Greschus S, Albert F, Eichhorn K W G
Radiologische Klinik, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53125, Bonn, Deutschland.
HNO Klinik, Universitätsklinikum Bonn, Bonn, Deutschland.
HNO. 2017 Jun;65(6):490-503. doi: 10.1007/s00106-017-0341-0.
Due to the complex anatomy of the anterior skull base and paranasal sinuses, radiologic diagnostics in this area are challenging. Magnetic resonance imaging (MRI) and computed tomography (CT) are the primary indicated modalities. Guidelines helping to select the appropriate modality have been published by the German Society of Head and Neck Radiology and the Society of Otorhinolaryngology. The present article presents an overview of the current radiologic procedures and their optimized implementation using clinical examples. These examples highlight the fact that a combination of at least CT and MRI is frequently required. Use of CT for intraoperative navigation is everyday practice in clinical routine. Occasionally, additional procedures such as angiography or myelography are necessary, particularly in cases of preoperative vascular diagnostics or embolization. Overall, evaluation of radiologic diagnostics in this area is complex; it requires experience and knowledge of the disease, as well as an understanding of the diagnostic procedures. Close collaboration between head and neck surgeons and radiologists is thus essential.
由于前颅底和鼻窦的解剖结构复杂，该区域的放射学诊断具有挑战性。磁共振成像（MRI）和计算机断层扫描（CT）是主要的检查方式。德国头颈放射学会和耳鼻咽喉科学会已发布了有助于选择合适检查方式的指南。本文通过临床实例概述了当前的放射学检查程序及其优化实施。这些实例凸显了经常需要至少将CT和MRI联合使用这一事实。在临床常规操作中，将CT用于术中导航已是日常做法。偶尔，还需要进行血管造影或脊髓造影等额外检查，尤其是在术前进行血管诊断或栓塞的情况下。总体而言，该区域放射学诊断的评估很复杂；它需要对疾病的经验和了解，以及对诊断程序的理解。因此，头颈外科医生和放射科医生之间的密切合作至关重要。
