Evidence map›Paper›PMID 37198302›Full record

ArticleEuropean 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 Surgery2023

Assessment of the ability of the radiological incudo-stapedial angle to predict the stapedotomy technique type: a prospective case-series study.

Maurizio Barbara, Saad Elzayat, Hussein A El-Shirbeny, Mohammed Abdelbadie Salem, Ahmed I Ebeed, Edoardo Covelli, Luigi Volpini, Valerio Margani, Haitham H Elfarargy

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Article in 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, 2023. 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
0.2field-weighted citation impact, top 44% of its field
1 · What the graph read from it

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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

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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.

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Maurizio BarbaraDepartment of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy.
Saad ElzayatOtorhinolaryngology Department, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh University Hospital, El-Geish Street, Kafrelsheikh, 33155, Egypt.
Hussein A El-ShirbenyOtorhinolaryngology Department, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh University Hospital, El-Geish Street, Kafrelsheikh, 33155, Egypt. hassien.med_0127@med.kfs.edu.eg.ORCID http://orcid.org/0000-0003-2717-6631
Mohammed Abdelbadie SalemOtorhinolaryngology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Ahmed I EbeedRadiology Department, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.
Edoardo CovelliDepartment of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy.
Luigi VolpiniOtolaryngology Department, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Valerio MarganiDepartment of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy.
Haitham H ElfarargyOtorhinolaryngology Department, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh University Hospital, El-Geish Street, Kafrelsheikh, 33155, Egypt.
Kafrelsheikh University · EGSapienza University of Rome · ITMansoura University · EGUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to propose a radiological classification of the incudo-stapedial angle by preoperative high-resolution computed tomography (HRCT) images and to highlight its importance for predicting the use of reversal-steps stapedotomy (RSS) rather than the traditional non-reversal technique.

methodsWe included 83 candidates for stapedotomy operation. Two physicians measured the radiological incudo-stapedial joint angle in the preoperative HRCT. According to this measurement, the radiological incudo-stapedial joint was classified into three types: obtuse, right, and acute. In addition, this radiological classification was correlated with the intraoperative use of the stapedotomy technique, either reversal or non-reversal.

resultsThe RSS technique was used in forty-two (97.7%) cases with an obtuse angle and twenty-six (89.7%) with a right angle. At the same time, the traditional non-reversal technique was used in all patients with an acute angle. The three groups differed significantly regarding the method used for stapedotomy (P value < 0.001). Moreover, Spearman's correlation coefficient revealed a significant correlation between the used technique and the radiological type of the incudo-stapedial angle (P value < 0.001).

conclusionsThis prospective study proposed a preoperative radiological classification of the incudo-stapedial angle. This classification was significantly correlated with the type of stapedotomy technique. The RSS technique was feasible in most cases with an obtuse and right radiological incudo-stapedial angle. In contrast, the non-reversal method was used in all patients with an acute radiological incudo-stapedial angle. This radiological classification could predict the choice for the stapedotomy technique with an accuracy of 95.18%, a sensitivity of 73.33%, and a specificity of 100%.

Indexed as

Ossicular ProsthesisOtosclerosisStapes SurgeryHumansIncusProspective StudiesStapesComputed-tomographyIncudo-stapedial anglePreoperative planReversal-steps techniqueStapedotomy

Identifiers

PMID37198302
OpenAlexW4376878574

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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.