Laser versus non-laser stapedotomy in otosclerosis: A systematic review and meta-analysis

doi:10.1016/j.anl.2013.12.014

科研成果详情

题名	Laser versus non-laser stapedotomy in otosclerosis: A systematic review and meta-analysis
作者	Fang, Lian1,2; Lin, Hai 1; Zhang, Tian-Yu 1; Tan, Jun 3
发表日期	2014-08
发表期刊	AURIS NASUS LARYNX 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Hearing results Stapes surgery Stapedotomy Otosclerosis
其他关键词	CO2-LASER STAPEDOTOMY ; ARGON-LASER ; ERBIUM ; SURGERY ; STAPEDECTOMY ; KTP
摘要	Objective: To compare and evaluate the hearing outcome and complications of otosclerosis treated with the laser or non-laser stapedotomy using meta-analysis. Methods: A thorough search for publications and in-process articles with English abstract dating from January 1978 to July 2013 was conducted using Pubmed, EBSCO and Web of Science databases, as well as all related papers. The included criteria were otosclerosis as diagnosis, clear description of surgical methods, calibrated stapedotomy and regular collection of functional results. Hearing results and other comparable data (age, preoperative hearing status, and mean length of follow-up) were collected from the articles. Results: Eleven studies with a total of 1614 subjects were identified to meet our criteria. There was a significant difference in the efficacy of stapedotomy with the laser or non-laser technique; current data showed a combined RR of 1.07 (95% CI: 1.02-1.13, p = 0.005). But, the postoperative complication showed no advantage for the laser group, with a combined RR of 0.63 (95% CI: 0.30-1.34, p = 0.23). Although there was publication bias in this study (p = 0.005), the funnel plot would turn out to be symmetrical after six more studies were added by the trim and fill method. Conclusion: Our overall results suggest that the laser stapedotomy had significantly better hearing results than non-laser stapedotomy. However, current papers on laser and non-laser stapedotomy did not provide enough subjects to make a subgroup analysis of the hearing outcome between different laser groups. More studies reporting different laser techniques are required to provide us with a better understanding of laser stapedotomy. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
出版者	ELSEVIER SCI LTD
出版地	OXFORD
ISSN	0385-8146
EISSN	1879-1476
卷号	41 期号:4 页码:337-342
DOI	10.1016/j.anl.2013.12.014
页数	6
WOS类目	Otorhinolaryngology
WOS研究方向	Otorhinolaryngology
WOS记录号	WOS:000336472900003
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	24572322
SCOPUSEID	2-s2.0-84899948481
通讯作者地址	[Zhang, Tian-Yu]Department of Otorhinolaryngology, Shanghai Eye and ENT Hospital, Shanghai Medical College, Fudan University,China
Scopus学科分类	Surgery;Otorhinolaryngology
引用统计	被引频次：31[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/18500
专题	第一临床医学院（信息与工程学院）、附属第一医院_耳鼻咽喉科学_耳鼻喉
通讯作者	Zhang, Tian-Yu
作者单位	1.Department of Otorhinolaryngology, Shanghai Eye and ENT Hospital, Shanghai Medical College, Fudan University,China; 2.Department of Otorhinolaryngology, The First Affiliated Hospital of Wenzhou Medical College,China; 3.Department of Health Statistics and Social Medicine, School of Public Health, Fudan University,China
第一作者单位	第一临床医学院（信息与工程学院）、附属第一医院_耳鼻咽喉科学_耳鼻喉
推荐引用方式 GB/T 7714	Fang, Lian,Lin, Hai,Zhang, Tian-Yu,et al. Laser versus non-laser stapedotomy in otosclerosis: A systematic review and meta-analysis[J]. AURIS NASUS LARYNX,2014,41(4):337-342.
APA	Fang, Lian, Lin, Hai, Zhang, Tian-Yu, & Tan, Jun. (2014). Laser versus non-laser stapedotomy in otosclerosis: A systematic review and meta-analysis. AURIS NASUS LARYNX, 41(4), 337-342.
MLA	Fang, Lian,et al."Laser versus non-laser stapedotomy in otosclerosis: A systematic review and meta-analysis".AURIS NASUS LARYNX 41.4(2014):337-342.