دورية أكاديمية
أعرض في EDS

Success rates in restoring hearing loss in patients with chronic otitis media: A systematic review

التفاصيل البيبلوغرافية
العنوان: Success rates in restoring hearing loss in patients with chronic otitis media: A systematic review
المؤلفون: Aaran Lewis, Barbara Vanaelst, Håkan Hua, Byung Yoon Choi, Rafael Jaramillo, Kelvin Kong, Jaydip Ray, Alok Thakar, Krister Järbrink, Myrthe K. S. Hol
المصدر: Laryngoscope Investigative Otolaryngology, Vol 6, Iss 3, Pp 522-530 (2021)
بيانات النشر: Wiley, 2021.
سنة النشر: 2021
المجموعة: LCC:Otorhinolaryngology
LCC:Surgery
مصطلحات موضوعية: cholesteatoma, chronic otitis media, hearing loss, tympanoplasty, Otorhinolaryngology, RF1-547, Surgery, RD1-811
الوصف: Abstract Objective To assess the effectiveness of tympanoplasty in treating chronic otitis media‐related hearing loss, published literature was systematically reviewed to determine the clinical success rate of tympanoplasty at restoring hearing in chronic otitis media patients at a minimum follow‐up period of 12‐months. Data Sources PubMed, Embase and the Cochrane Library. Methods Two independent reviewers performed literature searches. Publications reporting long‐term (≥12‐month) hearing outcomes and complications data on adult and pediatric patients with chronic otitis media were included and assessed for risk of bias and strength of evidence. To assess how tympanoplasty influences long‐term hearing outcomes, data on pure tone audiometry (air‐bone gap) and complications were extracted and synthesized. Results Thirty‐nine studies met the inclusion criteria. Data from 3162 patients indicated that 14.0% of patients encountered postoperative complications. In adult patients, mean weighted air‐bone gap data show closure from 26.5 dB hearing level (HL) (preoperatively) to 16.1 dB HL (postoperatively). In studies that presented combined adult and pediatric data, the mean preoperative air‐bone gap of 26.7 dB HL was closed to 15.4 dB HL. In 1370 patients with synthesizable data, 70.7% of patients had a postoperative air‐bone gap ˂ 20 dB HL at long‐term follow‐up. Finally, subgroup analysis identified that mean improvement in ABG closure for patients with and without cholesteatoma was 10.0 dB HL and 12.4 dB HL, respectively. Conclusion In patients with chronic otitis media, tympanoplasty successfully closed the air‐bone gap to within 20 dB HL in 7/10 cases and had an overall complication rate of 14.0%. Level of Evidence 2a.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2378-8038
Relation: https://doaj.org/toc/2378-8038
DOI: 10.1002/lio2.576
URL الوصول: https://doaj.org/article/52d8ebc01f9f4581b44f46163c3ef9b4
رقم الأكسشن: edsdoj.52d8ebc01f9f4581b44f46163c3ef9b4
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:23788038
DOI:10.1002/lio2.576