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[锥形束计算机断层扫描在中耳和内耳观察中的价值]

[Value of cone-beam computer tomography in the middle and inner ear observation].

作者信息

Fang Qin, Zhou Wenwen, Liu Yanling, Liu Lingyuan, Tan Songhua

机构信息

Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning,530021,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Sep;35(9):788-795. doi: 10.13201/j.issn.2096-7993.2021.09.005.

Abstract

To identified the feasibility and normal range of cone beam computer tomography(CBCT) in the measurement of temporal bone. 15 formalin fixed human cadaver head specimens were scanned by CBCT, high resolution CT, and Micro CT, respectively. Morphological parameter measurements of the middle and inner ear structures including ossicular chain, cochlea, semicircular canal and facial nerve were performed, and the results measured by the three scanning methods were compared. None of the parameters measured by the three scanning methods were statistically significant except the thickness of stapes footplate(<0.01) and the diameter of cochlear basal turn(<0.01). CBCT was superior in detecting facial nerve bony canal dehiscence. CBCT has the advantages of short scanning time, low radiation dose and high resolution. It can accurately display the morphological characteristics of the temporal bone structures, and is a reliable evaluation method for otological surgery.

摘要

为确定锥形束计算机断层扫描(CBCT)测量颞骨的可行性及正常范围。分别对15例福尔马林固定的人体尸体头部标本进行CBCT、高分辨率CT及显微CT扫描。对中耳和内耳结构包括听骨链、耳蜗、半规管及面神经进行形态学参数测量,并比较三种扫描方法的测量结果。除镫骨底板厚度(<0.01)和耳蜗底转直径(<0.01)外,三种扫描方法测量的参数均无统计学意义。CBCT在检测面神经骨管裂方面更具优势。CBCT具有扫描时间短、辐射剂量低及分辨率高的优点。它能准确显示颞骨结构的形态特征,是耳科手术可靠的评估方法。

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[Value of cone-beam computer tomography in the middle and inner ear observation].[锥形束计算机断层扫描在中耳和内耳观察中的价值]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Sep;35(9):788-795. doi: 10.13201/j.issn.2096-7993.2021.09.005.
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Visualization of anatomy in normal and pathologic middle ears by cone beam CT.锥形束CT对正常和病理状态下中耳解剖结构的可视化。
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本文引用的文献

1
[Progress of research on cone beam CT in cochlear implantation].[锥形束CT在人工耳蜗植入中的研究进展]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jun;35(6):567-572. doi: 10.13201/j.issn.2096-7993.2021.06.019.
3
Stapes Prosthesis Length: One Size Fits All?镫骨假体长度:一种尺寸适用于所有人吗?
Audiol Neurootol. 2019;24(1):1-7. doi: 10.1159/000494915. Epub 2019 Feb 19.
4
[Study of cone-beam CT in evaluating the electrode array of cochlear implantation postoperatively].[锥形束CT在评估人工耳蜗植入术后电极阵列中的应用研究]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Sep;32(18):1371-1373. doi: 10.13201/j.issn.1001-1781.2018.18.002.
5
Ultrahigh-resolution CT scan of the temporal bone.颞骨超高分辨率CT扫描
Eur Arch Otorhinolaryngol. 2018 Nov;275(11):2797-2803. doi: 10.1007/s00405-018-5101-6. Epub 2018 Aug 22.
6
Predictable prosthesis length on a high-resolution CT scan before a stapedotomy.镫骨手术前高分辨率CT扫描上可预测的假体长度。
Eur Arch Otorhinolaryngol. 2018 Sep;275(9):2219-2226. doi: 10.1007/s00405-018-5075-4. Epub 2018 Jul 27.
8
Cone Beam Computed Tomography.锥形束计算机断层扫描
Dent Clin North Am. 2018 Jul;62(3):361-391. doi: 10.1016/j.cden.2018.03.002.
10
Indications of cone beam CT in head and neck imaging in children.锥形束CT在儿童头颈部成像中的应用指征
Acta Otorhinolaryngol Ital. 2017 Aug;37(4):270-275. doi: 10.14639/0392-100X-1219.

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