[Inflammatory diseases of the petrous bone].

IF 0.6
Radiologie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-07-14 DOI:10.1007/s00117-025-01473-7
Wolfgang Reith, Michael Kettner
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Abstract

In most cases, inflammatory diseases of the petrous bone can be diagnosed clinically. However, for certain diseases, the extent of the findings must be assessed using cross-sectional imaging, or important complications such as cerebral complications must be excluded. The petrous bone is part of the temporal bone, consisting of the pars squamosa, pars tympanica, and pars mastoidea [1]. It encompasses the inner ear, the internal auditory canal, and the petrous bone itself. Anatomically, the middle ear and mastoid already belong to the pars tympanica and pars mastoidea [1]. Imaging should ideally be carried out in conjunction with a detailed medical history, especially information about previous surgeries, chronic infections, possible anti-inflammatory medications, and the current otoscopic findings. The description should always be systematic, e.g., from outside to inside. Within the anatomical structures, different inflammatory processes can occur. Infections are one of the main causes of inflammation in the temporal bone. Important differential diagnoses must be considered. This article discusses the most important inflammatory lesions of the temporal bone and middle ear and the differential diagnoses.

[骨质的炎症性疾病]。
在大多数情况下,岩质骨的炎症性疾病可以临床诊断。然而,对于某些疾病,必须使用横断面成像评估发现的程度,或者必须排除重要的并发症,如脑并发症。岩骨是颞骨的一部分,由鳞状骨、鼓膜骨和乳突骨组成。它包括内耳、内耳道和石骨本身。在解剖学上,中耳和乳突已经属于中鼓部和乳突部。理想情况下,影像学检查应结合详细的病史,特别是既往手术、慢性感染、可能的抗炎药物和当前耳镜检查结果的信息。描述应该始终是系统的,例如,从外部到内部。在解剖结构内,可发生不同的炎症过程。感染是颞骨炎症的主要原因之一。必须考虑重要的鉴别诊断。本文讨论颞骨和中耳最重要的炎性病变及其鉴别诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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