Pre-, Intra- and Post-Operative Imaging of Cochlear Implants

T. J. Vogl; A. Tawfik; A. Emam; N. N. N. Naguib; A. Nour-Eldin; I. Burck; T. Stöver

doi:10.1055/s-0035-1553413

RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, Inhaltsverzeichnis

Rofo 2015; 187(11): 980-989
DOI: 10.1055/s-0035-1553413

Review

Pre-, Intra- and Post-Operative Imaging of Cochlear Implants

Prä-, intra- und postoperative Bildgebung bei Cochlea-Implantat

T. J. Vogl

¹Institute of Diagnostic and Interventional Radiology, University Hospital Frankfurt, Germany

,

A. Tawfik

²Department of Diagnostic and Interventional Radiology, Mansoura University, Mansoura, Egypt

,

A. Emam

³Department of Diagnostic and Interventional Radiology, University Hospital, Alexandria, Egypt

,

N. N. N. Naguib

¹Institute of Diagnostic and Interventional Radiology, University Hospital Frankfurt, Germany

,

A. Nour-Eldin

⁴Department of Radiology, University Hospital Cairo, Egypt

,

I. Burck

¹Institute of Diagnostic and Interventional Radiology, University Hospital Frankfurt, Germany

,

T. Stöver

⁵Department of Otolaryngology, University Hospital of Frankfurt, Germany

› Institutsangaben

Abstract

The purpose of this review is to present essential imaging aspects in patients who are candidates for a possible cochlear implant as well as in postsurgical follow-up. Imaging plays a major role in providing information on preinterventional topography, variations and possible infections. Preoperative imaging using DVT, CT, MRI or CT and MRI together is essential for candidate selection, planning of surgical approach and exclusion of contraindications like the complete absence of the cochlea or cochlear nerve, or infection. Relative contraindications are variations of the cochlea and vestibulum. Intraoperative imaging can be performed by fluoroscopy, mobile radiography or DVT. Postoperative imaging is regularly performed by conventional X-ray, DVT, or CT. In summary, radiological imaging has its essential role in the pre- and post-interventional period for patients who are candidates for cochlear implants.

Key Points:

• Intraoperative imaging: radiography, DVT

• Preoperative imaging: DVT, CT, MRI

• Postoperative imaging: X-ray, DVT, CT

Citation Format:

• Vogl TJ, Tawfik A, Emam A et al. Pre-, Intra- and Post-Operative Imaging of Cochlear Implants. Fortschr Röntgenstr 2015; 187: 980 – 989

Zusammenfassung

Ziel dieser Übersichtsarbeit ist die Präsentation von bildgebenden Aspekten bei Patienten, die für eine mögliche Cochlea-Implantation infrage kommen sowie bei postchirurgischem Follow-up. Die Bildgebung spielt eine wichtige Rolle bezüglich der Informationen zu präinterventioneller Topografie, Variationen und möglichen Infektionen. Präoperative Bildgebung mittels DVT, CT, MRT oder CT und MRT zusammen ist notwendig für die Selektion der Patienten, für die Planung des chirurgischen Vorgehens und das Ausschließen von Kontraindikationen, wie z. B. das völlige Fehlen von Cochlea und dem Cochleanerv, oder Infektionen. Relative Kontraindikationen sind Variationen von Cochlea und Vestibulum. Intraoperative Bildgebung kann mittels Fluoroskopie, mobiler Radiografie oder DVT durchgeführt werden. Postoperative Bildgebung wird normalerweise mittels konventionellem Röntgen, DVT oder CT durchgeführt. Zusammenfassend spielt die radiologische Bildgebung eine wichtige Rolle in der prä- und postinterventionellen Phase bei Patienten, die für ein Cochlea-Implantat infrage kommen.

Kernaussagen:

• Intraoperatives Imaging: Röntgen, DVT

• Präoperatives Imaging: DVT, CT, MRT

• Postoperatives Imaging: X-Ray, DVT, CT

Key words

ear - MR imaging - CT - anatomy - schwannoma

Volltext

Referenzen

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