Application of cone-beam computed tomography in ENT and reconstructive surgery of head and neck – literature review and own experience

Abstract

Cone-beam computed tomography (CBCT) is a relatively new diagnostic imaging method. It was first used in 1982 at the Mayo Clinic Biodynamics Research Laboratory [1], and since 2001 is commercially used in dentistry. In differs from multidetector computed tomography in terms of implementation technique and some parameters. A low dose of radiation is its greatest advantage, thanks to which many specialists, including ENT doctors and reconstructive surgeons, are more willing to use it. In otorhinolaryngology, CBCT is applied in pre- and peri-operative diagnostics in both rhinology and otology. In reconstructive surgery, CBCT facilitates precise planning of the flap, and intraoperatively allows a perfect match of the reconstructed tissue elements. In the article, the authors present current information on CBCT in ENT obtained on the basis of a review of Polish and foreign literature and share their own experience in its application in reconstructive surgery within the craniofacial region.