Headache resolution following the middle fossa repair of superior semicircular canal dehiscence

IF 1.8 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2026-01-01 Epub Date: 2025-11-30 DOI:10.1016/j.amjoto.2025.104752

Layla Ali , Adam Ali , Samuel Salib , Niloufar S. Tehrani , Hong-Ho Yang , Khashayar Mozaffari , Quinton Gopen

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引用次数: 0

Abstract

Objective

To investigate predictors of headache resolution following surgical intervention for superior semicircular canal dehiscence (SSCD) syndrome.

Method

We conducted a retrospective chart review on 344 surgical repairs of SSCD via the middle cranial fossa (MCF) approach conducted at an institution. The primary outcome measure was the resolution of headaches after SSCD repair. Analyses explored the predictive potential of several comorbidities and lifestyle factors pre-operatively.

Results

Among a total of 344 repairs, 193 (56 %) reported headaches preoperatively. Among which, 114 (59 %) experienced headache resolution following surgery. Compared to patients without a history of general anxiety disorder (GAD), patients with GAD reported a 65 % lower odds of headache resolution following surgery (aOR 0.35, 95 % CI [0.14, 0.91]). Compared to patients without hypertension (HTN), patients with HTN were significantly more likely to experience headache resolution following surgery (aOR 4.65, [1.19, 18.22]).

Conclusion

A substantial portion of patients with headaches experienced resolution following SSCD repair (∼60 %). Patients with GAD were less likely to experience headache resolution following SSCD repair, whereas patients with HTN were more likely to experience headache resolution.

Level of Evidence: Level IV

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上半规管裂孔中窝修复术后头痛的解决。

目的：探讨手术治疗上半规管裂（SSCD）综合征后头痛缓解的预测因素。方法：我们对某机构344例经颅中窝（MCF）入路手术修复SSCD的病例进行回顾性分析。主要结局指标是SSCD修复后头痛的消退。分析探讨了术前几种合并症和生活方式因素的预测潜力。结果：在344例修复中，193例（56%）报告术前头痛。其中114例（59%）手术后头痛得到缓解。与没有广泛性焦虑症（GAD）病史的患者相比，GAD患者手术后头痛缓解的几率低65% （aOR 0.35, 95% CI[0.14, 0.91]）。与无高血压患者（HTN）相比，HTN患者术后头痛缓解的可能性显著增加（aOR 4.65,[1.19, 18.22]）。结论：相当一部分患者在SSCD修复后头痛得到缓解（约60%）。广泛性焦虑症患者在SSCD修复后头痛缓解的可能性较小，而HTN患者头痛缓解的可能性更大。证据等级：四级。

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.