Ruffing S, Struffert T, Grgic A, Reith W
Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes Homburg/Saar.
Radiologe. 2005 Sep;45(9):828-36. doi: 10.1007/s00117-005-1257-3.
The pharynx and larynx represent very sophisticated regions and may be involved in a diverse range of pathologic conditions. Evaluation of the head and neck has developed significantly with the establishment of CT and MRI as they provide true insights into the endoscopically blind areas as well as depth of tumor infiltration, its submucosal growth and contralateral involvement, cartilage invasion, bone marrow invasion, and nonpalpable adenopathy. Inflammations in the head and neck region are only exceptionally imaged with CT or MRI; indications are the diagnosis of retrotonsillar and parapharyngeal abscesses and ensuing complications. The different imaging modalities of malignant pharyngeal and laryngeal tumors and their differential diagnosis are presented in this paper.
咽和喉是非常复杂的区域,可能涉及多种病理状况。随着CT和MRI的建立,头颈部评估有了显著发展,因为它们能真正洞察内镜检查的盲区以及肿瘤浸润深度、黏膜下生长情况、对侧受累情况、软骨侵犯、骨髓侵犯和不可触及的淋巴结肿大。头颈部区域的炎症仅在极少数情况下通过CT或MRI成像;适应证为诊断扁桃体后和咽旁脓肿及其后续并发症。本文介绍了恶性咽喉肿瘤的不同成像方式及其鉴别诊断。