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Ossen ME, Stokroos R, Kingma H, et al. Heterogeneity in Reported Outcome Measures after Surgery in Superior Canal Dehiscence Syndrome-A Systematic Literature Review. Front Neurol. 2017;8:347doi: 10.3389/fneur.2017.00347.
Ossen, M. E., Stokroos, R., Kingma, H., van Tongeren, J., Van Rompaey, V., Temel, Y., & van de Berg, R. (2017). Heterogeneity in Reported Outcome Measures after Surgery in Superior Canal Dehiscence Syndrome-A Systematic Literature Review. Frontiers in neurology, 8347. https://doi.org/10.3389/fneur.2017.00347
Ossen, Mira E, et al. "Heterogeneity in Reported Outcome Measures after Surgery in Superior Canal Dehiscence Syndrome-A Systematic Literature Review." Frontiers in neurology vol. 8 (2017): 347. doi: https://doi.org/10.3389/fneur.2017.00347
Ossen ME, Stokroos R, Kingma H, van Tongeren J, Van Rompaey V, Temel Y, van de Berg R. Heterogeneity in Reported Outcome Measures after Surgery in Superior Canal Dehiscence Syndrome-A Systematic Literature Review. Front Neurol. 2017 Jul 24;8:347. doi: 10.3389/fneur.2017.00347. eCollection 2017. PMID: 28790965; PMCID: PMC5523725.
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Front Neurol. 2017 Jul 24;8:347. doi: 10.3389/fneur.2017.00347. eCollection 2017.

Heterogeneity in Reported Outcome Measures after Surgery in Superior Canal Dehiscence Syndrome-A Systematic Literature Review.

Frontiers in neurology

Mira E Ossen, Robert Stokroos, Herman Kingma, Joost van Tongeren, Vincent Van Rompaey, Yasin Temel, Raymond van de Berg

Affiliations

  1. Faculty of Medicine, Maastricht University, Maastricht, Netherlands.
  2. Department of Otorhinolaryngology and Head & Neck Surgery, Maastricht University Medical Center, Maastricht, Netherlands.
  3. Faculty of Physics, Tomsk State University, Tomsk Russian Federation, Tomsk, Russia.
  4. Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
  5. Department of Otorhinolaryngology and Head & Neck Surgery, Antwerp University Hospital, Edegem, Belgium.
  6. Department of Neurosurgery, Maastricht University Medical Center, Maastricht, Netherlands.

PMID: 28790965 PMCID: PMC5523725 DOI: 10.3389/fneur.2017.00347

Abstract

BACKGROUND: Superior canal dehiscence syndrome (SCDS) can be treated surgically in patients with incapacitating symptoms. However, the ideal treatment has not been determined.

OBJECTIVES: This systematic literature review aims to assess available evidence on the comparative effectiveness and risks of different surgical treatments regarding: (1) symptom improvement; (2) objectively measurable auditory and vestibular function; (3) adverse effects, and (4) length of hospitalization.

SEARCH METHOD AND DATA SOURCES: A systematic database search according to PRISMA statement was conducted on Pubmed, Embase, and Cochrane library. In addition, reference lists were searched. No correspondence with the authors was established. The last search was conducted on June 9, 2017.

STUDY ELIGIBILITY CRITERIA: Retrospective and prospective cohort studies were held applicable under the condition that they investigated the association between a surgical treatment method and the relief of vestibular and/or auditory symptoms. Only studies including quantitative assessment of the pre- to postoperative success rate of a surgical treatment method were included. Case reports, reviews, meta-analysis, and studies not published in English, Dutch, or German were excluded.

DATA COLLECTION AND ANALYSIS: The first author searched literature and extracted data; the first and last analyzed the data.

MAIN RESULTS: Seventeen studies (354 participants, 367 dehiscences) met the eligibility criteria and were grouped according to surgical approach. Seven combinations of surgical approaches and methods for addressing the dehiscence were identified: plugging, resurfacing, or a combination of both through the middle fossa (middle fossa approach); plugging, resurfacing, or a combination of both through the mastoid (transmastoid approach); round window reinforcement through the ear canal (transcanal approach). Several studies showed high internal validity, but quality was often downgraded due to study design (1). Outcome measures and timing of postsurgical assessment varied among studies, making it unfeasible to pool data to perform a meta-analysis.

CONCLUSION: A standardized protocol including outcome measures and timeframes is needed to compare the effectiveness and safety SCDS treatments. It should include symptom severity assessments and changes in vestibular and auditory function before and after treatment.

Keywords: middle fossa; plugging; resurfacing; superior canal dehiscence syndrome; transmastoid

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