耳骨化患者耳植入的听力结果和并发症:系统性审查和元分析
Alhassan J Algazlan1, Ali S Alshahrani2, Nader Alharbi3
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University.
概括
与非骨化病例相比,在骨化囊中的耳植入带来了更高的并发症风险和更差的听力结果. 需要进一步的研究,以改善手术成功和患者的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 生物医学工程 生物医学工程
背景情况:
- 耳植入器是严重到严重的听力损失的主要治疗方法.
- 成功的结果取决于电极阵列的设计和插入.
- 带骨化带来了独特的外科手术挑战.
研究的目的:
- 系统地审查和元分析耳植入并发症和耳骨化与非骨化耳的听力结果.
- 探索管理策略,以提高骨化骨的手术成功.
- 为了比较两个组之间的听力表现指标.
主要方法:
- 在PubMed,Scopus,Web of Science和Cochrane图书馆数据库中进行全面的文献搜索.
- 遵守PRISMA系统审查指南.
- 包括20项涉及971名患者的研究,分析并发症和听力结果.
主要成果:
- 植入后并发症和手术后并发症的综合发病率分别为13.48%和7.2%.
- 在82.2%的病例中实现了完全插入电极,在22.6%的病例中实现了部分插入.
- 在非骨化囊中,听力结果显著改善 (SMD=0.35,P=0.005),尽管单词和句子得分没有显著差异.
结论:
- 耳植入骨化耳会导致听力不佳,并增加并发症风险,尽管有手术适应.
- 需要进一步研究以优化手术技术和电极设计.
- 调查结果强调了有信息的外科手术规划和患者辅导对于骨化带病例的重要性.
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