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中耳乳突切除术之外:少见的术后颞骨 CT 表现回顾。

Beyond Tympanomastoidectomy: A Review of Less Common Postoperative Temporal Bone CT Findings.

机构信息

From the Departments of Radiology (A.P., J.I.L., F.E.D.).

Otolaryngology-Head and Neck Surgery (M.L.C.), Mayo Clinic, Rochester, Minnesota.

出版信息

AJNR Am J Neuroradiol. 2021 Jan;42(1):12-21. doi: 10.3174/ajnr.A6802. Epub 2020 Nov 12.

DOI:10.3174/ajnr.A6802
PMID:33184072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7814786/
Abstract

Postoperative temporal bone imaging after surgical procedures such as ossiculoplasty, tympanomastoidectomy, cochlear implantation, and vestibular schwannoma resection is often encountered in clinical neuroradiology practice. Less common otologic procedures can present diagnostic dilemmas, particularly if access to prior operative reports is not possible. Lack of familiarity with the less common surgical procedures and expected postoperative changes may render radiologic interpretation challenging. This review illustrates key imaging findings after surgery for Ménière disease, superior semicircular canal dehiscence, temporal encephalocele repairs, internal auditory canal decompression, active middle ear implants, jugular bulb and sigmoid sinus dehiscence repair, and petrous apicectomy.

摘要

在临床神经放射学实践中,经常会遇到诸如听骨成形术、鼓室乳突切除术、耳蜗植入术和前庭神经鞘瘤切除术等手术术后的颞骨影像学表现。如果无法获得先前的手术报告,那么不太常见的耳部手术可能会带来诊断难题。如果对不太常见的手术程序和预期的术后变化不熟悉,可能会使影像学解释具有挑战性。本综述介绍了梅尼埃病、上半规管裂、颞骨脑膨出修复、内听道减压、主动中耳植入、颈静脉球和乙状窦裂修复以及岩尖切除术的术后关键影像学表现。

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本文引用的文献

1
Imaging of Third Window Lesions of the Temporal Bone.颞骨第三窗病变的影像学检查
Semin Roentgenol. 2019 Jul;54(3):276-281. doi: 10.1053/j.ro.2019.04.001. Epub 2019 Apr 12.
2
The Prevalence of Superior Semicircular Canal Dehiscence in Patients With Mastoid Encephalocele or Cerebrospinal Fluid Otorrhea.乳突脑膨出或脑脊液耳漏患者中上半规管裂的患病率。
Otol Neurotol. 2019 Apr;40(4):485-490. doi: 10.1097/MAO.0000000000002155.
3
Medical and Audiological Indications for Implantable Auditory Devices.植入式听觉装置的医学和听力学指征
Otolaryngol Clin North Am. 2019 Apr;52(2):195-210. doi: 10.1016/j.otc.2018.11.001.
4
Totally Implantable Active Middle Ear Implants.完全植入式有源中耳植入物。
Otolaryngol Clin North Am. 2019 Apr;52(2):297-309. doi: 10.1016/j.otc.2018.11.011. Epub 2019 Feb 12.
5
Third Window Lesions.第三窗病变
Neuroimaging Clin N Am. 2019 Feb;29(1):57-92. doi: 10.1016/j.nic.2018.09.005.
6
Otosclerosis and Dysplasias of the Temporal Bone.耳硬化症与颞骨发育异常
Neuroimaging Clin N Am. 2019 Feb;29(1):29-47. doi: 10.1016/j.nic.2018.09.004. Epub 2018 Oct 31.
7
Common Otologic Surgical Procedures: Clinical Decision-Making Pearls and the Role of Imaging.常见耳科手术操作:临床决策要点与影像学的作用
Neuroimaging Clin N Am. 2019 Feb;29(1):183-196. doi: 10.1016/j.nic.2018.09.008. Epub 2018 Oct 31.
8
Jugular bulb and skull base pathologies: proposal for a novel classification system for jugular bulb positions and microsurgical implications.颈静脉球和颅底病变:颈静脉球位置的新型分类系统及显微外科意义的建议。
Neurosurg Focus. 2018 Jul;45(1):E5. doi: 10.3171/2018.5.FOCUS18106.
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Diagnosis and Treatment of Perilymphatic Fistula.外淋巴瘘的诊断与治疗
Adv Otorhinolaryngol. 2018;81:133-145. doi: 10.1159/000485579. Epub 2018 Apr 6.
10
International consensus (ICON) on treatment of Ménière's disease.梅尼埃病治疗的国际共识(ICON)
Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Feb;135(1S):S29-S32. doi: 10.1016/j.anorl.2017.12.006. Epub 2018 Jan 12.