IF 1.2 4区 医学 Q3 OTORHINOLARYNGOLOGY
Saad Elzayat, Hussein A El-Shirbeny, Ahmed Morshedy, Islam Soltan, Maurizio Barbara, Edoardo Covelli, Mona A Abdel-Kareem, Ashraf Fayed, Fathi Baki, Tawfiq Khurayzi, Haitham H Elfarargy
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引用次数: 0

摘要

研究目的本研究旨在评估术前计算机断层扫描(CT)预测人工耳蜗植入过程中嵴状窗(CF)类型的能力,并将这些类型与术中发现相关联。研究设计:一项前瞻性观察研究:研究设计:前瞻性观察研究:该研究于 2021 年 9 月至 2024 年 3 月期间在多个三级中心进行:我们将术前CF的放射学类型与术中CF类型相关联,以评估HRCT预测CF类型的准确性和敏感性。我们还评估了每个病例是否需要进行 CF 钻孔:我们的研究纳入了 154 例接受 CI 的患者。他们中有 90 名(58.4%)男性和 64 名(41.5%)女性,年龄从 2.1 岁到 7.6 岁不等,平均年龄为(4.69 ± 1.19)岁。两种放射学评价方法的类内相关系数均为 0.985,表明两者之间的一致性很高。CF的术中手术类型与放射学类型显著相关,Spearman相关系数为0.976,P值为结论:我们的研究表明,术前 CT 是预测人工耳蜗植入术中 CF 类型的精确工具,其灵敏度为 96.67%,准确度为 94.17%。此外,建议对 A3 型和 B2 型 CF 进行钻孔。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radio-clinical assessment of crista fenestra during pediatric cochlear implantation.

Objectives: This study aimed to assess the ability of preoperative computed tomography (CT) to predict the crista fenestra (CF) type during cochlear implantation and correlate these types with intraoperative findings. This may allow for precise preoperative planning with better surgical outcomes.

Study design: A prospective observational study.

Settings: The study was done in multiple tertiary centers between September 2021 and March 2024.

Method: ology: We correlated the preoperative radiological type of the CF with the intraoperative CF type to evaluate the accuracy and sensitivity of the HRCT to predict the CF type. We also assessed the need for CF drilling in each case.

Results: Our study included 154 patients who underwent CI. They were 90 (58.4 %) males and 64 (41.5 %) females with ages ranging from 2.1 to 7.6 years, with a mean of 4.69 ± 1.19. The intra-class correlation coefficient between both radiological evaluators was 0.985, which indicated a high agreement between them. The intraoperative surgical types of CF were significantly related to the radiological types as the Spearman correlation coefficient was 0.976, and the P-value was <0.001.

Conclusions: Our study revealed that preoperative CT is a precise tool for predicting the intraoperative type of CF during cochlear implantation type with a sensitivity of 96.67 % and an accuracy of 94.17 %. Moreover, drilling of the CF is recommended in type A3 and type B2 CF.

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来源期刊
CiteScore
3.20
自引率
6.70%
发文量
276
审稿时长
62 days
期刊介绍: The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.
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