Safety and Effectiveness of Endoscopic Ear Surgery: Systematic Review
10.3342/kjorl-hns.2018.00570
- Author:
Mi Hye JEON
1
;
Seokang CHUNG
;
Seok Hyun KIM
;
Seung ha OH
;
Gi Jung IM
;
Jang Rak KIM
;
Jinwook CHOI
;
Byung Don LEE
Author Information
1. Division for New Health Technology Assessment, National Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
- Publication Type:Review
- Keywords:
Endoscope;
Otologic surgical procedures;
Otitis media;
Cholesteatom;
Hearing loss, Conductive
- MeSH:
Cholesteatoma;
Ear;
Endoscopes;
Facial Nerve;
Hearing;
Hearing Loss, Conductive;
Hearing Loss, Mixed Conductive-Sensorineural;
Humans;
Methods;
Microscopy;
Otitis Media;
Otitis Media with Effusion;
Otologic Surgical Procedures;
Perilymph;
Transplants
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2019;62(7):367-378
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: This study aims to evaluate that usefulness of the endoscopic ear 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 otitis media, otitis media with effusion, cholesteatoma, conductive hearing loss, mixed hearing loss etc. 2) studies in which a transcanal endoscopic surgery was performed; and 3) studies in which one or more of the appropriate medical outcomes have been reported. We excluded that 1) non-human studies and pre-clinical studies; 2) non-original articles, for example, non-systematic reviews; editorial, letter and opinion pieces; 3) research not published in Korean and English; 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 damaged facial nerve or perilymph gusher but these are the complications that can arise due to the characteristics of the disease and not due to the EES and other reported complications were of similar or lower level in the intervention group rather than the microscopy group. The effectiveness of the EES was reported in 23 articles. The EES tended to show improved effects in terms of graft uptake status, cholesteatoma removal, and hearing improvement although effective outcomes of most studies reported no significant difference between EES and microscopic ear surgery. CONCLUSION: EES is a safe and effective technique and as it is less invasive than the microscopic ear surgery.
