지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제12권 제2호
- 발행연도
- 2019.1
- 수록면
- 145 - 155 (11page)
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초록· 키워드
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Although efficacies and proportions of tympanoplasty performed via endoscopic ear surgery (EES) have gradually introduced, it remains unclear whether total EES is a good alternative to microscopic ear surgery (MES). Herein, we aimed to compare therapeutic effects of EES and MES in patients receiving tympanoplasty or myringoplasty. A search of MEDLINE, PubMed, and Embase databases was conducted to compare the efficacies of EES and MES. Two investigators independently reviewed all studies and extracted data with a standardized form. We assessed risk of bias and calculated pooled odds ratio (OR) estimates with a 95% confidence interval (CI). Thirteen studies (607 EES patients and 678 MES patients) met inclusion criteria for quantitative meta-analysis. In pooled analysis, those who undergo EES have 0.99 times the OR of graft success compared to those with MES (95% CI, 0.84 to 1.16; P=0.894). In qualitative analysis, comparable hearing improvement was observed between the two groups, despite inconsistent audiometric evaluation. The air-bone gaps (ABGs) improved 2.02 dB less in EES than in MES (mean difference of improvements of ABGs, 2.02; 95% CI, –3.84 to –0.20; P=0.029); however, substantial heterogeneity and publication bias limited the integrity of this analysis. Further, EES significantly decreased canalplasty rate, wound complications, and operation time, compared to MES. Moreover, patients receiving EES reported higher cosmetic satisfaction than patients receiving MES. EES can be a good alternative to MES in terms of comparable graft success rate and hearing outcomes in patients receiving tympanoplasty or myringoplasty. Moreover, EES was less invasive, resulting in higher cosmetic satisfaction, reduced morbidity, and shorter operation time. Our results may affect decision-making and outcome prediction in cases of EES; however, confirmation is needed to clarify potential bias.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
Tan HE / 2016 / Type I tympanoplasty meta-analysis : a single variable analysis / Otol Neurotol 37(7):838~846
Rizer FM / 1997 / Overlay versus underlay tympanoplasty. Part II: the study / Laryngoscope 107(12 Pt 2):26~36
Mundra RK / 2013 / Tympanoplasty in subtotal perforation with graft supported by a slice of cartilage: a study with near 100 % results / Indian J Otolaryngol Head Neck Surg 65(Suppl 3):631~635
Jumaily M / 2018 / Butterfly cartilage tympanoplasty outcomes : a single-institution experience and literature review / Am J Otolaryngol 39(4):396~400
Kozin ED / 2015 / Systematic review of outcomes following observational and operative endoscopic middle ear surgery / Laryngoscope 125(5):1205~1214
Rizer FM / 1997 / Overlay versus underlay tympanoplasty. Part II: the study / Laryngoscope 107(12 Pt 2):26~36
Mundra RK / 2013 / Tympanoplasty in subtotal perforation with graft supported by a slice of cartilage: a study with near 100 % results / Indian J Otolaryngol Head Neck Surg 65(Suppl 3):631~635
Jumaily M / 2018 / Butterfly cartilage tympanoplasty outcomes : a single-institution experience and literature review / Am J Otolaryngol 39(4):396~400
Kozin ED / 2015 / Systematic review of outcomes following observational and operative endoscopic middle ear surgery / Laryngoscope 125(5):1205~1214
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