| Surgery for tympanic membrane retraction pockets. | |
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MedLine Citation:
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PMID: 20614467 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Tympanic membrane retractions are commonly managed by ENT surgeons. There is currently no consensus as to the indications, timing and options for management of this condition. OBJECTIVES: To study the effectiveness of different surgical options in the management of tympanic membrane retractions. SEARCH STRATEGY: We searched the Cochrane Ear, Nose and Throat Disorders Group Trials Register; the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2010 Issue 1); PubMed (1950 to 2010); EMBASE (1974 to 2010); CINAHL (1982 to 2010); BIOSIS Previews; ISI Web of Science; CAB Abstracts; LILACS; KoreaMed; IndMed; PakMediNet; China National Knowledge Infrastructure; ISCTRN; UKCRN; ICTRP and Google. The date of the search was 17 March 2010. SELECTION CRITERIA: Randomised controlled trials (RCTs) of the surgical management of tympanic membrane retraction pockets in adults or children. Staging of the retraction using a known system must have been performed. Studies of cholesteatoma or perforations were excluded. DATA COLLECTION AND ANALYSIS: Two authors independently collected and analysed data to minimise the effects of selection and reporting bias. MAIN RESULTS: Two RCTs were included, involving 71 participants. The first study showed no statistically significant benefit of cartilage graft tympanoplasty over a watch and wait policy for either disease progression or hearing outcome. The second showed no additional benefit from the insertion of ventilation tubes over cartilage tympanoplasty alone with regards to hearing outcome. AUTHORS' CONCLUSIONS: No evidence currently exists to either support or refute the role of surgery in the management of tympanic membrane retractions. Higher quality studies are much needed to ascertain this. |
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Authors:
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Paul C Nankivell; David D Pothier |
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Publication Detail:
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Type: Journal Article; Meta-Analysis; Review Date: 2010-07-07 |
Journal Detail:
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Title: Cochrane database of systematic reviews (Online) Volume: - ISSN: 1469-493X ISO Abbreviation: Cochrane Database Syst Rev Publication Date: 2010 |
Date Detail:
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Created Date: 2010-07-08 Completed Date: 2010-08-11 Revised Date: 2010-10-21 |
Medline Journal Info:
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Nlm Unique ID: 100909747 Medline TA: Cochrane Database Syst Rev Country: England |
Other Details:
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Languages: eng Pagination: CD007943 Citation Subset: IM |
Affiliation:
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Institute of Head and Neck Studies and Education (InHANSE), University Hospitals Coventry and Warwick, Clifford Bridge Road, Coventry, UK, CV2 2DX. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cartilage / transplantation Child Ear Diseases / surgery* Humans Middle Ear Ventilation / methods Randomized Controlled Trials as Topic Tympanic Membrane* Tympanoplasty / methods* |
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