Arcuate eminence distance to temporal bone outer table in the middle fossa repair of superior canal dehiscence.

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-07 DOI:10.1007/s00405-024-09067-0

Hong-Ho Yang, Isaac Yang, Quinton S Gopen

{"title":"Arcuate eminence distance to temporal bone outer table in the middle fossa repair of superior canal dehiscence.","authors":"Hong-Ho Yang, Isaac Yang, Quinton S Gopen","doi":"10.1007/s00405-024-09067-0","DOIUrl":null,"url":null,"abstract":"Purpose: To investigate the influence of arcuate eminence's distance to temporal bone outer table (AE-OT) on surgical outcomes following the middle fossa repair of superior canal dehiscence (SCD).Methods: We conducted a cohort study of consecutive repairs at a center between 2011 and 2022. AE-OT was measured on temporal bone CT imaging. Surgical outcomes were assessed with established metrics including Symptom Resolution Score (SRS), rate of Overall Symptom Improvement (OSI), and change in low-frequency air-bone gap (ΔLF-ABG) from pre- to post-surgery. Multivariable regression models assessing surgical outcomes were constructed with AE-OT as the primary predictor. Models adjusted for patient demographics, medical and surgical history, and follow-up duration.Results: A total of 402 repairs were included. Mean AE-OT was 27.1 mm (SD 2.1, range 20.8-33.9). Every mm increase in AE-OT was independently associated with a 14% reduction in odds of OSI (aOR 0.86, 95% C.I. [0.75, 0.98]) and a 4-point decrease in SRS (adj. β - 4.0 [- 6.9, - 1.1]) among frank dehiscences. AE-OT was also not associated with operative duration and ΔLF-ABG among both frank dehiscences and near dehiscences.Conclusions: Longer AE-OT predicted poorer symptomatic response but similar operative duration and audiometric improvement among frank SCD cases.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Archives of Oto-Rhino-Laryngology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00405-024-09067-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To investigate the influence of arcuate eminence's distance to temporal bone outer table (AE-OT) on surgical outcomes following the middle fossa repair of superior canal dehiscence (SCD).

Methods: We conducted a cohort study of consecutive repairs at a center between 2011 and 2022. AE-OT was measured on temporal bone CT imaging. Surgical outcomes were assessed with established metrics including Symptom Resolution Score (SRS), rate of Overall Symptom Improvement (OSI), and change in low-frequency air-bone gap (ΔLF-ABG) from pre- to post-surgery. Multivariable regression models assessing surgical outcomes were constructed with AE-OT as the primary predictor. Models adjusted for patient demographics, medical and surgical history, and follow-up duration.

Results: A total of 402 repairs were included. Mean AE-OT was 27.1 mm (SD 2.1, range 20.8-33.9). Every mm increase in AE-OT was independently associated with a 14% reduction in odds of OSI (aOR 0.86, 95% C.I. [0.75, 0.98]) and a 4-point decrease in SRS (adj. β - 4.0 [- 6.9, - 1.1]) among frank dehiscences. AE-OT was also not associated with operative duration and ΔLF-ABG among both frank dehiscences and near dehiscences.

Conclusions: Longer AE-OT predicted poorer symptomatic response but similar operative duration and audiometric improvement among frank SCD cases.

查看原文本刊更多论文

上管裂孔修复中窝与颞骨外表间的弓形隆起距离。

目的：探讨弓形隆起与颞骨外台（AE-OT）的距离对上管裂（SCD）中窝修复术后手术效果的影响。方法：我们在2011年至2022年期间在一个中心进行了连续修复的队列研究。在颞骨CT上测量AE-OT。手术结果通过既定指标进行评估，包括症状缓解评分（SRS）、总症状改善率（OSI）和术前至术后低频气骨间隙的变化（ΔLF-ABG）。以AE-OT为主要预测因子构建评估手术结果的多变量回归模型。模型根据患者的人口统计学、病史和手术史以及随访时间进行调整。结果：共修复402例。AE-OT平均27.1 mm （SD 2.1，范围20.8-33.9）。AE-OT每增加mm，与坦率裂裂患者的OSI几率降低14% （aOR 0.86, 95% ci[0.75, 0.98]）和SRS降低4个点（aj . β - 4.0[- 6.9, - 1.1]）独立相关。在直接裂和近裂中AE-OT也与手术时间和ΔLF-ABG无关。结论：较长的AE-OT预测较差的症状反应，但坦率的SCD患者的手术时间和听力改善相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.