A meta-analysis of the long-term hearing outcomes and complications associated with atresiaplasty

Li, Chenlong; Dai, Peidong; Yang, Lin; Zhang, Tianyu

doi:10.1016/j.ijporl.2015.03.032

Cited by 10 publications

(6 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in CAA cases, the degradation of hearing outcomes was observed with prolonged follow-up. This difference might reflect the status of postoperative EAC, TM and ossicles 21 . Another interesting finding was increased BC hearing thresholds of 5 to 6 dB at 0.5, 1 and 2 kHz after surgery.…”

Section: Discussionmentioning

confidence: 97%

Congenital Aural Stenosis: Clinical Features and Long-term Outcomes

Ying

Chen

et al. 2016

Sci Rep

Self Cite

View full text Add to dashboard Cite

The aim of the present study was to comprehensively evaluate the clinical features and long-term outcomes of congenital aural stenosis (CAS). This study presents a retrospective review of patients who underwent meatoplasty for CAS at a tertiary referral hospital from 2008 to 2015. A total of 246 meatoplasty procedures were performed on 232 patients in the present study. We performed multivariate regression analysis. Except in the age < 6 years group, no significant difference was observed among different age groups for cholesteatoma formation, p > 0.05. Except for the stenosis of the external auditory canal (EAC) (>4 mm) group, the other stenosis of EAC groups were not associated with cholesteatoma formation, p > 0.05. Postoperative air-bone gaps (ABG) less than 30 dB occurred in 77.3% (99/128) of the patients, and the Jahrsdoerfer score was associated with postoperative ABG, p < 0.001. The complication rate of CAS was 13.8% (20/144), and males showed a higher risk for postoperative complications (OR, 6.563; 95% CI, 1.268–33.966, p = 0.025). These results indicate that meatoplasty was an effective surgical intervention for CAS, showing a stable hearing outcome with prolonged follow-up. There was no significant difference between the cholesteatoma and no cholesteatoma groups for hearing outcomes, p > 0.05.

show abstract

Section: Discussionmentioning

confidence: 97%

Congenital Aural Stenosis: Clinical Features and Long-term Outcomes

Ying

Chen

et al. 2016

Sci Rep

Self Cite

View full text Add to dashboard Cite

show abstract

“…Facial paralysis from Bell's palsy severely threatens the outward appearance and mental health of patients. In recent years, Bell's palsy has aroused the interest of many researchers, and many studies have been carried out to evaluate the efficacy of different therapies in treating facial paralysis (4,31,32). In this study, an NMA was launched to comprehensively assess the performance of 3 therapies (antiviral, steroid, and antiviral + steroid) for the treatment of Bell's palsy.…”

Section: Discussionmentioning

confidence: 99%

A Network Meta-Analysis to Compare the Efficacy of Steroid and Antiviral Medications for Facial Paralysis from Bell´s Palsy

Tang

Wang

et al. 2018

Pain Phys

View full text Add to dashboard Cite

Background: Background: Facial paralysis is the most common cranial nerve injury. Bell’s palsy is the name commonly used to describe an acute peripheral facial paralysis of unknown origin. The annual incidence of Bell’s palsy is 20-30 cases per 100,000 persons, regardless of age and gender. Objective: Our objective was to appraise the efficacy of steroid and antiviral treatments for facial paralysis. Study Design: We conducted a network meta-analysis of studies of steroid and antiviral treatments for facial paralysis. Setting: Second Hospital of Jilin University. Methods: We performed a systematic search of PubMed and Embase databases to retrieve relevant studies. The efficacy outcome was overall recovery, measured in terms of the odds ratio (OR) and a corresponding 95% confidence interval (CI). The comprehensive ranking for each treatment with respect to overall recovery is presented as the value of the surface under the cumulative ranking curve (SUCRA). Results: A total of 23 articles representing 4,623 patients were eligible for our study. In terms of overall recovery, no significant differences were found in the pairwise meta-analysis. From the results of the network meta-analysis, antiviral combined with steroid treatment was superior to placebo treatment (OR = 3.25; 95% CI, 1.23-8.61), but neither steroid nor antiviral therapy alone resulted in significant benefit compared with placebo. According to the SUCRA, antiviral combined with steroid treatment was the most effective, with a SUCRA value of 0.96, and the probability of ranking first was 90%. Only a small difference was observed between the efficacies of steroid and antiviral treatments (SUCRA values of 0.55 and 0.36, respectively), and they were both better than the placebo (SUCRA value of 0.134). Limitations: The major limitation of our study is that, due to the limited number of related studies in the last several years, we were not able to evaluate the safety of these therapies. Conclusions: Antiviral combined with steroid therapy is significantly better than antiviral or steroid therapy alone with respect to overall recovery, and the efficacies of single antiviral medications or single steroid treatments are nearly equal. In addition, all 3 therapies are more effective than placebo, according to the SUCRA values. Key words: Facial paralysis, Bell´s palsy, steroids, antiviral drugs, efficacy, overall recovery, network meta-analysis, SUCRA

show abstract

“…Tolerance of ear cleaning under a microscope in the clinic requires a certain level of maturity in the patient and should be a factor when considering aural atresia repair. Swimming may lead to issues of recurrent ear drainage (7%–24%) after canal reconstruction for atresia ( 41 ).…”

Section: Management Recommendationsmentioning

confidence: 99%

Integrated microtia and aural atresia management

et al. 2022

View full text Add to dashboard Cite

ObjectivesTo present recommendations for the coordinated evaluation and management of the hearing and reconstructive needs of patients with microtia and aural atresia.MethodsA national working group of 9 experts on microtia and atresia evaluated a working document on the evaluation and treatment of patients. Treatment options for auricular reconstruction and hearing habilitation were reviewed and integrated into a coordinated care timeline.ResultsRecommendations were created for children with microtia and atresia, including diagnostic considerations, surgical and non-surgical options for hearing management and auricular reconstruction, and the treatment timeline for each option. These recommendations are based on the collective opinion of the group and are intended for otolaryngologists, audiologists, plastic surgeons, anaplastologists, and any provider caring for a patient with microtia and ear canal atresia. Close communication between atresia/hearing reconstruction surgeon and microtia repair surgeon is strongly recommended.

show abstract

A meta-analysis of the long-term hearing outcomes and complications associated with atresiaplasty

Cited by 10 publications

References 27 publications

Congenital Aural Stenosis: Clinical Features and Long-term Outcomes

Congenital Aural Stenosis: Clinical Features and Long-term Outcomes

A Network Meta-Analysis to Compare the Efficacy of Steroid and Antiviral Medications for Facial Paralysis from Bell´s Palsy

Integrated microtia and aural atresia management

Contact Info

Product

Resources

About