Routine preoperative imaging in chronic ear surgery

Objective: This article provides an overview of the practice and utility of preoperative radiologic studies in chronic otitis media (COM). Data Sources: A literature search of English language clinical and basic sc ience publications was performed. Major otolaryngology texts were reviewed. Special attention was given to the clinical experience and recommendations of experienced otologic surgeons and radiologists regarding the use of rad iologic studies in COM. Conclusions: There is no single accepted standard for the use of preoperati ve imaging in uncomplicated COM. Imaging studies, especially computed tomog raphy (CT), can provide information regarding the nature and extent of dise ase, which may not be apparent on the basis of clinical findings alone. Thi s information may impact the patient's operative management, especially in complex or revision cases. Each clinician must assess the benefits derived from these studies in his or her own practice.