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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Aug 28, 2025; 17(8): 109447
Published online Aug 28, 2025. doi: 10.4329/wjr.v17.i8.109447
Published online Aug 28, 2025. doi: 10.4329/wjr.v17.i8.109447
Role of imaging in chronic otitis media and its complications
Kemal Bugra Memis, Sonay Aydin, Department of Radiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan 24000, Basbaglar, Türkiye
Author contributions: Memis KB performed data acquisition and the majority of the writing, prepared the figures and tables; Aydin S provided the input in writing the paper, designed the outline and coordinated the writing of the paper.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kemal Bugra Memis, MD, Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, No. 1429 Street, Erzincan 24000, Basbaglar, Türkiye. kemalbugramemis@gmail.com
Received: May 12, 2025
Revised: June 4, 2025
Accepted: July 31, 2025
Published online: August 28, 2025
Processing time: 109 Days and 6.7 Hours
Revised: June 4, 2025
Accepted: July 31, 2025
Published online: August 28, 2025
Processing time: 109 Days and 6.7 Hours
Core Tip
Core Tip: Chronic otitis media is a long-term inflammatory disease affecting the middle ear, which, if not properly managed, can result in both extracranial and intracranial complications. Magnetic resonance imaging is particularly valuable in assessing soft tissue involvement and distinguishing cholesteatomas from other inflammatory conditions, especially through the use of diffusion-weighted imaging (DWI). Recently, sensitivity of DWI in the diagnosis of cholestatoma was shown to be 88% and specificity of 96%. Meanwhile, high-resolution computed tomography remains the primary imaging modality for evaluating bony erosion, ossicular chain damage, and mastoid pathology, providing essential details for diagnosis and treatment planning.