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Bisher wurde hierf\u00fcr die Multislice-Computertomographie (MSCT) verwendet, die jedoch kleine Strukturen wie den Stapes nur unzureichend dargestellen kann. Die \u201eflat-panel volume CT\u201c (fpVCT) mit ihren sekund\u00e4ren Rekonstruktionen (fpVCT<jats:sub>SECO<\/jats:sub>) bietet eine hochaufl\u00f6sende Darstellung des Mittelohrs. Eine neue otochirurgische Planungssoftware erm\u00f6glicht \u00fcberdies die detaillierte 3\u2011D-Rekonstruktion der Mittelohranatomie.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Evaluierung des Einsatzes von fpVCT<jats:sub>SECO<\/jats:sub> in Kombination mit einer otochirurgischen Planungssoftware zur genaueren Diagnose und Behandlung kongenitaler Auralatresien.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Sieben Patienten mit kongenitaler Auralatresie erhielten pr\u00e4operativ ein MSCT (600\u202f\u00b5m Schichtdicke) und ein korrespondierendes fpVCT (466\u202f\u00b5m Schichtdicke). Zus\u00e4tzlich wurden fpVCT<jats:sub><jats:italic>SECO<\/jats:italic><\/jats:sub> (99\u202f\u00b5m Schichtdicke) rekonstruiert. Die Jahrsdoerfer- und Siegert-Grading-Scores wurden bestimmt und ihre Anwendbarkeit in den oben genannten bildgebenden Modalit\u00e4ten bewertet. Zus\u00e4tzlich wurde der Malleus-incus-Komplex im 3\u2011D-Rendering analysiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die Bildgebung mit fpVCT<jats:sub><jats:italic>SECO<\/jats:italic><\/jats:sub> erm\u00f6glichte eine zuverl\u00e4ssige Darstellung der Anomalien, insbesondere der Geh\u00f6rkn\u00f6chelchenkette. Es wurde ein signifikanter Unterschied im Siegert-Grading-Score festgestellt. Zus\u00e4tzlich konnte der Malleus-Incus-Komplex in 3\u2011D besser dargestellt werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Einf\u00fchrung neuer bildgebender Verfahren und chirurgischer Planungstechniken in das diagnostische Konzept der Auralatresie erleichtert die Identifizierung der fehlgebildeten Anatomie und erm\u00f6glicht eine systematische Analyse. Diese Kombination kann auch dazu beitragen, die Pathologie genauer zu klassifizieren und damit die Sicherheit und den Erfolg des chirurgischen Eingriffs zu erh\u00f6hen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-024-01511-1","type":"journal-article","created":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T14:02:56Z","timestamp":1726495376000},"page":"815-824","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Verbesserte radiologische Darstellung kongenitaler Auralatresien mittels \u201eflat-panel volume CT\u201c","Improved radiological imaging of congenital aural atresia using flat-panel volume CT. 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