دورية أكاديمية
أعرض في EDS

First-Side and Second-Side Repair of Bilateral Superior Canal Dehiscence.

التفاصيل البيبلوغرافية
العنوان: First-Side and Second-Side Repair of Bilateral Superior Canal Dehiscence.
المؤلفون: Yang HH; Department of Head and Neck Surgery, David Geffen School of Medicine at University of California, Los Angeles, California, USA., Yang I; Department of Neurosurgery, David Geffen School of Medicine at University of California, Los Angeles, California, USA., Gopen QS; Department of Head and Neck Surgery, David Geffen School of Medicine at University of California, Los Angeles, California, USA.
المصدر: The Laryngoscope [Laryngoscope] 2024 Apr; Vol. 134 (4), pp. 1882-1888. Date of Electronic Publication: 2023 Nov 08.
نوع المنشور: Journal Article
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: Audiometry* , Otologic Surgical Procedures*, Humans ; Retrospective Studies ; Semicircular Canals/surgery
مستخلص: Objective: Bilateral superior canal dehiscence (SCD) may warrant surgeries on both sides. With repairs of unilateral SCD as reference, we investigate the comparative effectiveness of first-side and second-side repairs, in hopes of establishing knowledge that can guide clinical decision-making pertaining the appropriateness of second-side surgeries.
Methods: Middle fossa SCD repairs at an institution between 2011 and 2022 were analyzed. Multivariable regression models assessed symptom resolution and audiometric improvement with surgery cohort (unilateral SCD repair vs. first-side repair vs. second-side repair) as the primary predictor. All models controlled for patient age, sex, surgery duration, prior ear surgery, and follow-up.
Results: A total of 407 repairs (180 unilateral SCD, 172 first-side, and 55 second-side repairs) were analyzed. The rates of overall symptom improvement for auditory and vestibular symptoms were as follows: 81% and 67% for unilateral SCD repairs; 73% and 54% for first-side repairs; and 43% and 51% for second-side repairs, respectively. Compared with first-side repairs, which resolved auditory symptoms at similar rates (aOR 95% C.I. 0.36-1.07) but resolved vestibular symptoms at significantly lower rates (aOR 95% C.I. 0.35-0.93) compared with unilateral SCD repairs, second-side repairs resolved auditory symptoms at significantly lower rates (aOR 95% C.I. 0.10-0.51) but resolved vestibular symptoms at similar rates (aOR 95% C.I. 0.45-2.01).
Conclusions: Careful consideration of perioperative symptomatology may inform the appropriateness of second-side surgeries. If auditory symptoms persisted following first-side surgeries, second-side surgeries are less likely to yield resolution. If vestibular symptoms persisted following first-side repairs, second-side repairs may lead to resolution at similar rates as first-side repairs.
Level of Evidence: 3 Laryngoscope, 134:1882-1888, 2024.
(© 2023 The American Laryngological, Rhinological and Otological Society, Inc.)
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فهرسة مساهمة: Keywords: audiology; bilateral disease; superior semicircular canal dehiscence; vestibular system
تواريخ الأحداث: Date Created: 20231108 Date Completed: 20240318 Latest Revision: 20240318
رمز التحديث: 20240318
DOI: 10.1002/lary.31118
PMID: 37937741
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.31118