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Radiology, Vol 149, 745-749, Copyright © 1983 by Radiological Society of North America


ARTICLES

Malignant external otitis: the role of computed tomography and radionuclides in evaluation

DS Mendelson, PM Som, MH Mendelson and SC Parisier

Nine patients with malignant external otitis (MEO) were evaluated with Tc-99m bone scans, Ga-67 citrate scans, pluridirectional tomography, and computed tomographic (CT) scans in order to assess the role of each in the diagnosis and management of MEO. The Tc-99m and Ga-67 citrate scans were the most accurate studies in the initial identification of disease activity, while the return to normal or improvement of the Ga- 67 citrate scan has been shown to correlate best with clinical resolution of MEO. CT demonstrated soft-tissue disease and central skull base osteomyelitis better than pluridirectional tomography. CT is excellent for localizing and following the progression of bone disease; however, because reossification of the skull base is a very slow process, CT cannot be used to follow accurately regression or inactivity of MEO affecting this area. CT is the best modality for following soft-tissue extension of MEO.


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M. E. Heilbrun, K. L. Salzman, C. M. Glastonbury, H. R. Harnsberger, R. J. Kennedy, and C. Shelton
External Auditory Canal Cholesteatoma: Clinical and Imaging Spectrum
AJNR Am. J. Neuroradiol., April 1, 2003; 24(4): 751 - 756.
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