Evidence map›Paper›PMID 30204028›Full record

ArticleUpsala journal of medical sciences2018

Human inner ear blood supply revisited: the Uppsala collection of temporal bone-an international resource of education and collaboration.

Xueshuang Mei, Francesca Atturo, Karin Wadin, Sune Larsson, Sumit Agrawal, Hanif M Ladak, Hao Li, Helge Rask-Andersen

Open access · diamondAbstract read
In one paragraph

Article in Upsala journal of medical sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Vascular mechanisms in acute unilateral peripheral vestibulopathy: a systematic review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2021
    Pooled it
  2. Predictors of vestibulo-ocular reflex gain changes in cochlear implanted children.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  3. Review
  4. Relationship between sleep apnea and dizziness: a scoping review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  5. Review
  6. Phenotyping vestibulocochlear manifestations in Susac syndrome: a cohort study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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  13. Post-COVID-19 Syndrome: Audiometric Findings in Patients with Audiological Symptoms.International journal of environmental research and public health · 2023
    Observational
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  16. Cochleo-facial corridor to the vestibule and fundus of the internal auditory canal through oval window: a minimal invasive and cochlea sparing approach.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
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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

8 authors at 2 institutions in 3 countries.

Xueshuang Meia Department of Surgical Sciences , Section of Otolaryngology, Uppsala University Hospital , Uppsala , Sweden.
Francesca Atturoa Department of Surgical Sciences , Section of Otolaryngology, Uppsala University Hospital , Uppsala , Sweden.
Karin Wadinc Department of Diagnostic Radiology , Uppsala University Hospital , Uppsala , Sweden.
Sune Larssond Department of Surgical Sciences , Section of Orthopedics, Uppsala University Hospital , Sweden.
Sumit Agrawale Department of Otolaryngology-Head and Neck Surgery , Western University , Canada.
Hanif M Ladake Department of Otolaryngology-Head and Neck Surgery , Western University , Canada.
Hao Lia Department of Surgical Sciences , Section of Otolaryngology, Uppsala University Hospital , Uppsala , Sweden.
Helge Rask-Andersena Department of Surgical Sciences , Section of Otolaryngology, Uppsala University Hospital , Uppsala , Sweden.
Uppsala University Hospital · SEWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Uppsala collection of human temporal bones and molds is a unique resource for education and international research collaboration. Micro-computerized tomography (micro-CT) and synchrotron imaging are used to investigate the complex anatomy of the inner ear. Impaired microcirculation is etiologically linked to various inner ear disorders, and recent developments in inner ear surgery promote examination of the vascular system. Here, for the first time, we present three-dimensional (3D) data from investigations of the major vascular pathways and corresponding bone channels.

methodsWe used the archival Uppsala collection of temporal bones and molds consisting of 324 inner ear casts and 113 macerated temporal bones. Micro-CT was used to investigate vascular bone channels, and 26 fresh human temporal bones underwent synchrotron radiation phase contrast imaging (SR-PCI). Data were processed by volume-rendering software to create 3D reconstructions allowing orthogonal sectioning, cropping, and soft tissue analyses.

resultsMicro-CT with 3D rendering was superior in reproducing the anatomy of the vascular bone channels, while SR-PCI replicated soft tissues. Arterial bone channels were traced from scala vestibuli (SV) arterioles to the fundus, cochlea, and vestibular apparatus. Drainage routes along the aqueducts were examined.

conclusionHuman inner ear vessels are difficult to study due to the adjoining hard bone. Micro-CT and SR-PCI with 3D reconstructions revealed large portions of the micro-vascular system in un-decalcified specimens. The results increase our understanding of the organization of the vascular system in humans and how altered microcirculation may relate to inner ear disorders. The findings may also have surgical implications.

Indexed as

Ear, InnerHumansImage Processing, Computer-AssistedImaging, Three-DimensionalMicroscopy, Phase-ContrastModels, AnatomicSoftwareSynchrotronsTemporal BoneX-Ray MicrotomographyHumanmicro-computerized tomographysynchrotron phase contrast imagingtemporal boneUppsala collection

Identifiers

PMID30204028
PMCPMC6198224
OpenAlexW2889974378

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.