Postoperative Imaging of the Temporal Bone

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art_TAMES_Postoperative_Imaging_of_the_Temporal_Bone_2021.PDF (3.49 MB)
Citações na Scopus
4
Tipo de produção
article
Data de publicação
2021
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
RADIOLOGICAL SOC NORTH AMERICA
Autores
Citação
RADIOGRAPHICS, v.41, n.3, p.858-875, 2021
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
The anatomy of the temporal bone is complex, and postoperative imaging evaluation of this bone can be challenging. Surgical approaches to the temporal bone can be categorized didactically into tympanoplasty and ossicular reconstruction, mastoidectomy, and approaches to the cerebellopontine angle and internal auditory canal (IAC). In clinical practice, different approaches can be combined for greater surgical exposure. Postoperative imaging may be required for follow-up of neoplastic lesions and to evaluate unexpected outcomes or complications of surgery. CT is the preferred modality for assessing the continuity of the reconstructed conductive mechanism, from the tympanic membrane to the oval window, with use of grafts or prostheses. It is also used to evaluate aeration of the tympanic and mastoid surgical cavities, as well as the integrity of the labyrinth, ossicular chain, and tegmen. MRI is excellent for evaluation of soft tissue. Use of a contrast-enhanced fat-suppressed MRI sequence is optimal for follow-up after IAC procedures. Non-echo-planar diffusion-weighted imaging is optimal for detection of residual or recurrent cholesteatoma.The expected imaging findings and complications of the most commonly performed surgeries involving the temporal bone are summarized in this review.
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URI
https://observatorio.fm.usp.br/handle/OPI/41103
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Coleções
Artigos e Materiais de Revistas Científicas - HC/InRad