What Effect Does Smoking Have on the Surgical Closure of Tympanic Membrane Perforations? A Review
| Autor: | Vamsidhar Vallamkondu, Vikranth Visvanathan, Sanjiv K Bhimrao |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Treatment outcome MEDLINE English language 03 medical and health sciences Myringoplasty 0302 clinical medicine Cigarette smoking Medicine Humans 030223 otorhinolaryngology Tympanic Membrane Perforation Surgical repair business.industry Smoking Sensory Systems Surgery Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Female Neurology (clinical) business |
| Zdroj: | Otologyneurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 39(10) |
| ISSN: | 1537-4505 |
| Popis: | Objectives The link between cigarette smoking and outcome following surgical repair of tympanic membrane perforation is unclear. The objective of this study was to conduct a systematic review on the link between smoking and success rate following surgical repair of tympanic membrane perforations. Materials and methods Systematic review performed using the following data sources: 1) Cochrane central register of controlled trials (1997 to April 30, 2018), 2) Medline (February 1948 to April 30, 2018), and 3) Embase (1975 to April 30, 2018). Inclusion criteria for this study was: 1) studies reporting surgical closure of tympanic membrane perforations in smokers, 2)primary and revision cases, 3) English language literature, 4) minimum follow-up period of 6 months, and 5) pre and postoperative audiogram. The exclusion criteria were: 1) no identifiable data on smokers in reported outcomes, 2) less than 6 months follow-up, 3) no audiometric outcomes, and 4) non-English language articles. Results A total of 75 studies were identified on initial search and 8 were eligible for the study. All studies were of level 4 evidence. In these eight studies, overall surgical closure of tympanic membrane perforation was successful in 512/577 (88.7%) of nonsmokers and 151/197 (76.6%) in smokers. This difference was statistically significant. Conclusions Smokers may have a lower success rate compared against nonsmokers for surgical repair of tympanic membrane perforations. Our review has limitations and more prospective high-quality controlled trials are required to further study this association. |
| Databáze: | OpenAIRE |
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