دورية أكاديمية
Can imaging suggest the aetiology in skull base osteomyelitis? : a systematic literature review
| العنوان: | Can imaging suggest the aetiology in skull base osteomyelitis? : a systematic literature review |
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| المؤلفون: | Bhalla, Deeksha, Bhalla, Ashu S., Manchanda, Smita |
| سنة النشر: | 2021 |
| المجموعة: | Jagiellonian University Repository |
| مصطلحات موضوعية: | skull base osteomyelitis, mucormycosis, aspergillosis, necrotising otitis externa, radiology, magnetic resonance imaging, X-ray computed tomography |
| الوصف: | Purpose: To assess differentiating features between bacterial, Aspergillus, and Mucor skull base osteomyelitis (SBO) with regard to clinical presentation and imaging appearances. Material and methods: A literature search was performed in April 2020 for studies on SBO with a minimum sample size of 10 patients. Studies that reported presenting symptoms, cross-sectional imaging findings, complications, and mortality were included in the analysis. The quality of included articles was tested using the Quality Assessment of Diagnostic Accuracy Studies 2 tool. A data extraction form was used to retrieve relevant parameters from each of the articles. Results: Thirteen articles were included in the final analysis. Diabetes mellitus was the most common predisposing factor (12.5-91.0%). Presenting complaints in all bacterial SBO studies were otogenic, while fungal SBO patients had nasal/ocular complaints. Rates of mortality and surgical intervention in the fungal group were 50-100% and 50%, respectively, as compared to the bacterial group - 7-87% and 10%, respectively. On imaging, the site of initial infection in bacterial SBO was the external auditory canal, while in fungal SBO it was the paranasal sinus. The incidenceof orbital extension was < 5% in bacterial and 44-70% in fungal SBO, among which Mucor had rates of 65-70%. Bone erosion was less extensive in bacterial SBO, and the patterns differed. The highest incidence of vascular involvement and non-enhancing lesions (23-36%) was seen in Mucor. Aspergillus showed highest sino-cranial extension (52-55%) and homogenous bright enhancement. Conclusions: Systematic analysis of the clinico-radiological parameters in each of the studies revealed differences in presentation, clinical course, extension, bone erosion, and enhancement. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1733-134X 1899-0967 |
| العلاقة: | Polish Journal of Radiology, T. 86, s. e309-e321; https://ruj.uj.edu.pl/xmlui/handle/item/271994Test |
| DOI: | 10.5114/pjr.2021.106470 |
| الإتاحة: | https://doi.org/10.5114/pjr.2021.106470Test https://ruj.uj.edu.pl/xmlui/handle/item/271994Test |
| حقوق: | Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa ; http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.plTest |
| رقم الانضمام: | edsbas.928E580E |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 1733134X 18990967 |
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| DOI: | 10.5114/pjr.2021.106470 |