دورية أكاديمية
أعرض في EDS

Complications After Pediatric Temporal Bone Fractures by Classification System: A Systematic Review and Meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Complications After Pediatric Temporal Bone Fractures by Classification System: A Systematic Review and Meta-analysis.
المؤلفون: Poupore NS; Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, USA., Britt AF; Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.; Medical University of South Carolina School of Medicine, Charleston, South Carolina, USA., Nguyen SA; Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, USA., White DR; Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
المصدر: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2024 Apr; Vol. 170 (4), pp. 1009-1019. Date of Electronic Publication: 2024 Jan 03.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: England NLM ID: 8508176 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6817 (Electronic) Linking ISSN: 01945998 NLM ISO Abbreviation: Otolaryngol Head Neck Surg Subsets: In Process
أسماء مطبوعة: Publication: 2023- : [Oxford] : Wiley
Original Publication: [Rochester, Minn.] : The Academy, [c1981-
مستخلص: Objective: To analyze the rates of complications after pediatric temporal bone fractures (TBF) and the utility of the longitudinal, transverse, and mixed versus the otic capsule sparing (OCS) and otic capsule violating (OCV) classification systems in predicting these complications.
Data Sources: PubMed, Scopus, and CINAHL.
Review Methods: Per PRISMA guidelines, studies of children with TBFs were included. Meta-analyses of proportions were performed.
Results: A total of 22 studies with 1376 TBFs were included. Children with TBF had higher rates of conductive hearing loss (CHL) than sensorineural hearing loss (SNHL) (31.3% [95% confidence interval [CI] 23.2-40.1] vs 12.9% [95% CI 8.9-17.5]). No differences in both CHL and SNHL were seen between longitudinal and transverse TBFs; however, OCV TBFs had higher rates of SNHL than OCS TBFs (59.3% [95% CI 27.8-87.0] vs 4.9% [95% CI 1.5-10.1]). Of all patients, 9.9% [95% CI 7.2-13.1] experienced facial nerve (FN) paresis/paralysis, and 13.4% [95% CI 5.9-23.2] experienced cerebrospinal fluid otorrhea. Transverse TBFs had higher rates of FN paresis/paralysis than longitudinal (27.7% [95% CI 17.4-40.0] vs 8.6% [95% CI 5.2-12.8]), but rates were similar between OCS and OCV TBFs.
Conclusion: CHL was the most common complication after TBF in children; however, neither classification system was superior in identifying CHL. The traditional system was more effective at identifying FN injuries, and the new system was more robust at identifying SNHL. While these results suggest that both classification systems might have utility in evaluating pediatric TBFs, these analyses were limited by sample size. Future research on outcomes of pediatric TBFs stratified by type of fracture, mainly focusing on long-term outcomes, is needed.
(© 2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.)
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فهرسة مساهمة: Keywords: longitudinal; otic capsule; pediatric; temporal bone fracture; transverse
تواريخ الأحداث: Date Created: 20240103 Latest Revision: 20240722
رمز التحديث: 20240723
DOI: 10.1002/ohn.638
PMID: 38168743
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-6817
DOI:10.1002/ohn.638