Evidence map›Paper›PMID 40067552›Full record

ArticleJournal of the Association for Research in Otolaryngology : JARO2025

Evaluation of Cochlear Basal Turn Patency in Children with Hearing Loss.

Marina Aramendi, Mariana Raviolo, Ina Sorge, Sylvia Meuret, Martin Sorge, Franz Wolfgang Hirsch, Daniel Gräfe

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Article in Journal of the Association for Research in Otolaryngology : JARO, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Marina Aramendi *Research Assistant at the Universitätsklinikum Leipzig, Leipzig, Germany. marinaaramendi@gmail.com.ORCID http://orcid.org/0000-0002-3130-9188
Mariana Raviolo *Diagnostic and Interventional Radiology Department at the Universitätsklinikum Leipzig, Leipzig, Germany.
Ina SorgeInstitute for Pediatric Radiology at the Universitätsklinikum Leipzig, Leipzig, Germany.
Sylvia MeuretCochlear Implant Center at the Universitätsklinikum Leipzig, Leipzig, Germany.
Martin SorgeOtolaryngology Department at the Universitätsklinikum Leipzig, Leipzig, Germany.
Franz Wolfgang HirschHead of the Institute for Pediatric Radiology at the Universitätsklinikum Leipzig, Leipzig, Germany.
Daniel GräfeInstitute for Pediatric Radiology at the Universitätsklinikum Leipzig, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA patency at the cochlear basal turn (CBTP) can lead to an abrupt leakage of CSF, known as intraoperative CSF gusher. To date, there is no established technique for predicting an intraoperative CSF gusher. We aim to establish the prevalence, width and anatomical variation of CBTP in patients with and without hearing loss as well as to estimate its association between intraoperative CSF gusher.

methodsA retrospective review of high-resolution CT images and medical records from 165 pediatric patients (330 ears) was conducted (57 males/108 females). Patients were grouped based on audiometry results: a hearing loss group and healthy controls. The presence and size of CBTP was assessed using multiplanar reconstruction techniques. The incidence of intraoperative CSF gusher was recorded and correlated with the width of CBTP.

resultsCochlear basal turn patency was found in 44.2% of ears without significant differences between both groups (p = 0.06). Intraoperative CSF gusher occurred in 5.1% of cases, more frequently in ears with inner ear malformations (27.3%). A CBTP larger than 0.75 mm did not predict intraoperative CSF gusher (p = 0.55). Enlarged vestibular aqueduct was significantly the more common malformation in patients with intraoperative CSF gusher (p < 0.01).

conclusionIntraoperative CSF gusher highlights the need for reliable imaging predictors. Yet, CBTP alone does not predict this phenomenon, indicating other contributing factors beyond known imaging findings.

Indexed as

CochleaHearing LossAdolescentChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesTomography, X-Ray ComputedCerebrospinal fluid leak etiologyCochlea abnormalitiesHearing loss pathologyInner ear abnormalitiesSensorineural hearing loss complicationsTemporal bone imaging

Identifiers

PMID40067552
PMCPMC11996723

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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.