Evidence map›Paper›PMID 29022108›Full record

SynthesisActa neurochirurgica2018

Middle cranial fossa approach for the repair of superior semicircular canal dehiscence is associated with greater symptom resolution compared to transmastoid approach.

Thien Nguyen, Carlito Lagman, John P Sheppard, Prasanth Romiyo, Courtney Duong, Giyarpuram N Prashant, Quinton Gopen, Isaac Yang

Abstract readComparative StudySystematic Review
PubMed Publisher
In one paragraph

Synthesis in Acta neurochirurgica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
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  7. Trans-mastoid plugging of superior semicircular canal dehiscence: long-term follow-up.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Thien NguyenDepartment of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, USA.
Carlito LagmanDepartment of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, USA.
John P SheppardDepartment of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, USA.
Prasanth RomiyoDepartment of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, USA.
Courtney DuongDepartment of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, USA.
Giyarpuram N PrashantDepartment of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, USA.
Quinton GopenDepartment of Head and Neck Surgery, University of California, Los Angeles, Los Angeles, CA, USA.
Isaac YangDepartment of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, USA. iyang@mednet.ucla.edu.
University of California, Los Angeles · USUCLA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuperior semicircular canal dehiscence (SSCD) is a disorder of the skull base that is gaining increasing recognition among neurosurgeons. Traditionally, the middle cranial fossa (MCF) approach has been used for the surgical repair of SSCD. However, the transmastoid (TM) approach is an alternative strategy that has demonstrated promising results.

methodsWe performed independent searches of a popular database to identify studies that described outcomes following the surgical repair of SSCD through MCF and TM approaches. The primary outcome was symptom resolution.

resultsOur analysis included 24 studies that described 230 patients that underwent either an MCF (n = 148, 64%) approach or a TM (n = 82, 36%) approach for primary surgical repair of SSCD. A greater percentage of patients in the MCF group experienced resolution of auditory symptoms (72% vs 59%, p = 0.012), aural fullness (83% vs 55%, p = 0.049), hearing loss (57% vs 31%, p = 0.026), and disequilibrium (75% vs 44%, p = 0.001) when compared to the TM group. The MCF approach was also associated with higher odds of symptom resolution for auditory symptoms (odds ratio [OR] 1.79, 95% confidence interval [CI] 1.14-2.82), aural fullness (OR 4.02, 95% CI 1.04-15.53), hearing loss (OR 2.91, 95% CI 1.14-7.42), and disequilibrium (OR 3.94, 95% CI 1.78-8.73). The mean follow-up was 9 months.

conclusionsThe literature suggests that the MCF approach for the repair of SSCD is associated with greater symptom resolution when compared to the TM approach. This information could help facilitate patient discussions.

Indexed as

Cranial Fossa, MiddleHearing LossHumansOtologic Surgical ProceduresPostoperative ComplicationsSemicircular CanalsCranial FossaMiddleNeurosurgerySemicircular canalSkull base

Identifiers

PMID29022108
OpenAlexW2764020709

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.