Evidence map›Paper›PMID 39418012›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

Prognostic Factors of Hearing Improvement for EES and MES in Attic Cholesteatoma.

Minqian Gao, Nan Zeng, Weibiao Kang, Yong Lin, Peng Li, Yuan Tao, Yongtian Lu, Wei Zhao, Xiangwei Chen, Zebin Jiang and 6 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Minqian GaoDepartment of Otolaryngology Head and Neck, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Nan ZengDepartment of Otolaryngology, Shenzhen Nanshan People's Hospital, Shenzhen, China.
Weibiao KangDepartment of Otolaryngology, Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Yong LinDepartment of Otolaryngology, The First People's Hospital of Kashgar, Kashgar, China.
Peng LiDepartment of Otolaryngology Head and Neck Surgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yuan TaoDepartment of Otolaryngology, Peking University Shenzhen Hospital, Shenzhen, China.
Yongtian LuDepartment of Otolaryngology, Shenzhen Second People's Hospital, Shenzhen, China.
Wei ZhaoDepartment of Otolaryngology, GongRen Hospital of Wuzhou, Wuzhou, China.
Xiangwei ChenDepartment of Otolaryngology, Chaozhou Central Hospital, Chaozhou, China.
Zebin JiangDepartment of Otolaryngology, Puning People's Hospital, Puning, China.
Jinliang GaoDepartment of Otolaryngology, Shenzhen City Baoan District Women's and Children's Hospital, Shenzhen, China.
Youjun YuDepartment of Otolaryngology, First People's Hospital of Foshan, Foshan, China.
Wanshan LiangDepartment of Hearing and Speech-Language Science, Guangzhou Xinhua University, Guangzhou, China.
Sijia ZhaiEar Research Center Dresden, Carl Gustav Carus Faculty of Medicine, Technische Universität Dresden, Dresden, Germany.
Qiong YangDepartment of Otolaryngology, Shenzhen Nanshan People's Hospital, Shenzhen, China.
Haidi YangDepartment of Otolaryngology Head and Neck, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-7193-9598

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe surgical strategy of cholesteatomas is still controversial. This study aimed to compare the hearing improvement and determine the prognostic factors between endoscopic and microscopic ear surgery for attic cholesteatoma via a multicenter retrospective study.

methodsThis retrospective study included 169 patients with attic cholesteatoma who received endoscopic ear surgery (EES) or microscopic ear surgery (MES) from 12 otorhinolaryngology centers. Hearing improvement between EES and MES was evaluated, including the postoperative pure tone average (PTA) and air-bone gap (A-B Gap), as well as the hearing threshold across the low-, mid-, and high-frequency. The success rate of grafts was collected. Linear regression was performed to access the prognostic value of preoperative PTA and A-B Gap. Patients were followed up for at least 3 years.

resultsThe graft success rate of EES was 89.66% (78/87) versus 80.49% (66/82) for MES. The postoperative PTA and A-B Gap demonstrated significant improvement in EES compared to MES (Post-PTA:

conclusionsEES showed higher graft success rate, better hearing improvement, shorter surgical times and hospital stays for attic cholesteatoma, particularly without stapes superstructure involvement. The range of preoperative PTA and A-B Gap have shown the prognostic value, which maybe a favorable surgical indication for EES or MES.

Indexed as

Cholesteatoma, Middle EarAdolescentAdultAgedAudiometry, Pure-ToneEndoscopyFemaleHearingHumansMaleMicrosurgeryMiddle AgedOtologic Surgical ProceduresPrognosisRetrospective StudiesTreatment Outcomeattic cholesteatomaendoscopic ear surgeryhearing improvementmicroscopic ear surgeryprognostic factor

Identifiers

PMID39418012
PMCPMC11487515

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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.