Preoperative high resolution CT and MR imaging in cochlear implantation.
BACKGROUND
Accurate preoperative imaging of the temporal bone in patients receiving cochlear implants is important. High resolution computed tomography (HRCT) and magnetic resonance (MR) imaging are the 2 preoperative imaging modalities that provide critical information on abnormalities of the otic capsule, pneumatisation of the mastoid, middle ear abnormalities, cochlear ducts patency and presence of cochlear nerve.


METHODS
The HRCT and MR imaging in 46 cochlear implant patients in our department were reviewed.


RESULTS
Majority of our patients [34 patients (73.9%)] showed normal HRCT of the temporal bone; 5 (10.9%) patients had labyrinthitis ossificans, 2 (4.3%) had Mondini's abnormality and 2 (4.3%) had middle ear effusion. One patient each had high jugular bulb, hypoplasia of the internal auditory canal and single cochlear cavity, respectively.


CONCLUSIONS
The above findings contribute significantly to our surgical decisions regarding candidacy for surgery, side selection and surgical technique in cochlear implantation.
Abdullah
A
A
Department of Otorhinolaryngology, Faculty of Allied Health Sciences, University Kebangsaan Malaysia.
Mahmud
M R
MR
Maimunah
A
A
Zulfiqar
M A
MA
Saim
L
L
Mazlan
R
R
D015834:Cochlear Diseases / Q000175:diagnosis / Q000601:surgery; D019929:Cochlear Implantation; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D007759:Labyrinth Diseases / Q000175:diagnosis / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008296:Malaysia; D008297:Male; D011300:Preoperative Care; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome