Radiologic examination, mastoids; complete, minimum of 3 views per side
CPT4 code
Name of the Procedure:
Radiologic Examination of the Mastoid Bones; complete, minimum of 3 views per side.
Summary
A radiologic examination of the mastoids involves taking X-ray images of the mastoid bones, located behind the ears. This procedure captures detailed images from multiple angles to assess the health and structure of these bones.
Purpose
The procedure helps diagnose conditions related to the mastoid bones, such as infections (mastoiditis), fractures, abnormalities, or tumors. The goal is to provide a clear view of the bone structure to aid in accurate diagnosis and treatment planning.
Indications
- Persistent ear infections
- Chronic ear pain or drainage
- Hearing loss
- Suspected mastoiditis
- Trauma to the head or ear
- Unexplained ear swelling
Patient criteria include those experiencing the symptoms above or having a medical history that warrants a detailed examination of the mastoid bones.
Preparation
- Generally no special preparation is needed for this procedure.
- Patients should inform their doctor of any medications or medical conditions.
- Remove any jewelry or metal objects that might interfere with the imaging.
Procedure Description
- The patient is positioned correctly on an X-ray table.
- A series of X-ray images are taken, capturing at least 3 different views for each side of the head.
- The images are taken using an X-ray machine, and the procedure does not typically require sedation or anesthesia.
Duration
The procedure usually takes about 15 to 30 minutes.
Setting
Performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Radiologist
- Radiologic technologist
Risks and Complications
- Exposure to a small amount of radiation, which is usually considered safe.
- Possible minor discomfort from positioning.
- Rarely, an allergic reaction to contrast materials if they are used, though they are typically not needed for this procedure.
Benefits
- Accurate diagnosis of mastoid conditions.
- Immediate visualization that helps in planning further treatment.
- Non-invasive and relatively quick.
Recovery
- No special post-procedure care needed.
- Patients can resume normal activities immediately.
- Results are usually available shortly after the procedure, and a follow-up appointment may be scheduled to discuss findings.
Alternatives
- CT scan of the head, which provides more detailed images but involves higher radiation exposure and cost.
- MRI, which is useful but not typically the first choice for bone examination due to cost and availability.
Patient Experience
During the procedure, the patient may feel slight discomfort from holding still in certain positions. There is no pain associated with the X-rays themselves. After the procedure, there are no expected side effects, and patients can go about their day as usual.