evaluate the correlation of high-resolution computed tomography-based radiological predictors with the surgical ease of access to the round window membrane in cochlear implant surgery.
Surgeons performing cochlear implantation may find preoperative HR-CT temporal bone findings useful for predicting round window access difficulty, but clinical adoption depends on validating specific predictive markers identified in this review.
Improving preoperative prediction of round window visibility could reduce intraoperative complications and support better surgical planning for cochlear implantation.
- 01Systematic review assessed HR-CT temporal bone as a preoperative predictor of round window membrane visibility.
- 02Round window access is a critical step in cochlear implant surgery affecting electrode insertion outcomes.
- 03Identifying reliable CT predictors could allow surgical teams to anticipate and prepare for difficult anatomy.
- 04Findings may inform pre-surgical counselling and procedural planning protocols.
- 05Evidence quality depends on the heterogeneity of included studies across the review.
Preoperative high-resolution CT scan findings of the temporal bone can predict surgical ease of round window membrane access during cochlear implant procedures.
studypartially supported- PMID
- 42363384
- DOI
- 10.47391/JPMA.AKU-10Surg-17.
- Journal
- Journal of the Pakistan Medical Association
- Publication type
- systematic_review
- Evidence level
- 1a
- Population
- Patients undergoing cochlear implant surgery evaluated with preoperative HR-CT temporal bone imaging
- Intervention
- Preoperative high-resolution CT scan of temporal bone
Primary outcomes
Prediction of round window membrane visibility during cochlear implant surgery