내시경 귀 수술의 안전성 및 유효성: 체계적 문헌고찰 (Safety and Effectiveness of Endoscopic Ear Surgery: Systematic Review)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 62권 / 7호 / 367 ~ 378페이지
· 저자명 : 전미혜, 정서강, 김석현, 오승하, 임기정, 김장락, 최진욱, 이병돈

초록

Background and Objectives This study aims to evaluate that usefulness of the endoscopicear surgery (EES) through the systematic review.
Subjects and Method We searched literatures in literature databases (MEDLINE, EMBASE,Cochrane Library, etc.). Inclusion criteria is 1) studies of patients with chronic otitismedia, otitis media with effusion, cholesteatoma, conductive hearing loss, mixed hearing lossetc. 2) studies in which a transcanal endoscopic surgery was performed; and 3) studies inwhich one or more of the appropriate medical outcomes have been reported. We excluded that1) non-human studies and pre-clinical studies; 2) non-original articles, for example, non-systematicreviews; editorial, letter and opinion pieces; 3) research not published in Korean andEnglish; and 4) grey literature. Finally, 65 articles were selected and those results were analyzed.
Results The safety of the EES was reported in 61 articles. Some studies reported damagedfacial nerve or perilymph gusher but these are the complications that can arise due to the characteristicsof the disease and not due to the EES and other reported complications were ofsimilar or lower level in the intervention group rather than the microscopy group. The effectivenessof the EES was reported in 23 articles. The EES tended to show improved effects interms of graft uptake status, cholesteatoma removal, and hearing improvement although effectiveoutcomes of most studies reported no significant difference between EES and microscopicear surgery.
Conclusion EES is a safe and effective technique and as it is less invasive than the microscopicear surgery.

영어초록

Background and Objectives This study aims to evaluate that usefulness of the endoscopicear surgery (EES) through the systematic review.
Subjects and Method We searched literatures in literature databases (MEDLINE, EMBASE,Cochrane Library, etc.). Inclusion criteria is 1) studies of patients with chronic otitismedia, otitis media with effusion, cholesteatoma, conductive hearing loss, mixed hearing lossetc. 2) studies in which a transcanal endoscopic surgery was performed; and 3) studies inwhich one or more of the appropriate medical outcomes have been reported. We excluded that1) non-human studies and pre-clinical studies; 2) non-original articles, for example, non-systematicreviews; editorial, letter and opinion pieces; 3) research not published in Korean andEnglish; and 4) grey literature. Finally, 65 articles were selected and those results were analyzed.
Results The safety of the EES was reported in 61 articles. Some studies reported damagedfacial nerve or perilymph gusher but these are the complications that can arise due to the characteristicsof the disease and not due to the EES and other reported complications were ofsimilar or lower level in the intervention group rather than the microscopy group. The effectivenessof the EES was reported in 23 articles. The EES tended to show improved effects interms of graft uptake status, cholesteatoma removal, and hearing improvement although effectiveoutcomes of most studies reported no significant difference between EES and microscopicear surgery.
Conclusion EES is a safe and effective technique and as it is less invasive than the microscopicear surgery.

참고자료

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