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Correlation of Preoperative Computerized Tomography Scoring System and the Surgical Encounters in Cochlear Implantation
OBJECTIVE: To propose a numerical radiological scoring system of the pre-operative high-resolution computed tomography scan aiming to predict the surgical difficulty during cochlear implantation. METHODS: This was a retrospective study of 272 pediatric patients who underwent cochlear implantation in...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Academy of Otology and Neurotology and the Politzer Society
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9449888/ https://www.ncbi.nlm.nih.gov/pubmed/34100743 http://dx.doi.org/10.5152/iao.2021.9138 |
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author | Elzayat, Saad Mandour, Mahmoud Elfarargy, Haitham Lotfy, Rasha Soltan, Islam Mahrous, Ali |
author_facet | Elzayat, Saad Mandour, Mahmoud Elfarargy, Haitham Lotfy, Rasha Soltan, Islam Mahrous, Ali |
author_sort | Elzayat, Saad |
collection | PubMed |
description | OBJECTIVE: To propose a numerical radiological scoring system of the pre-operative high-resolution computed tomography scan aiming to predict the surgical difficulty during cochlear implantation. METHODS: This was a retrospective study of 272 pediatric patients who underwent cochlear implantation in 3 tertiary referral centers from April 2017 to August 2019. The correlation was attempted between our proposed scoring system (consisting of 8 radiological features) and the intraoperative surgical difficulty both objectively and subjectively. RESULTS: our proposed scoring system showed a statistically significant correlation with surgical difficulty and also the duration of surgery. Scoring 5 or more predicted the surgical difficulty with a sensitivity of 80.85% and a specificity of 92.13%. The absence of air cells around the facial recess was the most independent predictor of difficulty (P value = .002). CONCLUSION: This proposed radiological scoring system is a simple reliable method to predict the difficulty which we may encounter during CI surgery. Scoring of 5 or more would predict intraoperative difficulty as opposed to less scoring which would predict a straightforward surgery. |
format | Online Article Text |
id | pubmed-9449888 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | European Academy of Otology and Neurotology and the Politzer Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-94498882022-09-19 Correlation of Preoperative Computerized Tomography Scoring System and the Surgical Encounters in Cochlear Implantation Elzayat, Saad Mandour, Mahmoud Elfarargy, Haitham Lotfy, Rasha Soltan, Islam Mahrous, Ali J Int Adv Otol Original Article OBJECTIVE: To propose a numerical radiological scoring system of the pre-operative high-resolution computed tomography scan aiming to predict the surgical difficulty during cochlear implantation. METHODS: This was a retrospective study of 272 pediatric patients who underwent cochlear implantation in 3 tertiary referral centers from April 2017 to August 2019. The correlation was attempted between our proposed scoring system (consisting of 8 radiological features) and the intraoperative surgical difficulty both objectively and subjectively. RESULTS: our proposed scoring system showed a statistically significant correlation with surgical difficulty and also the duration of surgery. Scoring 5 or more predicted the surgical difficulty with a sensitivity of 80.85% and a specificity of 92.13%. The absence of air cells around the facial recess was the most independent predictor of difficulty (P value = .002). CONCLUSION: This proposed radiological scoring system is a simple reliable method to predict the difficulty which we may encounter during CI surgery. Scoring of 5 or more would predict intraoperative difficulty as opposed to less scoring which would predict a straightforward surgery. European Academy of Otology and Neurotology and the Politzer Society 2021-05-01 /pmc/articles/PMC9449888/ /pubmed/34100743 http://dx.doi.org/10.5152/iao.2021.9138 Text en 2021 authors https://creativecommons.org/licenses/by-nc/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | Original Article Elzayat, Saad Mandour, Mahmoud Elfarargy, Haitham Lotfy, Rasha Soltan, Islam Mahrous, Ali Correlation of Preoperative Computerized Tomography Scoring System and the Surgical Encounters in Cochlear Implantation |
title | Correlation of Preoperative Computerized Tomography Scoring System and the Surgical Encounters in Cochlear Implantation |
title_full | Correlation of Preoperative Computerized Tomography Scoring System and the Surgical Encounters in Cochlear Implantation |
title_fullStr | Correlation of Preoperative Computerized Tomography Scoring System and the Surgical Encounters in Cochlear Implantation |
title_full_unstemmed | Correlation of Preoperative Computerized Tomography Scoring System and the Surgical Encounters in Cochlear Implantation |
title_short | Correlation of Preoperative Computerized Tomography Scoring System and the Surgical Encounters in Cochlear Implantation |
title_sort | correlation of preoperative computerized tomography scoring system and the surgical encounters in cochlear implantation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9449888/ https://www.ncbi.nlm.nih.gov/pubmed/34100743 http://dx.doi.org/10.5152/iao.2021.9138 |
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