An evidenced-based diagnostic tool for superior semicircular canal dehiscence syndrome
Christian G.Fritz1
Garrett G.Casale2
Lulia A.Kana3
Robert S.Hong3
1.Michigan Ear Institute,Farmington Hills,Michigan,USA;Department of Otorhinolaryngology-Head & Neck Surgery,University of Pennsylvania,Philadelphia,PA,USA2.Michigan Ear Institute,Farmington Hills,Michigan,USA3.Michigan Ear Institute,Farmington Hills,Michigan,USA;Department of Otolaryngology-Head and Neck Surgery,Wayne State University,Detroit,MI,USA
摘要：Purpose:To construct a symptoms-based prediction tool to assess the likelihood of superior canal dehiscence(SSCD)on high-resolution CT.
Materials and methods:Mathematical modeling was employed to predict radiologic evidence of SSCD at a tertiary neurotology referral center.
Results:A total of 168 patients were included,of which 118 had imaging-confirmed SSCD.On univariate analysis significant predictors of SSCD presence were:sound/pressure-induced vertigo(p=0.006),disequilibrium(p=0.008),hyperacusis(p=0.008),and autophony(p=0.034).Multivariate analysis enabled a 14-point symptom-weighted tool to be developed,wherein a score of ≥6 raised the suspicion of SSCD(≥70％likelihood of being present),R2=0.853.
Conclusions:The likelihood of SSCD on CT scan can be determined with a high degree of certainty based on symptoms recorded at presentation.Using the evidenced-based diagnostic tool validated herein,a score ≥6 with any symptom combination justifies ordering a CT scan.
机标关键词：diagnosticcanaldehiscenceevidenced-basedsemicircularsuperiorsyndrometool
论文发表日期：2023-12-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 230-234 )
英文信息