Evidence map›Paper›PMID 39613850›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 Surgery2025

Skull base osteomyelitis: HBO as a therapeutic concept Effects on clinical and radiological results.

Miriam Simon, Sven Dreyer, Insa Joost, Christian Rubbert, Jörg Schipper, Julia Kristin

Abstract read
In one paragraph

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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Optimizing pathogen detection in skull base osteomyelitis: a comparative analysis of swab versus biopsy sampling.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
  2. Letter to the editor regarding "A prospective multicentric study of microbiological profile, treatment protocols and clinical indicators of cure in skull base osteomyelitis".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
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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

6 authors.

Miriam SimonDepartment of Otorhinolaryngology, Duesseldorf University Hospital, Moorenstrasse 5, 40225, Duesseldorf, Germany. Miriam.Simon@med.uni-duesseldorf.de.ORCID http://orcid.org/0000-0002-5116-8888
Sven DreyerDepartment of Orthopedics and Trauma Surgery, Duesseldorf University Hospital, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Insa JoostDepartment of Medical Microbiology and Hospital Hygiene, Duesseldorf University Hospital, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Christian RubbertDepartment of Diagnostic and Interventional Radiology (Neuroradiology), Duesseldorf University Hospital, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Jörg SchipperDepartment of Otorhinolaryngology, Duesseldorf University Hospital, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Julia KristinDepartment of Otorhinolaryngology, Duesseldorf University Hospital, Moorenstrasse 5, 40225, Duesseldorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSkull base osteomyelitis is a rare but potentially life-threatening disease. It usually occurs as a complication of severe otitis externa or infection in the nasopharynx, often in immunocompromised patients. The therapeutic strategy is complex, patient-specific and requires interdisciplinary cooperation. MATERIAL AND

methodA retrospective evaluation of all patients with skull base osteomyelitis at the Department of Otorhinolaryngology of the University Hospital Duesseldorf from 2006 to 2023 was carried out. It was investigated which factors, in addition to treatment regimens (antibiotic therapy with i.v./oral antibiotics, surgical debridement and HBO therapy) have an influence on the clinical, laboratory and morphological outcome of the patients.

resultsA total of 42 patients who received interdisciplinary treatment in our clinic were included in the study, of whom 71.4% were male and 28.6% female. The tissue samples showed an inflammatory process, with detection of Pseudomonas aeruginosa in 68.4% of patients. A total of 61.9% of patients presented cranial nerve deficits, most frequently facial nerve palsy. A total of 66.7% of patients received HBO therapy. Of these, n = 20/23 patients (87%) with HBO improved and achieved regression in the follow-up imaging. Known patient-specific factors were confirmed and HBO was emphasized as an important component of the multimodal therapy concept. HBO appears to be justified and should continue to be included in the treatment regimen in the future. For this reason, patients with SBO should be sent to a center that offers HBO therapy.

Indexed as

Hyperbaric OxygenationOsteomyelitisSkull BaseAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsDebridementFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultAnti-Bacterial AgentsAntibioticsClinical and morphological outcomesHyperbaric oxygen therapySkull base osteomyelitisSkull base surgery

Identifiers

PMID39613850
PMCPMC11950119

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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.