Modified Stenvers view

The modified Stenvers view is an oblique radiographic projection used to demonstrate the petrous temporal bone, IAM and bony labyrinth. It is primarily used to assess electrode placement following the insertion of a cochlear implant. Specifically it assesses the:

  • integrity, positioning, and depth of insertion of the electrodes 3
  • and is used as a baseline 1

The central beam is positioned 45 degrees with the plane of IR and 12 degrees cephalad. Performed as a PA projection, radiation to the orbits is minimized.

The obliquity of the beam positions it in the plane of the superior semicircular canal. In a normally positioned cochlear implant (see images), the electrodes should be medial to the cochleostomy, which is approximated by a line drawn downward vertically through the superior semicircular canal 2. The more electrodes in the cochlea the better. For the best hearing outcomes, a minimum of 15 intra-cochlear electrodes is required 3.

It has succeeded the Stenvers view, which includes more of the mastoid air cells.

Article information

rID: 36884
System: Head & Neck
Section: Radiography
Synonyms or Alternate Spellings:
  • Modified Stenvers projection

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