Novel radiologic approaches for cholesteatoma detection: implications for endoscopic ear surgery

Alexander J. Saxby*, Nicholas Jufas, Jonathan H. K. Kong, Allison Newey, Alexander G. Pitman, Nirmal P. Patel

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

2 Citations (Scopus)


Technological advancement in computed tomography (CT) and MRI has improved cholesteatoma detection rates considerably in the past decade. Accurately predicting disease location and extension is essential for staging, planning, and preoperative counseling, in particular in the newer approach of endoscopic ear surgery. Improved sensitivity and specificity of these radiological methods may allow the surgeon to confidently monitor patients, therefore avoiding unnecessary surgery. This article outlines recent advances in CT and MRI technology and advantages and disadvantages of the newer techniques. Emphasis on improving the feedback loop between the radiologist and surgeon will increase the accuracy of these new technologies.

Original languageEnglish
Pages (from-to)89-109
Number of pages21
JournalOtolaryngologic Clinics of North America
Issue number1
Publication statusPublished - 1 Feb 2021
Externally publishedYes


  • Cholesteatoma
  • Computed tomography
  • Cone beam CT
  • Diffusion-weighted imaging
  • Endoscopic ear surgery
  • Fusion imaging
  • Magnetic resonance imaging
  • Otoendoscopy


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