Evidence map›Paper›PMID 27455393›Full record

ArticleClinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery2017

The surgical challenge of carotid artery and Fallopian canal dehiscence in chronic ear disease: a pitfall for endoscopic approach.

H F Pauna, R C Monsanto, P A Schachern, S S Costa, G Kwon, M M Paparella, S Cureoglu

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

H F PaunaDepartment of Otolaryngology - Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USA.
R C MonsantoDepartment of Otolaryngology - Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USA.
P A SchachernDepartment of Otolaryngology - Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USA.
S S CostaDepartment of Ophthalmology and Otolaryngology, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul (UFRGS), Brazil.
G KwonDepartment of Otolaryngology - Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USA.
M M PaparellaDepartment of Otolaryngology - Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USA.
S CureogluDepartment of Otolaryngology - Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USA.
University of Minnesota · USBanner Estrella Medical Center · USUniversidade de Sorocaba · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

Pathology and pathogenesis of otitis media syndromic ear and Meniere's diseaseU24DC011968 · NIDCD · UNIVERSITY OF MINNESOTA · PI CUREOGLU, SEBAHATTIN · 2011 to 2015
$2.2M
NIDCD NIH HHS U24 DC011968
6 · The paper itself

Abstract

objectiveEndoscopic procedures are becoming common in middle ear surgery. Inflammation due to chronic ear disease can cause bony erosion of the carotid artery and Fallopian canals, making them more vulnerable during surgery. The objective of this study was to determine whether or not chronic ear disease increases dehiscence of the carotid artery and Fallopian canals.

designComparative human temporal bone study.

settingOtopathology laboratory.

participantsWe selected 78 temporal bones from 55 deceased donors with chronic otitis media or cholesteatoma and then compared those two groups with a control group of 27 temporal bones from 19 deceased donors with no middle ear disease.

main outcome measuresWe analysed the middle ear, carotid artery canal and Fallopian canal, looking for signs of dehiscence of its bony coverage, using light microscopy.

resultsWe found an increased incidence in dehiscence of the carotid artery and Fallopian canals in temporal bones with chronic middle ear disease. The size of the carotid artery canal dehiscence was larger in the middle ear-diseased groups, and its bony coverage, when present, was also thinner compared to the control group. Dehiscence of the carotid artery canal was more frequently located closer to the promontory. The incidence of Fallopian canal dehiscence was significantly higher in temporal bones from donors older than 18 years with chronic middle ear disease.

conclusionThe increased incidence of the carotid artery and Fallopian canal dehiscence in temporal bones with chronic middle ear disease elevates the risk of adverse events during middle ear surgery.

Indexed as

EndoscopyAdolescentAdultAgedAged, 80 and overBone DiseasesCadaverCarotid ArteriesChildCholesteatoma, Middle EarChronic DiseaseFemaleHumansMaleMiddle AgedOtitis Media

Identifiers

PMID27455393
PMCPMC5266744
OpenAlexW2500068197

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.