Radiologische Diagnostik der Nasennebenhöhlen

Abstract

Although diseases of the paranasal sinuses have a relatively homogeneous clinical presentation, their causes can vary considerably. Radiological imaging only became relevant in paranasal sinus diagnostics following the introduction of cross-sectional imaging. In addition to technical details on imaging procedures and the individual criteria of the different modalities, anatomic details and congenital variations are presented. Particularly in acute inflammatory diseases as well as traumatic lesions, imaging is essential in preoperative planning and postoperative control. The article gives a detailed description of options in radiologic imaging of the paranasal sinuses.

Comprehensive review on endonasal endoscopic sinus surgery

“…The actual examination technique should be performed according to the recommendations of the working committee on head and neck diagnostics of the German Radiological Society [ 53 ] ( http://www.drg.de/ ). Alternatively, more and more often the so-called cone beam tomography (CBT) is applied that ensures an excellent bony resolution in three planes with mostly lower radiation exposure – however, depiction of soft tissues is limited and the region of examination has to be somehow restricted [ 54 ], [ 55 ], [ 56 ], [ 57 ], [ 58 ], [ 59 ], [ 60 ]. Especially in CBT but also in CT scan attention must be paid that the display detail includes all clinically relevant anatomical areas.…”

“…Table 1 (Tab. 1) gives an overview of existing evaluation systems and CT check lists [ 50 ], [ 51 ], [ 52 ], [ 56 ], [ 76 ], [ 77 ], [ 78 ], [ 79 ], [ 80 ], [ 81 ], [ 82 ], [ 83 ], [ 84 ]. Recommendations of literature try to restrict analysis of imaging to 5 defined general analytical steps [ 83 ].…”