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[颞骨手术及放射学要求]

[Temporal bone surgery and requirements for radiology].

作者信息

Bozzato Alessandro

机构信息

Klinik für Hals‑, Nasen- und Ohrenheilkunde, UKS - am Universitätsklinikum des Saarlandes, Kirrberger Str. 100, 66421, Homburg, Deutschland.

出版信息

Radiologie (Heidelb). 2025 Aug;65(8):586-594. doi: 10.1007/s00117-025-01429-x. Epub 2025 Mar 28.

DOI:10.1007/s00117-025-01429-x
PMID:40155455
Abstract

BACKGROUND

Perioperative imaging plays a central role in otorhinolaryngology, particularly in procedures involving the complex temporal bone. Detailed understanding and precise depiction of its specialised anatomy are essential to minimise risks during surgical interventions and to optimise surgical planning.

MATERIALS AND METHODS

This article highlights the value of cross-sectional imaging, primarily computed tomography (CT) and magnetic resonance imaging (MRI), in the context of surgical challenges, critical aspects in the assessment of inflammatory conditions, the planning of middle ear procedures, and tumour diagnostics in the temporal bone. Surgical concepts are illustrated using common pathological conditions.

CONCLUSION

Close collaboration between radiologists and surgeons is crucial to minimise patient-specific risks and to optimise surgical outcomes in inflammatory diseases and neoplasms of the temporal bone.

摘要

背景

围手术期成像在耳鼻咽喉科中起着核心作用,尤其是在涉及复杂颞骨的手术中。详细了解并精确描绘其特殊解剖结构对于将手术干预期间的风险降至最低以及优化手术规划至关重要。

材料与方法

本文强调了横断面成像(主要是计算机断层扫描(CT)和磁共振成像(MRI))在手术挑战、炎症性疾病评估的关键方面、中耳手术规划以及颞骨肿瘤诊断中的价值。使用常见病理状况来说明手术概念。

结论

放射科医生和外科医生之间的密切合作对于将颞骨炎症性疾病和肿瘤患者的特定风险降至最低以及优化手术结果至关重要。

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本文引用的文献

1
Evaluation of Cholesteatoma.胆脂瘤评估。
Otolaryngol Clin North Am. 2025 Feb;58(1):29-39. doi: 10.1016/j.otc.2024.07.008. Epub 2024 Sep 6.
2
Management of Cholesteatoma: Extension Beyond Middle Ear/Mastoid.胆脂瘤的处理:中耳/乳突之外的扩展。
Otolaryngol Clin North Am. 2025 Feb;58(1):89-98. doi: 10.1016/j.otc.2024.07.025. Epub 2024 Sep 6.
3
Temporal bone CT-based anatomical parameters associated with the development of cholesteatoma.基于颞骨 CT 的与胆脂瘤发生相关的解剖学参数。
Radiol Med. 2023 Sep;128(9):1116-1124. doi: 10.1007/s11547-023-01677-8. Epub 2023 Aug 3.
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Postinflammatory Medial Meatal Fibrosis: Histopathologic Features and Outcomes of Surgical Management.炎性后内侧中隔纤维化:手术治疗的组织病理学特征和结果。
Ear Nose Throat J. 2023 Jun;102(6):391-396. doi: 10.1177/01455613211001134. Epub 2021 Apr 5.
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Postoperative Imaging of the Temporal Bone.颞骨术后影像学检查
Radiographics. 2021 May-Jun;41(3):858-875. doi: 10.1148/rg.2021200126. Epub 2021 Mar 19.
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Evaluation After Cochlear Implant Surgery : Correlation of Clinical Outcome and Imaging Findings using Flat-detector CT.人工耳蜗植入术后评估:使用平板探测器 CT 的临床结果与影像学发现的相关性。
Clin Neuroradiol. 2021 Jun;31(2):367-372. doi: 10.1007/s00062-020-00922-1. Epub 2020 Jun 15.
7
[Diagnosis and treatment of glomus tumors of the skull base and neck].[颅底及颈部血管球瘤的诊断与治疗]
Radiologe. 2019 Dec;59(12):1051-1057. doi: 10.1007/s00117-019-00605-0.
8
Paragangliomas of the Head and Neck: Local Control and Functional Outcome Following Fractionated Stereotactic Radiotherapy.头颈部副神经节瘤:分次立体定向放射治疗后的局部控制和功能结果。
Am J Clin Oncol. 2019 Nov;42(11):818-823. doi: 10.1097/COC.0000000000000614.
9
Diagnostics and therapy of vestibular schwannomas - an interdisciplinary challenge.前庭神经鞘瘤的诊断与治疗——一项跨学科挑战。
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2017 Dec 18;16:Doc03. doi: 10.3205/cto000142. eCollection 2017.
10
Endoscopic Management of Middle Ear Paragangliomas: A Case Series.中耳副神经节瘤的内镜治疗:病例系列
Otol Neurotol. 2017 Mar;38(3):408-415. doi: 10.1097/MAO.0000000000001320.