[Modern imaging of the temporal bone].

This article describes the current significance of computed tomography (CT), magnetic resonance imaging (MRI), cone beam CT, digital subtraction angiography (DSA), and special X‑rays in the diagnostics of temporal bone diseases. The latter is obsolete for diagnostic intentions. Possibilities and limitations in terms of detection and/or depiction of the extent of inflammatory, traumatic, tumorous, and postoperative pathologies are discussed. A concrete question and conveyance of clinical findings influence the choice of the method to be applied in the individual case. Malformations of the middle ear can only be detected noninvasively by CT or cone beam CT. These are also the methods that may support the diagnosis of otosclerosis in clinically unclear cases. MRI is the method of choice for pathologies of the inner ear and internal auditory canal, including inner ear malformations. At present, only in few institutions is a successful visualization of endolymphatic hydrops in Menière's disease realized.