Postoperative radiological assessment of the mastoid facial canal in cochlear implant patients in correlation with facial nerve stimulation.
Saved in:
| Title: | Postoperative radiological assessment of the mastoid facial canal in cochlear implant patients in correlation with facial nerve stimulation. |
|---|---|
| Authors: | Burck, Iris1 (AUTHOR) iris.burck@kgu.de, Helal, Rania A.1 (AUTHOR), Naguib, Nagy N. N.2,3 (AUTHOR), Nour-Eldin, Nour-Eldin A.1,4 (AUTHOR), Scholtz, Jan-Erik1 (AUTHOR), Martin, Simon1 (AUTHOR), Leinung, Martin5 (AUTHOR), Helbig, Silke5 (AUTHOR), Stöver, Timo5 (AUTHOR), Lehn, Annette6 (AUTHOR), Vogl, Thomas J.1 (AUTHOR) |
| Source: | European Radiology. Jan2022, Vol. 32 Issue 1, p234-242. 9p. 5 Black and White Photographs, 5 Charts. |
| Subjects: | Neural stimulation, Facial nerve, Cochlear implants, Mastoidectomy, Preoperative risk factors, Cone beam computed tomography, Electric stimulation |
| Abstract: | Objectives: To correlate the radiological assessment of the mastoid facial canal in postoperative cochlear implant (CI) cone-beam CT (CBCT) and other possible contributing clinical or implant-related factors with postoperative facial nerve stimulation (FNS) occurrence. Methods: Two experienced radiologists evaluated retrospectively 215 postoperative post-CI CBCT examinations. The mastoid facial canal diameter, wall thickness, distance between the electrode cable and mastoid facial canal, and facial-chorda tympani angle were assessed. Additionally, the intracochlear position and the insertion angle and depth of electrodes were evaluated. Clinical data were analyzed for postoperative FNS within 1.5-year follow-up, CI type, onset, and causes for hearing loss such as otosclerosis, meningitis, and history of previous ear surgeries. Postoperative FNS was correlated with the measurements and clinical data using logistic regression. Results: Within the study population (mean age: 56 ± 18 years), ten patients presented with FNS. The correlations between FNS and facial canal diameter (p = 0.09), wall thickness (p = 0.27), distance to CI cable (p = 0.44), and angle with chorda tympani (p = 0.75) were statistically non-significant. There were statistical significances for previous history of meningitis/encephalitis (p = 0.001), extracochlear-electrode-contacts (p = 0.002), scala-vestibuli position (p = 0.02), younger patients' age (p = 0.03), lateral-wall-electrode type (p = 0.04), and early/childhood onset hearing loss (p = 0.04). Histories of meningitis/encephalitis and extracochlear-electrode-contacts were included in the first two steps of the multivariate logistic regression. Conclusion: The mastoid-facial canal radiological assessment and the positional relationship with the CI electrode provide no predictor of postoperative FNS. Histories of meningitis/encephalitis and extracochlear-electrode-contacts are important risk factors. Key Points: • Post-operative radiological assessment of the mastoid facial canal and the positional relationship with the CI electrode provide no predictor of post-cochlear implant facial nerve stimulation. • Radiological detection of extracochlear electrode contacts and the previous clinical history of meningitis/encephalitis are two important risk factors for postoperative facial nerve stimulation in cochlear implant patients. • The presence of scala vestibuli electrode insertion as well as the lateral wall electrode type, the younger patient's age, and early onset of SNHL can play important role in the prediction of post-cochlear implant facial nerve stimulation. [ABSTRACT FROM AUTHOR] |
| Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Engineering Source |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: egs DbLabel: Engineering Source An: 154043549 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Postoperative radiological assessment of the mastoid facial canal in cochlear implant patients in correlation with facial nerve stimulation. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Burck%2C+Iris%22">Burck, Iris</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> iris.burck@kgu.de</i><br /><searchLink fieldCode="AR" term="%22Helal%2C+Rania+A%2E%22">Helal, Rania A.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Naguib%2C+Nagy+N%2E+N%2E%22">Naguib, Nagy N. N.</searchLink><relatesTo>2,3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nour-Eldin%2C+Nour-Eldin+A%2E%22">Nour-Eldin, Nour-Eldin A.</searchLink><relatesTo>1,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Scholtz%2C+Jan-Erik%22">Scholtz, Jan-Erik</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martin%2C+Simon%22">Martin, Simon</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leinung%2C+Martin%22">Leinung, Martin</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Helbig%2C+Silke%22">Helbig, Silke</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stöver%2C+Timo%22">Stöver, Timo</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lehn%2C+Annette%22">Lehn, Annette</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vogl%2C+Thomas+J%2E%22">Vogl, Thomas J.</searchLink><relatesTo>1</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Jan2022, Vol. 32 Issue 1, p234-242. 9p. 5 Black and White Photographs, 5 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Neural+stimulation%22">Neural stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Facial+nerve%22">Facial nerve</searchLink><br /><searchLink fieldCode="DE" term="%22Cochlear+implants%22">Cochlear implants</searchLink><br /><searchLink fieldCode="DE" term="%22Mastoidectomy%22">Mastoidectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Preoperative+risk+factors%22">Preoperative risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Cone+beam+computed+tomography%22">Cone beam computed tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Electric+stimulation%22">Electric stimulation</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives: To correlate the radiological assessment of the mastoid facial canal in postoperative cochlear implant (CI) cone-beam CT (CBCT) and other possible contributing clinical or implant-related factors with postoperative facial nerve stimulation (FNS) occurrence. Methods: Two experienced radiologists evaluated retrospectively 215 postoperative post-CI CBCT examinations. The mastoid facial canal diameter, wall thickness, distance between the electrode cable and mastoid facial canal, and facial-chorda tympani angle were assessed. Additionally, the intracochlear position and the insertion angle and depth of electrodes were evaluated. Clinical data were analyzed for postoperative FNS within 1.5-year follow-up, CI type, onset, and causes for hearing loss such as otosclerosis, meningitis, and history of previous ear surgeries. Postoperative FNS was correlated with the measurements and clinical data using logistic regression. Results: Within the study population (mean age: 56 ± 18 years), ten patients presented with FNS. The correlations between FNS and facial canal diameter (p = 0.09), wall thickness (p = 0.27), distance to CI cable (p = 0.44), and angle with chorda tympani (p = 0.75) were statistically non-significant. There were statistical significances for previous history of meningitis/encephalitis (p = 0.001), extracochlear-electrode-contacts (p = 0.002), scala-vestibuli position (p = 0.02), younger patients' age (p = 0.03), lateral-wall-electrode type (p = 0.04), and early/childhood onset hearing loss (p = 0.04). Histories of meningitis/encephalitis and extracochlear-electrode-contacts were included in the first two steps of the multivariate logistic regression. Conclusion: The mastoid-facial canal radiological assessment and the positional relationship with the CI electrode provide no predictor of postoperative FNS. Histories of meningitis/encephalitis and extracochlear-electrode-contacts are important risk factors. Key Points: • Post-operative radiological assessment of the mastoid facial canal and the positional relationship with the CI electrode provide no predictor of post-cochlear implant facial nerve stimulation. • Radiological detection of extracochlear electrode contacts and the previous clinical history of meningitis/encephalitis are two important risk factors for postoperative facial nerve stimulation in cochlear implant patients. • The presence of scala vestibuli electrode insertion as well as the lateral wall electrode type, the younger patient's age, and early onset of SNHL can play important role in the prediction of post-cochlear implant facial nerve stimulation. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=egs&AN=154043549 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00330-021-08128-w Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 234 Subjects: – SubjectFull: Neural stimulation Type: general – SubjectFull: Facial nerve Type: general – SubjectFull: Cochlear implants Type: general – SubjectFull: Mastoidectomy Type: general – SubjectFull: Preoperative risk factors Type: general – SubjectFull: Cone beam computed tomography Type: general – SubjectFull: Electric stimulation Type: general Titles: – TitleFull: Postoperative radiological assessment of the mastoid facial canal in cochlear implant patients in correlation with facial nerve stimulation. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Burck, Iris – PersonEntity: Name: NameFull: Helal, Rania A. – PersonEntity: Name: NameFull: Naguib, Nagy N. N. – PersonEntity: Name: NameFull: Nour-Eldin, Nour-Eldin A. – PersonEntity: Name: NameFull: Scholtz, Jan-Erik – PersonEntity: Name: NameFull: Martin, Simon – PersonEntity: Name: NameFull: Leinung, Martin – PersonEntity: Name: NameFull: Helbig, Silke – PersonEntity: Name: NameFull: Stöver, Timo – PersonEntity: Name: NameFull: Lehn, Annette – PersonEntity: Name: NameFull: Vogl, Thomas J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 09387994 Numbering: – Type: volume Value: 32 – Type: issue Value: 1 Titles: – TitleFull: European Radiology Type: main |
| ResultId | 1 |
