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HRCT findings for tuberculous otomastoiditis and nontuberculous otomastoiditis

CT findingsTOM (n = 19)COM (n = 30)CHOM (n = 30)
Soft tissue location
    Mastoid antrum19 (100%)29 (97%)26 (87%)
    Middle ear cavity
        Entire middle ear cavity18 (95%)7 (23%)*12 (40%)*
        Epitympanum192825
        Mesotympanum181112
        Hypotympanum191112
Preservation of mastoid air cells without sclerotic change14 (74%)4 (13%)*3 (10%)*
Soft tissue extension to the EAC or mucosal thickening of EAC12 (63%)0*5 (17%)*
    Erosion of ossicles6 (32%)12 (40%)26 (87%)*
        Malleus2426
        Incus61125
        Stapes3514
    Erosion of scutum03 (10%)15 (50%)*
    Erosion of bony labyrinth102
    Erosion of facial nerve canal003
    Erosion of tegmen tympani122
  • 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).