{"id":145831,"date":"2026-11-04T06:55:42","date_gmt":"2026-11-04T04:55:42","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/analize\/ct-ureche-interna-nativ\/"},"modified":"2026-11-04T06:55:50","modified_gmt":"2026-11-04T04:55:50","slug":"ct-ureche-interna-nativ","status":"publish","type":"product","link":"https:\/\/www.clinica-sante.com\/ro\/computer-tomograf\/ct-ureche-interna-nativ\/","title":{"rendered":"CT ureche interna nativ"},"content":{"rendered":"<p><strong>1. Descriere general\u0103<\/strong><\/p>\n<p>CT ureche intern\u0103 nativ este o tomografie computerizat\u0103 de \u00eenalt\u0103 rezolu\u021bie a osului temporal, efectuat\u0103 f\u0103r\u0103 substan\u021b\u0103 de contrast. Investiga\u021bia folose\u0219te raze X \u00een doze mici \u0219i ob\u021bine sec\u021biuni foarte sub\u021biri, de aproximativ 0,5 mm, prin structurile osoase care ad\u0103postesc urechea medie \u0219i intern\u0103.<\/p>\n<p>Examinarea eviden\u021biaz\u0103 conductul auditiv extern, casa timpanului \u0219i lan\u021bul osicular (ciocan, nicoval\u0103, sc\u0103ri\u021b\u0103), celulele mastoidiene, labirintul osos (cohleea \u0219i canalele semicirculare), conductul auditiv intern \u0219i canalul osos al nervului facial. CT-ul nativ este metoda de referin\u021b\u0103 pentru componentele osoase ale urechii, \u00een timp ce nervii \u0219i labirintul membranos se evalueaz\u0103 mai bine prin RMN. Achizi\u021bia dureaz\u0103 c\u00e2teva secunde, iar imaginile sunt interpretate de medicul radiolog.<\/p>\n<p><strong>2. Indica\u021bii<\/strong><\/p>\n<ul>\n<li>Hipoacuzie instalat\u0103 progresiv sau brusc, cu suspiciunea unei cauze la nivelul urechii medii sau interne.<\/li>\n<li>Otit\u0103 medie cronic\u0103, otoree persistent\u0103, suspiciune de colesteatom sau de mastoidit\u0103.<\/li>\n<li>Suspiciune de otoscleroz\u0103, \u00een hipoacuzia de transmisie progresiv\u0103.<\/li>\n<li>Vertij, tulbur\u0103ri de echilibru sau tinitus cu suspiciunea unei cauze otologice, inclusiv dehiscen\u021ba canalului semicircular superior.<\/li>\n<li>Traumatism cranian cu suspiciune de fractur\u0103 de os temporal.<\/li>\n<li>Malforma\u021bii congenitale ale urechii la copiii cu hipoacuzie neurosenzorial\u0103.<\/li>\n<li>Evaluare preoperatorie, inclusiv \u00eenaintea implantului cohlear, \u0219i control postoperator.<\/li>\n<li>Paralizie facial\u0103 periferic\u0103, pentru evaluarea canalului osos al nervului facial.<\/li>\n<\/ul>\n<p><strong>3. Preg\u0103tirea pacientului<\/strong><\/p>\n<p>Nu este necesar\u0103 o preg\u0103tire special\u0103. Nu este necesar repausul alimentar. Tratamentul \u00een curs nu se \u00eentrerupe dec\u00e2t la indica\u021bia medicului. \u00cenainte de examinare se \u00eendep\u0103rteaz\u0103 obiectele metalice din zona capului. Cerceii, agrafele, piercing-urile, ochelarii, aparatele auditive \u0219i protezele dentare mobile produc artefacte \u00een zona scanat\u0103. O sarcin\u0103 confirmat\u0103 sau posibil\u0103 se comunic\u0103 personalului medical \u00eenainte de examinare. Pe durata scan\u0103rii pacientul st\u0103 \u00eentins pe spate, cu capul fixat \u00eentr-un suport, \u0219i r\u0103m\u00e2ne nemi\u0219cat. Investiga\u021biile imagistice anterioare \u0219i audiograma se prezint\u0103 la examinare.<\/p>\n<p><strong>4. Interpretare rezultate<\/strong><\/p>\n<p><strong>Aspect normal.<\/strong> Casa timpanului \u0219i celulele mastoidiene sunt aerate, lan\u021bul osicular este intact, iar cohleea, canalele semicirculare \u0219i conductul auditiv intern au form\u0103, dimensiuni \u0219i densitate obi\u0219nuite.<\/p>\n<p><strong>Modific\u0103ri posibile.<\/strong> Opacifierea casei timpanului sau a mastoidei, \u00eenso\u021bit\u0103 de eroziuni ale oscioarelor sau ale pere\u021bilor oso\u0219i, se poate asocia cu otita medie cronic\u0103, cu colesteatomul sau cu mastoidita. Focarele de demineralizare ale capsulei otice sugereaz\u0103 otoscleroza. Dup\u0103 un traumatism se pot eviden\u021bia linii de fractur\u0103 \u0219i dislocarea lan\u021bului osicular. La copii se pot identifica malforma\u021bii ale labirintului osos, iar lipsa acoperirii osoase a canalului semicircular superior se asociaz\u0103 cu vertijul. L\u0103rgirea conductului auditiv intern poate ridica suspiciunea unei forma\u021biuni tumorale, care se caracterizeaz\u0103 prin RMN.<\/p>\n<p><strong>Limite.<\/strong> Examinarea nativ\u0103 evalueaz\u0103 \u00een primul r\u00e2nd osul, astfel \u00eenc\u00e2t nervii, labirintul membranos \u0219i forma\u021biunile de \u021besut moale necesit\u0103 RMN sau substan\u021b\u0103 de contrast.<\/p>\n<p>Interpretarea rezultatului apar\u021bine medicului, \u00een contextul clinic \u0219i al celorlalte investiga\u021bii.<\/p>\n<p><strong>5. Factori care pot influen\u021ba rezultatele<\/strong><\/p>\n<ul>\n<li>Mi\u0219carea capului \u00een timpul scan\u0103rii \u2014 produce artefacte \u0219i poate impune repetarea achizi\u021biei.<\/li>\n<li>Obiectele metalice din zona scanat\u0103 (cercei, piercing-uri, aparate auditive, proteze dentare, implant cohlear) \u2014 produc artefacte care pot ascunde detalii fine.<\/li>\n<li>Otita medie acut\u0103, efuziunea sau secre\u021biile din urechea medie \u0219i din mastoid\u0103 \u2014 opacifierea nespecific\u0103 poate masca sau mima leziuni osoase.<\/li>\n<li>Interven\u021biile chirurgicale otologice anterioare \u2014 modific\u0103 anatomia normal\u0103; protocoalele operatorii ajut\u0103 la interpretare.<\/li>\n<li>Absen\u021ba substan\u021bei de contrast \u2014 nu permite caracterizarea forma\u021biunilor de \u021besut moale sau a complica\u021biilor vasculare ale infec\u021biilor.<\/li>\n<\/ul>\n<p><strong>6. Analize complementare<\/strong><\/p>\n<p>Pentru evaluarea nervilor, a labirintului membranos \u0219i a unghiului pontocerebelos, medicul poate recomanda RMN cerebral + ureche intern\u0103. C\u00e2nd se suspecteaz\u0103 un proces inflamator complicat sau tumoral, se poate efectua CT ureche interna cu contrast. Evaluarea bilateral\u0103 a osului temporal \u0219i a mastoidei se face prin CT stanca temporala + mastoida bilaterala nativ sau CT mastoida nativ, iar c\u00e2nd sunt suspectate \u0219i leziuni intracraniene se recomand\u0103 CT cerebral + ureche interna nativ. Rezultatul se interpreteaz\u0103 \u00eempreun\u0103 cu examenul ORL \u0219i cu audiograma.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>CT ureche intern\u0103 nativ (tomografia computerizat\u0103 a osului temporal, f\u0103r\u0103 substan\u021b\u0103 de contrast) eviden\u021biaz\u0103 \u00een detaliu structurile osoase ale urechii medii \u0219i interne: lan\u021bul osicular, cohleea, canalele semicirculare \u0219i mastoida. Ajut\u0103 medicul s\u0103 identifice cauza unei hipoacuzii \u0219i s\u0103 evalueze otita medie cronic\u0103, colesteatomul, otoscleroza sau fracturile de os temporal. Se recomand\u0103 \u00een caz de sc\u0103dere a auzului, vertij sau tinitus \u0219i \u00eenaintea unor interven\u021bii chirurgicale otologice.<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false},"product_brand":[],"product_cat":[1209,5364,3477],"product_tag":[4167,5497,5387,5505,5500,5501,5491,5502,5488,5486,5496,5498,5503,5490,5489,5499,5487,5495,5504,5493,5484,5485,5492,5494],"class_list":["post-145831","product","type-product","status-publish","product_cat-analize","product_cat-computer-tomograf","product_cat-serviciu-de-imagistica","product_tag-ameteli","product_tag-colesteatom","product_tag-ct-fara-contrast","product_tag-ct-ureche","product_tag-durere-de-ureche","product_tag-fractura-os-temporal","product_tag-hipoacuzie","product_tag-implant-cohlear","product_tag-mastoida","product_tag-os-temporal","product_tag-otita-medie-cronica","product_tag-otoscleroza","product_tag-paralizie-faciala","product_tag-pierderea-auzului","product_tag-scaderea-auzului","product_tag-secretie-din-ureche","product_tag-stanca-temporala","product_tag-tinitus","product_tag-tomografie-ureche","product_tag-tulburari-de-echilibru","product_tag-ureche-interna","product_tag-ureche-medie","product_tag-vertij","product_tag-zgomote-in-urechi","first","instock","sale","shipping-taxable","purchasable","product-type-variable"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 5.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"CT ureche intern\u0103 nativ (tomografia computerizat\u0103 a osului temporal, f\u0103r\u0103 substan\u021b\u0103 de contrast) eviden\u021biaz\u0103 \u00een detaliu structurile osoase ale urechii medii \u0219i interne: lan\u021bul osicular, cohleea, canalele semicirculare \u0219i mastoida. Ajut\u0103 medicul s\u0103 identifice cauza unei hipoacuzii \u0219i s\u0103 evalueze otita medie cronic\u0103, colesteatomul, otoscleroza sau fracturile de os temporal. 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Ajut\u0103 medicul s\u0103 identifice cauza unei hipoacuzii \u0219i s\u0103 evalueze otita medie cronic\u0103, colesteatomul, otoscleroza sau fracturile de os temporal. 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