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Clinical feasibility of oblique-thickness reconstruction of temporal bone computed tomography images: A pilot study for evaluation of temporal bone fractures
J Korean Skull Base Soc 2024;19(1):11-18
Published online May 30, 2024
© 2024 Korean Skull Base Society.

Beomcho Jun1, Sunwha Song2

1Department of Otorhinolaryngology, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Sunwha Song
Received November 27, 2023; Revised December 20, 2023; Accepted December 26, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: The aims of this study is to evaluate the usefulness of oblique-thickness reconstruction in computed tomography (CT) analysis of temporal bone fractures for determination of the three-dimensional relationships of the identified fracture lines.
Materials and Methods: Using high-resolution CT of temporal bones, oblique-thickness reconstruction images were obtained using the V-works 4.0 software program (Cybermed, Korea). Reformatted images were analysed at the sites where fractures were identified. Fracture lines were traced by changing the angle and thickness to create an oblique-thickness reconstruction image.
Results: Oblique-thickness reconstruction was used to create images in various directions and angles and to trace fracture lines. The reconstructed fracture lines guided identification of the fracture lines and demonstrated the relationships of these lines with the temporal bone, skull base and neurovascular structures.
Conclusions: Oblique-thickness imaging tools used with CT may help with identifying the degree of injury, performing surgical planning and predicting the prognosis of temporal bone fractures.
Keywords : Temporal bone, Fractures, Computed tomography, Oblique, Thickness

May 2024, 19 (1)
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