Climbing up the learning curve in totally endoscopic cholesteatoma surgery
Bibliographic record
Abstract
ossicular defect (as expected) and an OCC extending from the stapedial tendon to the promontory.We removed the entire OCC and reconstructed the ossicular chain with tragal cartilage.The postoperative air-bone gap was 9.4 dB.Conclusions: OCC often presents in a way very similar to COA, with conductive hearing loss and an intact tympanic membrane.However, a history of progressive hearing loss and the presence of a subtle soft tissue density on TBCT are suspicious of OCC, rather than COA, in which the hearing loss is of a congenital nature.In this patient, the cholesteatoma was located in the sinus tympani around the stapedial tendon and was difficult to assess with an operating microscope.In lesions of the sinus tympani and facial recess, endoscope-assisted microsurgery can facilitate cholesteatoma removal and reduce the risk of recurrence.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.018 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.002 | 0.006 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.002 | 0.004 |
| Insufficient payload (model declined to judge) | 0.014 | 0.005 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".