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Chronic suppurative otitis media (CSOM) is inflammation of middle ear of greater than two weeks that results in ear discharge. It is associated with hearing loss. The role of HRCT temporal bone comes in the knowing the extent of involvement caused by the disease. Material and Methods: The study was done on 50 patients diagnosed clinically with CSOM between December 2017 to May 2018 with the help of GE Bright Speed 16 slice machine. Results: Out of 50 patients 32 were males and 18 were females. Cholesteatoma was found in 29 patients, followed by ear ossicle erosion (22 patients),mastoditis (15 patients),tympanic membrane perforation (6 patients),labyrinthine fistula (3 patients) and malignancy (2 patient). Epitympanum was involved in 29 patients followed by antrum (28 patients),mastoid air cells (22 patients),aditus (19 patients),mesotympanum (12 patients),hypotympanum (12 patients),perilabyrinthine cells (5 patients). Amonst the complicated cases, brain abscess was found in 4 patients followed by mastoid abscess (2 patients),labyrinthine fistula (1patient),facial nerve palsy (1 patient) and meningitis (1 patient). Conclusions: HRCT of temporal bone is useful in finding the location and extent of disease in patients with chronic supparative otitis media. It is of great importance in guiding the surgeon to plan for appropriate surgical approach as well as in conservative management.

Role of HRCT Temporal Bone In Patients with Chronic Supparative Otitis Media