Correlation of Preoperative Computerized Tomography Scoring System and the Surgical Encounters in Cochlear Implantation
| Autor: | Islam Soltan, Mahmoud Mandour, Saad Elzayat, Ali Mahrous, Haitham H Elfarargy, Rasha Lotfy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Scoring system medicine.diagnostic_test business.industry Retrospective cohort study Computed tomography General Medicine Independent predictor Cochlear Implantation Correlation Otorhinolaryngology RF1-547 Radiological weapon Face Medicine Humans Tomography Radiology Cochlear implantation business Child Tomography X-Ray Computed Retrospective Studies |
| Zdroj: | Journal of International Advanced Otology, Vol 17, Iss 3, Pp 200-206 (2021) |
| ISSN: | 2148-3817 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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