29. Imaging of the head and the neck. Imaging methods, indications and strategy.
- Imaging
- Modalities
- CT
- Inner ear
- 120 kV
- MRi
- Retrocochlear lesions
- Paresis
- Schwannoma
- Tumors
- X-ray
- Paranasal sinuses
- Facial trauma
- CT
- Modalities
- Cholesteatoma
- Basically an epidermoid cyst in middle ear or mastoid process
- CT or MRi
- No contrast necessary (not enhanced by contrast)
- Carotid space
- A deep compartment of the head and neck
- Contains
- Common and internal carotid arteries
- Internal jugular vein
- Deep cervical lymph node chains (lymph node regions II – IV)
- Vagus nerve
- Sympathetic plexus
- Pathologies
- Aneurysm/dissection of carotid
- Thrombophlebitis of int. jugular v.
- Schwannoma
- Paraganglioma
- Salivary glands
- Salivary stones
- First-line: Ultrasound
- Salivary gland tumors
- Most common: Pleuomorphic adenoma
- Most common malignant: Mucoepidermoid cc
- First-line: Ultrasound
- Salivary stones
- Thyroid gland
- Ultrasound
- Scintigraphy