دورية أكاديمية
Outcomes of Soft Versus Bony Canal Wall Reconstruction with Mastoid Obliteration.
| العنوان: | Outcomes of Soft Versus Bony Canal Wall Reconstruction with Mastoid Obliteration. |
|---|---|
| المؤلفون: | Vesole AS; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, Ohio., Doyle EJ 3rd; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, Ohio., Sarkovics K; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, Ohio., Gharib M; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, Ohio., Samy RN; Otolaryngology-Head and Neck Surgery, Institute for Surgical Excellence, Lehigh Valley Health Network-LVHN, 1200 South Cedar Crest Blvd, Allentown, Pennsylvania. |
| المصدر: | Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2024 Jun 01; Vol. 45 (5), pp. 542-548. Date of Electronic Publication: 2024 Mar 21. |
| نوع المنشور: | Journal Article; Comparative Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100961504 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-4505 (Electronic) Linking ISSN: 15317129 NLM ISO Abbreviation: Otol Neurotol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2001- |
| مواضيع طبية MeSH: | Cholesteatoma, Middle Ear*/surgery , Mastoid*/surgery , Mastoidectomy*/methods, Humans ; Male ; Female ; Retrospective Studies ; Middle Aged ; Adult ; Treatment Outcome ; Tympanoplasty/methods ; Postoperative Complications/epidemiology ; Plastic Surgery Procedures/methods ; Aged ; Ear Canal/surgery ; Young Adult ; Audiometry, Pure-Tone ; Recurrence |
| مستخلص: | Objective: To compare recidivism rates, audiometric outcomes, and postoperative complication rates between soft-wall canal wall reconstruction (S-CWR) versus bony-wall CWR (B-CWR) with mastoid obliteration (MO) in patients with cholesteatoma. Study Design: Retrospective chart review. Setting: Tertiary neurotologic referral center. Patients: Ninety patients aged ≥18 years old who underwent CWR with MO, either S-CWR or B-CWR, for cholesteatoma with one surgeon from January 2011 to January 2022. Patients were followed postoperatively for at least 12 months with or without second-look ossiculoplasty. Interventions: Tympanomastoidectomy with CWR (soft vs. bony material) and mastoid obliteration. Main Outcome Measures: Recidivism rates; conversion rate to CWD; pre- versus postoperative pure tone averages, speech reception thresholds, word recognition scores, and air-bone gaps; postoperative complication rates. Results: Middle ear and mastoid cholesteatoma recidivism rates were not significantly different between B-CWR (17.3%) and S-CWR (18.4%, p = 0.71). There was no significant difference in pre- versus postoperative change in ABG (B-CWR, -2.1 dB; S-CWR, +1.6 dB; p = 0.91) nor in the proportion of postoperative ABGs <20 dB (B-CWR, 41.3%; S-CWR, 30.7%; p = 0.42) between B-CWR and S-CWR. Further, there were no significant differences in complication rates between B-CWR and S-CWR other than increased minor TM perforations/retractions in B-CWR (63% vs. 40%, p = 0.03). Conclusions: Analysis of recidivism rates, audiometric outcomes and postoperative complications between B-CWR with MO versus S-CWR with MO revealed no significant difference. Both approaches are as effective in eradicating cholesteatoma while preserving relatively normal EAC anatomy and hearing. Surgeon preference and technical skill level may guide the surgeon's choice in approach. Competing Interests: Disclosures/conflicts of interest: RNS received honoraria from Stryker Corporation and research funding from Cochlear Corporation, Frequency Therapeutics, and Otonomy, Inc. (Copyright © 2024, Otology & Neurotology, Inc.) |
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| تواريخ الأحداث: | Date Created: 20240321 Date Completed: 20240510 Latest Revision: 20240511 |
| رمز التحديث: | 20240512 |
| DOI: | 10.1097/MAO.0000000000004172 |
| PMID: | 38511274 |
| قاعدة البيانات: | MEDLINE |
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