[High resolution computerized tomography of the petrous bones in a bone algorithm and 2D reconstruction for...

Radiographic imaging of the intratemporal portion of the fallopian canal is important in cases of traumatic facial nerve palsy to visualize the site of involvement. Even if high-resolution computed tomography is used, several images in various planes are necessary to obtain satisfactory diagnostic information. By using a classic axial scan and a wide window (bone algorithm), a 2D reconstruction can be performed "off-line" to visualize the mastoid portion of the fallopian canal. A reconstruction plane 45 degrees to the median-sagittal plane and through the lateral genu of the facial nerve provides the best imaging of the mastoid portion down to the stylomastoid foramen. In cases of temporal bone fractures with facial paralysis, an excellent demonstration of fracture line without further radiation exposure can be obtained in cases considered for surgical decompression.