Evidence map›Paper›PMID 40351881›Full record

ReviewJournal of neurological surgery. Part B, Skull base2025

Current Evidence in the Management of Central Skull Base Osteomyelitis: A Systematic Review.

Lokesh Kumar P, Garima Upreti, Sabarisan Paramasivam, Sivaraman Ganesan, Arun Alexander, Regi Thomas

Abstract readReview
In one paragraph

Review in Journal of neurological surgery. Part B, Skull base, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Clinical Features and Surgical Outcomes in Patients With Central Skull Base Osteomyelitis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  2. Review
  3. Skull Base Osteomyelitis- Microbiological Profile and Management Implications.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    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

6 authors.

Lokesh Kumar PDepartment of Ear, Nose, and Throat (ENT), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.ORCID 0000-0003-1007-7776
Garima UpretiDepartment of Ear, Nose, and Throat (ENT), All India Institute of Medical Sciences (AIIMS), Rajkot, Rajkot, Gujarat, India.ORCID 0000-0003-1519-9553
Sabarisan ParamasivamDepartment of Ear, Nose, and Throat (ENT), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.ORCID 0000-0001-5725-6099
Sivaraman GanesanDepartment of Ear, Nose, and Throat (ENT), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
Arun AlexanderDepartment of Ear, Nose, and Throat (ENT), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.ORCID 0000-0003-1026-4678
Regi ThomasDepartment of Ear, Nose, and Throat (ENT), Christian Medical College Hospital, Vellore, Tamil Nadu, India.ORCID 0000-0002-2069-1799

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Based on current evidence, this systematic review focuses on various gray areas related to these patients' diagnosis, management, and follow-up in central skull base osteomyelitis (CSBO). Study Design: A systematic review of all case reports and observational studies. Methods: We systematically searched PubMed, Scopus database, Cochrane database, U.K. clinicaltrails.gov registry, and World Health Organization International Clinical Trials Registry Platform and included all reports as per our inclusion criteria. Data was analyzed systematically, and we made essential observations. Results: Out of 179 articles, 25 were selected according to inclusion criteria and quality assessment. Among the 44 patients, refractory headache (95%) was the most common presentation, followed by cranial nerve paralysis (82%) and Pseudomonas (32%) as the most common bacteria. Contrary to the available literature the disease cure was worse in those who underwent targeted biopsy (64% vs. 36%, Conclusion: Otogenic osteomyelitis can spread to central skull bones in the absence of obvious ear symptoms. Early diagnosis and intervention of CSBO before progression to late stages can help decrease significant morbidity and mortality.

Indexed as

atypical skull base osteomyelitiscentral skull base osteomyelitisclival osteomyelitispetrous apicitis

Identifiers

PMID40351881
PMCPMC12064298

What OpenQuestion holds

Textmetadata
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.