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A review of thirty‐nine patients diagnosed with necrotising otitis externa over three years: Is CT imaging for diagnosis sufficient?

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1.Early necrotising otitis externa (NOE) does not always show osseous destruction on CT imaging; therefore complimentary MRI is superior in evaluating anatomical location and extent of the soft tissue involvement.… Click to show full abstract

1.Early necrotising otitis externa (NOE) does not always show osseous destruction on CT imaging; therefore complimentary MRI is superior in evaluating anatomical location and extent of the soft tissue involvement. 2.This study showed a high percentage of CT scans with no obvious radiological appearance of NOE (in a group of patients with NOE confirmed with MRI). 3.CT imaging will evaluate bone erosion and demineralization, but early soft tissue findings in NOE are poorly evaluated by CT and are difficult to appreciate. 4.The most helpful MRI sequences are the post gadolinium T1-Weighted sequences with fat suppression. 5.The most common positive MRI finding in NOE is retrocondylar fat infiltration.

Keywords: thirty nine; review thirty; necrotising otitis; otitis externa; mri

Journal Title: Clinical Otolaryngology
Year Published: 2020

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