Superior semicircular canal dehiscence postoperative outcomes: A case series of 156 repairs
| Autor: | Mahlet Alemnew, Isaac Yang, Komal Preet, Methma Udawatta, Courtney Duong, Prasanth Romiyo, Thien Nguyen, Edwin Ng, John P. Sheppard, Quinton Gopen, David J. Seo, Vivian Wung |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty education Labyrinth Diseases Paired comparison Dehiscence Cohort Studies 03 medical and health sciences 0302 clinical medicine McNemar's test Postoperative Complications Sex Factors Risk Factors Physiology (medical) Statistical significance Medicine Humans In patient Head and neck Aged Retrospective Studies Semicircular canal business.industry Infant Newborn Infant General Medicine Middle Aged Semicircular Canals Surgery Otorhinolaryngologic Surgical Procedures medicine.anatomical_structure Neurology 030220 oncology & carcinogenesis Child Preschool Calcium Female Neurology (clinical) Neurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 68 |
| ISSN: | 1532-2653 |
| Popis: | Previous studies have looked at differences in predisposing factors, symptomology, treatment options, and outcomes in patients with SSCD experiencing audiologic and vestibular symptoms, however this study utilizes data from the largest series of SSCD patients by a single pair of neurosurgeon and head and neck surgeon to date. The objective was to determine what pre-operative factors, if any, contribute to post-operative outcomes in SSCD patients. A retrospective chart review collected patient demographics, preoperative symptoms, and postoperative symptoms. Nonparametric tests were run using IBM® SPSS® Statistics. Fisher's Exact Tests, Spearman's rho, and McNemar's test for paired comparison of binary measures were performed, with a significance level of P 0.05. A total of 156 SSCD surgeries were performed within a cohort of 119 patients. The majority of patients were female (n = 75, 63.0%). The median age was 55 years (±12.7 years) and median follow-up length was 0.46 months (range: 0.03-59.5 months). Increased postoperative dizziness and hearing loss was significantly correlated with females (P = .048, P = .041). Additionally, males reported significantly improved postoperative hearing (P = .044) with confirmatory audiometry. Serum ionized calcium levels inversely correlated with age using spearman's coefficient (r |
| Databáze: | OpenAIRE |
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