常规平面膜成像术的作用 耳植入后常规平面膜成像术的作用
Ali Kouhi1,2, Alireza Sharifi1,2, Nikolas H Blevins3
1Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
概括
在耳植入患者的常规术后X射线 (XR) 很少发现需要干预的问题. 虽然XR可以在特定的高风险病例中有用,但计算机断层扫描 (CT) 对阵列放置问题提供了更好的可视化.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 耳植入需要精确的电极阵列放置在耳内.
- 术后成像用于确认阵列位置并确定潜在的并发症.
研究的目的:
- 为了评估常规术后X射线 (XR) 在耳植入患者的有效性.
- 确定常规XR成像是否影响临床管理决策.
主要方法:
- 对195名耳植入体患者的回顾性图表审查.
- 术后X射线 (XR) 和计算机断层扫描 (CT) 对电极阵列错位的分析.
- 异常发现被定义为曲的尖端,扭曲,不完整的插入或偏离耳曲线.
主要成果:
- 在XR的188名患者中,只有2名患者出现异常发现 (错位,尖端折叠,插入不完整).
- 这两种异常病例都有骨质迷宫炎;一个需要重新植入.
- 在大多数情况下,常规XR发现不需要额外的干预.
结论:
- 常规的术后X射线对于没有明显的耳异常的患者来说是微不足道的.
- 术后XR可以在选择的高风险患者中提供信息.
- 计算机断层扫描 (CT) 是评估风险患者阵列位置的有价值的替代方案.
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