Evidence map›Paper›PMID 41498298›Full record

ArticleThe Journal of laryngology and otology2026

Effectiveness of the nucleus SmartNav system in detecting and preventing electrode tip fold-overs: a multi-centre retrospective analysis of 213 cochlear implantations.

Mehmet Ekrem Zorlu, Emirhan Akyol, Secaattin Gülşen, Recep Karamert, Mehmet Birol Ugur, Hakan Tutar

Abstract readMulticenter StudyEvaluation Study
In one paragraph

Article in The Journal of laryngology and otology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Mehmet Ekrem ZorluDepartment of Otolaryngology and Head & Neck Surgery, Gazi University Faculty of Medicinehttps://ror.org/054xkpr46, Ankara, Türkiye.ORCID https://orcid.org/0000-0003-0474-8094
Emirhan AkyolDepartment of Otolaryngology and Head & Neck Surgery, Gazi University Faculty of Medicinehttps://ror.org/054xkpr46, Ankara, Türkiye.
Secaattin GülşenDepartment of Otolaryngology and Head & Neck Surgery, Gaziantep City Hospital, Gaziantep, Türkiye.
Recep KaramertDepartment of Otolaryngology and Head & Neck Surgery, Gazi University Faculty of Medicinehttps://ror.org/054xkpr46, Ankara, Türkiye.
Mehmet Birol UgurDepartment of Otolaryngology and Head & Neck Surgery, Gazi University Faculty of Medicinehttps://ror.org/054xkpr46, Ankara, Türkiye.
Hakan TutarDepartment of Otolaryngology and Head & Neck Surgery, Gazi University Faculty of Medicinehttps://ror.org/054xkpr46, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the effectiveness of the SmartNav in detecting tip fold-over during cochlear implantation and to compare angular insertion depth measurements obtained via SmartNav and transorbital X-ray imaging.

methodsThis retrospective multicentre study included patients with normal cochlear anatomy, comprising 163 individuals and 213 ears who underwent cochlear implantation using Nucleus CI522 and CI622 systems at Gazi University Faculty of Medicine and Gaziantep City Hospital.

resultsOf the 213 cochlear implantations, tip fold-over was detected in 4 implantations (1.88 per cent) intra-operatively with SmartNav. One case (0.47 per cent) of tip fold-over was not detected by SmartNav and identified post-operatively through X-ray imaging. SmartNav showed a sensitivity of 80 per cent, specificity of 100 per cent. A strong correlation was found between SmartNav and X-ray angular insertion depth measurements (

conclusionThe SmartNav is a reliable tool for the intra-operative detection of tip fold-overand the assessment of angular insertion depth in patients with normal cochlear anatomy.

Indexed as

CochleaCochlear ImplantationCochlear ImplantsAdolescentAdultChildChild, PreschoolElectrodes, ImplantedFemaleHumansInfantMaleMiddle AgedRetrospective StudiesSensitivity and SpecificityYoung Adultcochlear implantationhearing lossSmartNav systemtip fold-overX-ray

Identifiers

PMID41498298
PMCPMC13443403

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Registered trials

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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.