A Comparison of Surgical Treatments for Superior Semicircular Canal Dehiscence: A Systematic Review. Issue 1 (January 2017)

• Record Type: Journal Article
• Authors: Ziylan, Fuat; Kinaci, Ahmet; Beynon, Andy J.; Kunst, Henricus P. M.
• Is Part Of: Otology & neurotology. Volume 38:Issue 1(2017)
• Page Start: 1
• Page End: 10
• Publication Date: 2017-01
• Subjects: Capping -- Middle fossa approach -- Plugging -- Resurfacing -- Superior semicircular canal dehiscence -- Systematic review -- Transmastoid approach; Otology -- Periodicals; Ear -- Diseases -- Periodicals; Skull base -- Surgery -- Periodicals; 617.8005
• DOI: 10.1097/MAO.0000000000001277
• Languages: English
• ISSNs: 1531-7129

Abstract

Abstract : Supplemental Digital Content is available in the text Abstract : Objective: We investigate the postoperative subjective and objective outcomes of different surgical treatments for superior semicircular canal dehiscence (SSCD): vestibular signs, auditory signs, vestibular evoked myogenic potential test, pure tone audiogram, speech audiogram, or video-nystagmography. Data Sources: An electronic search performed in the PubMed, Cochrane Library, and EMBASE databases on 15th of September 2015. A systematic search was conducted. Articles were included if written in English, Dutch, German, or French language. Study Selection: Original studies reporting on the pre and postoperative subjective and/or objective outcomes of surgical treatments for superior semicircular canal dehiscence were included. Data Extraction: The methodological quality of the studies was independently assessed by two reviewers using a constructed critical appraisal, to assess the directness of evidence and the risk of bias. The results of the pre and postoperative subjective and/or objective outcomes were extracted. Data Synthesis: Comparative study was conducted. Conclusion: Surgical treatment for SSCD is particularly effective for vestibular symptoms and there is no evidence for improvement of hearing loss after surgical treatment. Since plugging using transmastoid approach had a lower complication rate, lower revision rate, and a shorter hospital stay, this treatment is recommended in high disabled SSCD patients.