Challenge of intractable Ménièrès disease using triple semicircular canal plugging

Zhang, Daogong; Fan, Zhaomin; Lv, Yafeng; Lu, Ling; Duan, Maoli; Wang, Haibo

doi:10.1080/00016489.2024.2363454

Acta Oto-Laryngologica

2024

DOI: 10.1080/00016489.2024.2363454

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Challenge of intractable Ménièrès disease using triple semicircular canal plugging

Daogong Zhang,

Zhaomin Fan,

Yafeng Lv

et al.

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2024

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Effects of triple semicircular canal plugging on hearing in patients with Meniere’s disease: A systematic review and meta-analysis

Zhu,

Kang,

Wen

et al. 2024

PLoS ONE

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Introduction Triple semicircular canal plugging is effective in controlling vertigo in patients with Meniere’s disease, however, whether the rate of causing hearing loss during treatment is still not uniform. This study aimed to evaluate the effects of Triple semicircular canal plugging (TSCP) on hearing in Meniere’s disease (MD) patients. Methods Databases Reviewed were PubMed, EMBASE, Scopus, Clinical Trials, Web of Science, Cochrane Library, CNKI, Wanfang, and VIP. The study reported on the duration, follow-up time, hearing loss, and vertigo control outcomes in MD patients evaluated by TSCP. Stata 17 software was used for data analysis and assessing the risk of bias. Results This meta-analysis included 367 MD patients from 7 studies. TSCP efficiently alleviated vertigo with a rate of 99% (95% CI: 0.97, 1.00) and had a hearing loss rate of 22% (95% CI: 0.16, 0.28). Subgroup analysis revealed that for hearing loss, the proportion of patients with disease duration more than or less than 12 months was 14% (95% CI: 0.05, 0.26) and 24% (95% CI: 0.19, 0.29), respectively. For vertigo control, the rates were 100% (95% CI: 0.96, 1.00) and 99% (95% CI: 0.97, 1.00), respectively. For hearing loss, the follow-up time of MD patients more than or less than 24 months was 20% (95% CI: 0.07, 0.38) and 23% (95% CI: 0.18, 0.29), respectively. For vertigo control, the rates were 99% (95% CI: 0.95, 1.00) and 99% (95% CI: 0.97, 1.00), respectively. The duration of the disease and follow-up time had no significant impact on hearing loss and vertigo control rates. Conclusions TSCP was efficient for vertigo control but with a risk of hearing loss. It could be used as a surgical method for hearing preservation in advanced MD patients.

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Effects of triple semicircular canal plugging on hearing in patients with Meniere’s disease: A systematic review and meta-analysis

Zhu,

Kang,

Wen

et al. 2024

PLoS ONE

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show abstract

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Challenge of intractable Ménièrès disease using triple semicircular canal plugging

Cited by 1 publication

References 11 publications

Effects of triple semicircular canal plugging on hearing in patients with Meniere’s disease: A systematic review and meta-analysis

Effects of triple semicircular canal plugging on hearing in patients with Meniere’s disease: A systematic review and meta-analysis

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