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High-Resolution Computed Tomography of Temporal Bone: Part III: Axial Postoperative Anatomy

Powitzky, Eric S. MD*†; Hayman, L. Anne MD‡; Bartling, Soenke H. MD§; Chau, Jason MD**; Gupta, Rajiv PhD, MD¶; Shukla, Vershalee MD‡

Journal of Computer Assisted Tomography: March/April 2006 - Volume 30 - Issue 2 - pp 337-343
Graphical Anatomy

Abstract: The purpose of this 4-part series is to illustrate the nuances of temporal bone anatomy using a high-resolution (200-μ isotropic) prototype volume computed tomography (CT) scanner. The normal anatomy in axial and coronal sections is depicted in the first and second parts. In this and the subsequent part, the structures that are removed and/or altered in 9 different surgical procedures are color coded and inscribed in the same axial (article III) and coronal (article IV) sections. The text stresses clinically important imaging features, including the normal postoperative appearance, and common complications after these operations. The superior resolution of the volume CT images is vital to the comprehensive and accurate representation of these operations. Minuscule intricate structures that are currently only localized in the mind's eye because of the resolution limit of conventional CT are clearly seen on these scans. This enhanced visualization, together with the information presented in the text, should assist in interpreting temporal bone scans, communicating with surgeons, and teaching this complex anatomy.

From the *Center for ENT, Houston, TX; †Department of Otolaryngology, Baylor College of Medicine, Houston, TX; ‡School of Health Information Sciences, University of Texas, Health Sciences Center at Houston, Houston TX; §Department of Neuroradiology, Hannover Medical School, Hannover, Germany; ¶Department of Radiology, Massachusetts General Hospital, Boston, MA; and **Department of Otolaryngology, University of Alberta, Edmonton, Alberta, Canada.

Received for publication October 12, 2005; accepted November 11, 2005.

Reprints: Dr. Eric S. Powitzky, Center for ENT, 6624 Fannin, Suite 1480, Houston, TX 77030 (e-mail: epo@centerforent.com).

© 2006 by Lippincott Williams & Wilkins