내시경 귀 수술의 안전성 및 유효성: 체계적 문헌고찰

전미혜; 정서강; 김석현; 오승하; 임기정; 김장락; 최진욱; 이병돈

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자료유형: 학술저널

저자정보: 전미혜 정서강 김석현 오승하 임기정 김장락 최진욱 이병돈

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제62권 제7호

발행연도: 2019.1

수록면: 367 - 378 (12page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

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Background and Objectives This study aims to evaluate that usefulness of the endoscopicear surgery (EES) through the systematic review. Subjects and Method We searched literatures in literature databases (MEDLINE, EMBASE,Cochrane Library, etc.). Inclusion criteria is 1) studies of patients with chronic otitismedia, otitis media with effusion, cholesteatoma, conductive hearing loss, mixed hearing lossetc. 2) studies in which a transcanal endoscopic surgery was performed; and 3) studies inwhich one or more of the appropriate medical outcomes have been reported. We excluded that1) non-human studies and pre-clinical studies; 2) non-original articles, for example, non-systematicreviews; editorial, letter and opinion pieces; 3) research not published in Korean andEnglish; and 4) grey literature. Finally, 65 articles were selected and those results were analyzed. Results The safety of the EES was reported in 61 articles. Some studies reported damagedfacial nerve or perilymph gusher but these are the complications that can arise due to the characteristicsof the disease and not due to the EES and other reported complications were ofsimilar or lower level in the intervention group rather than the microscopy group. The effectivenessof the EES was reported in 23 articles. The EES tended to show improved effects interms of graft uptake status, cholesteatoma removal, and hearing improvement although effectiveoutcomes of most studies reported no significant difference between EES and microscopicear surgery. Conclusion EES is a safe and effective technique and as it is less invasive than the microscopicear surgery.

참고문헌 (80)

참고문헌 신청

Yong M / 2016 / Endoscopic ear surgery in Canada : A cross-sectional study / J Otolaryngol Head Neck Surg 45(4):1~8

Kozin ED / 2015 / Systematic review of outcomes following observational and operative endoscopic middle ear surgery / Laryngoscope 125(5):1205~1214

Khan MM / 2015 / Concept, design and development of innovative endoscope holder system for endoscopic otolaryngological surgeries / Indian J Otolaryngol Head Neck Surg 67(2):113~119

Sohn SJ / 2000 / Endoscopic tympanoplasty / Korean J Otorhinolaryngol-Head Neck Surg 43(6):598~603

Shin SO / 1995 / Endoscopic assesment of the tympanic sinus / Korean J Otorhinolaryngol-Head Neck Surg 38(2):190~194

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