Can MRI replace a second look operation in cholesteatoma surgery?

Dirk Vanden Abeele, Elisabeth Coen, Paul M. Parizel, Paul Van De Heyning

Research output: Contribution to journalArticlepeer-review

52 Citations (Scopus)


The purpose of this paper is to investigate whether a magnetic resonance imaging (MRI) examination of the petrous bones could replace the conventional second look surgical procedure when a canal wall up tympanoplasty procedure has been performed during the first look surgery. Eighteen patients were examined with MRI prior to a second look surgical procedure. MRI was performed on a 1.5 T superconducting system. T2 weighted images before contrast and T1 weighted images after contrast (gadopentate dimeglumine) were obtained. Imaging results were compared with surgical findings. The poor radiosurgical correlation (50%, and 61% after re-evaluation) suggests that, at the present time, MRI is not a valid alternative to a second look surgical intervention in the case of cholesteatoma treated by canal wall up tympanoplasty. In our study, MRI was not capable of differentiating small pearls of residual cholesteatoma from surrounding scar tissue.

Original languageEnglish
Pages (from-to)555-561
Number of pages7
JournalActa Oto-Laryngologica
Issue number5
Publication statusPublished - 20 Aug 1999
Externally publishedYes


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