Radiographic study of scleroma

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Abstract
This radiological study of a large number of scleroma cases allowed description of all possible presentations and extension of the disease, including the rare atypical forms. The previous concepts of the limited occurrence of the disease in the upper respiratory tract is no longer accepted and the disease should be studied by radiography and other means of investigations in all organs of the ear, nose and throat and entire respiratory tract. Radiography proved helpful in revealing the underlying subclinical disease and in assessing the degree of bone and cartilage destruction. In cases presenting endoscopic difficulties where a limited lesion was present under the vocal cords or a narrow impassable trachea, radiography was helpful in diagnosis. The rare cases where the disease extended to the orbit, posterior group of sinuses and base of the skull were easily visualized in the plain radiograms and by tomography. The 2 cases with supervening malignancy were typically suggestive; radiography was helpful in exploring the depth and extension of malignancy. Radiography is important in the diagnosis of scleroma and the detection of the degree of affection and the extension of the disease, regardless of the presentation.

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