas), 2 (56 cas), 3 (10 cas), 4A (13 cas) et 4B (3 cas). Une effraction endostéale accompagnait le type 3 (5 cas) et 4 (11 cas). Une sténose ou une oblitération de la fenêtre ronde étaient retrouvées avec le type 2 (6 cas), type 3 (2 cas) et 4 (11 cas). D’autres anomalies étaient notées : procidence du VII2, sténose de la fenêtre ovale, malformation du labyrinthe postérieur, tympanosclérose, ankylose malléaire, procidence de la jugulaire ou du sinus sigmoïde. Un mauvais résultat fonctionnel de la chirurgie a été corréléà l’effraction endostéale et à l’atteinte de la fenêtre ronde.
Conclusion
Le scanner permet le diagnostic de l’otospongiose et le balisage anatomique préopératoire. Il fournit des éléments pronostiques justifiant la classification tomodensitométrique modifiée que les auteurs proposent.
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2017-08-31 21.46 :
Ann Perez

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2017-04-11 07.59 :
Ann Perez

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2017-04-11 03.29 :
Michael Law

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