دورية أكاديمية
أعرض في EDS

Transcanal Transpromontorial Approaches to the Internal Auditory Canal: A Systematic Review.

التفاصيل البيبلوغرافية
العنوان: Transcanal Transpromontorial Approaches to the Internal Auditory Canal: A Systematic Review.
المؤلفون: Palmisciano P; Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA., Doyle EJ 3rd; Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA., Hoz SS; Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA., Cass D; Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA., Samy RN; Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.; Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA., Andaluz N; Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA., Zuccarello M; Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
المصدر: The Laryngoscope [Laryngoscope] 2023 Nov; Vol. 133 (11), pp. 2856-2867. Date of Electronic Publication: 2023 Apr 20.
نوع المنشور: Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
مواضيع طبية MeSH: Ear, Inner*/surgery , Ear, Inner*/pathology , Neuroma, Acoustic*/surgery , Neuroma, Acoustic*/pathology, Humans ; Retrospective Studies ; Endoscopy/methods ; Paralysis
مستخلص: Objective: Exclusive endoscopic (EETTA) and expanded (ExpTTA) transcanal transpromontorial approaches have shown promising results for treating internal auditory canal (IAC) lesions. We reviewed the literature to answer the question: "Do EETTA and ExpTTA achieve high rates of complete resection and low rates of complications in treating patients with IAC pathologies?"
Data Sources: PubMed, EMBASE, Scopus, Web of Science, and Cochrane were searched.
Review Methods: Studies reporting EETTA/ExpTTA for IAC pathologies were included. Indications and techniques were discussed and meta-analyzed rates of outcomes and complications were obtained with random-effect model meta-analyses.
Results: We included 16 studies comprising 173 patients, all with non-serviceable hearing. Baseline FN function was mostly House-Brackmann-I (96.5%; 95% CI: 94.9-98.1%). Most lesions were vestibular/cochlear schwannomas (98.3%; 95% CI: 96.7-99.8%) of Koos-I (45.9%; 95% CI: 41.3-50.3%) or II (47.1%; 95% CI: 43-51.1%). EETTA was performed in 101 patients (58.4%; 95% CI: 52.4-64.3%) and ExpTTA in 72 (41.6%; 95% CI: 35.6-47.6%), achieving gross-total resection in all cases. Transient complications occurred in 30 patients (17.3%; 95% CI: 13.9-20.5%), with meta-analyzed rates of 9% (95% CI: 4-15%), comprising FN palsy with spontaneous resolution (10.4%; 95% CI: 7.7-13.1%). Persistent complications occurred in 34 patients (19.6%; 95% CI: 17.1-22.2%), with meta-analyzed rates of 12% (95% CI: 7-19%), comprising persistent FN palsy in 22 patients (12.7%; 95% CI: 10.2-15.2%). Mean follow-up was 16 months (range, 1-69; 95% CI: 14.7-17.4). Post-surgery FN function was stable in 131 patients (75.8%; 95% CI: 72.1-79.5%), worsened in 38 (21.9%; 95% CI: 18.8-25%), and improved in 4 (2.3%; 95% CI: 0.7-3.9%), with meta-analyzed rates of improved/stable response of 84% (95% CI: 76-90%).
Conclusion: Transpromontorial approaches offer newer routes for IAC surgery, but their restricted indications and unfavorable FN outcomes currently limit their use. Laryngoscope, 133:2856-2867, 2023.
(© 2023 The American Laryngological, Rhinological and Otological Society, Inc.)
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فهرسة مساهمة: Keywords: cerebellopontine angle; cranial nerves; endoscopic ear surgery; hearing outcomes; internal auditory canal; lateral skull base; vestibular schwannoma
تواريخ الأحداث: Date Created: 20230420 Date Completed: 20231023 Latest Revision: 20231024
رمز التحديث: 20231025
DOI: 10.1002/lary.30703
PMID: 37078512
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.30703