Quality of life after mastoid surgery. Is there a real benefit to preserving the posterior wall of the external auditory canal? A systematic review and meta-analysis.

Karamitsou, P ; Poutoglidis, A ; et al.

In: Auris, nasus, larynx, Jg. 50 (2023-10-01), Heft 5, S. 720-726

academicJournal

Objective: Canal wall up (CWU) and canal wall down (CWD) mastoidectomies represent the most common cholesteatoma surgical techniques. In this meta-analysis, we compare the postoperative quality of life (QoL) in patients treated with either CWU or CWD mastoidectomy.

Methods: A literature search was conducted in the following three electronic databases: Medline/PubMed, ScienceDirect, and Google Scholar. Articles were assessed for eligibility in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement and data were extracted independently by two authors. Biases assessment was conducted for each study according to the Methodological Items for Non-Randomized Studies (MINORS) tool. Meta-analysis was performed for postoperative QoL following CWU versus CWD mastoidectomy.

Results: Our systematic review included four studies that met the inclusion criteria, three prospective cohort studies, and one retrospective cohort study. The meta-analysis did not favor treatment with one of the two surgical techniques. Postoperative QoL did not show a statistically significant difference between CWU and CWD mastoidectomies (p>0.05).

Conclusion: Our systematic review and meta-analysis results indicate that QoL is not statistically significantly better among patients who underwent CWU mastoidectomies when compared with CWD. The trend of selecting CWU over CWD mastoidectomies in selected cases - for QoL purposes - is not always based on evidence-based data. The statistically insignificant difference between the two surgical techniques suggests that an initial more radical approach might prevent patients from further surgeries, without affecting postoperative QoL.

Competing Interests: Declarations of Competing Interests The authors declared no potential conflicts of interest concerning the research, authorship, and/or publication of this systematic review and meta-analysis.

Titel:	Quality of life after mastoid surgery. Is there a real benefit to preserving the posterior wall of the external auditory canal? A systematic review and meta-analysis.
Autor/in / Beteiligte Person:	Karamitsou, P ; Poutoglidis, A ; Tsetsos, N ; Gougousis, S ; Karamitsou, A ; Fountarlis, AL ; Skalias, A
Zeitschrift:	Auris, nasus, larynx, Jg. 50 (2023-10-01), Heft 5, S. 720-726
Veröffentlichung:	Amsterdam : Elsevier Science ; <i>Original Publication</i>: Tokyo, Society for Promotion of International Otorhinolaryngology., 2023
Medientyp:	academicJournal
ISSN:	1879-1476 (electronic)
DOI:	10.1016/j.anl.2023.01.008
Schlagwort:	Humans Quality of Life Ear Canal surgery Retrospective Studies Prospective Studies Treatment Outcome Mastoid surgery Cholesteatoma, Middle Ear surgery
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Meta-Analysis; Systematic Review; Journal Article Language: English [Auris Nasus Larynx] 2023 Oct; Vol. 50 (5), pp. 720-726. <i>Date of Electronic Publication: </i>2023 Feb 04. MeSH Terms: Mastoid* / surgery ; Cholesteatoma, Middle Ear* / surgery ; Humans ; Quality of Life ; Ear Canal / surgery ; Retrospective Studies ; Prospective Studies ; Treatment Outcome Contributed Indexing: Keywords: Canal wall down mastoidectomy; Canal wall up mastoidectomy; Cholesteatoma; Otosurgery; Quality of life Entry Date(s): Date Created: 20230206 Date Completed: 20230717 Latest Revision: 20230718 Update Code: 20240513

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