Hearing Results after Transmastoid Superior Semicircular Canal Plugging for Superior Semicircular Canal Dehiscence: A Meta-Analysis.

IF 2.1 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Audiology Research Pub Date : 2023-10-08 DOI:10.3390/audiolres13050065

Efterpi Michailidou, Pascal Oliver Rüegg, Tanya Karrer, Athanasia Korda, Stefan Weder, Martin Kompis, Marco Caversaccio, Georgios Mantokoudis

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Abstract

Objective: The transmastoid plugging of a superior semicircular canal is considered a safe and effective technique for the management of superior semicircular canal dehiscence (SSCD). The aim of this meta-analysis is to assess the postoperative hearing outcomes after the transmastoid plugging of the superior semicircular canal. Search method and data sources: A systematic database search was performed on the following databases until 30 January 2023: MEDLINE, Embase, Cochrane Library, Web of Science, CINAHL, ICTRP, and clinicaltrials.gov. A systematic literature review and meta-analysis of the pooled data were conducted. We also included a consecutive case series with SCDS for those who underwent transmastoid plugging treatment at our clinic.

Results: We identified 643 citations and examined 358 full abstracts and 88 full manuscripts. A total of 16 studies were eligible for the systematic review and 11 studies for the meta-analysis. Furthermore, 159 ears (152 patients) were included. The postoperative mean air conduction threshold remained unchanged (mean difference, 2.89 dB; 95% CI: -0.05, 5.84 dB, p = 0.58), while the mean bone conduction threshold was significantly worse (mean difference, -3.53 dB; 95% CI, -6.1, -0.95 dB, p = 0.9).

Conclusion: The transmastoid plugging technique for superior semicircular canal dehiscence syndrome, although minimally worsening the inner ear threshold, is a safe procedure in terms of hearing preservation and satisfactory symptom relief.

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经乳突上半圆形管封堵治疗上半圆形导管缺损后的听力结果：Meta分析。

目的：经乳突封堵上半规管被认为是治疗上半规道裂开（SSCD）的一种安全有效的技术。本荟萃分析的目的是评估经乳突封堵上半规管后的术后听力结果。搜索方法和数据来源：在2023年1月30日之前，对以下数据库进行了系统的数据库搜索：MEDLINE、Embase、Cochrane Library、Web of Science、CINAHL、ICTRP和clinicaltrials.gov。对汇总数据进行了系统文献综述和荟萃分析。我们还纳入了一个连续的SCDS病例系列，这些病例在我们的诊所接受了经乳突封堵治疗。结果：我们鉴定了643篇引文，检查了358篇完整摘要和88篇完整手稿。共有16项研究符合系统综述条件，11项研究符合荟萃分析条件。此外，还包括159耳（152名患者）。术后平均空气传导阈值保持不变（平均差异2.89dB；95%可信区间：-0.05，5.84dB，p=0.58），而平均骨传导阈值明显较差（平均差异-3.53dB；95%置信区间：-6.1，-0.95dB，p=0.9），尽管内耳阈值的恶化程度最低，但就听力保护和令人满意的症状缓解而言，这是一种安全的手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Audiology Research AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-

CiteScore

2.30

自引率

23.50%

发文量

审稿时长

11 weeks

期刊介绍： The mission of Audiology Research is to publish contemporary, ethical, clinically relevant scientific researches related to the basic science and clinical aspects of the auditory and vestibular system and diseases of the ear that can be used by clinicians, scientists and specialists to improve understanding and treatment of patients with audiological and neurotological disorders.