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Head and Neck Imaging

Ashkan Monfared, MD Director Otology, Neurotology George Washington University. Head and Neck Imaging. Some General Points . Use imaging to confirm and not to look for diagnosis Many otologic diagnosis are clinical Use every mysterious condition as an opportunity for education

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Head and Neck Imaging

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Presentation Transcript

  1. Ashkan Monfared, MD Director Otology, Neurotology George Washington University Head and Neck Imaging

  2. Some General Points Use imaging to confirm and not to look for diagnosis Many otologic diagnosis are clinical Use every mysterious condition as an opportunity for education Pt’s are much more educated than before New evidence about radiation issues with numerous CT’s Cost, convenience, access

  3. Normal Temporal Bone Scan

  4. Some terminology

  5. Case 1: Chronic ear drainage • COM vs. Mastoiditis vs. skullbaseosteo • When to order CT • When to order MRI • When to order nuclear medicine scan • 45 year old diabetic with chronic ear drainage and hearing loss • Drainage improve with ABX drops but recurs shortly • Physical examination: • Pus in EAC • Subtotal TM perforation • No ossicles seen

  6. CT of a cholesteatoma

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