Correlation between peri-operative complication in middle ear cholesteatoma surgery using STAMCO, ChOLE, and SAMEO-ATO classifications

Cacco, Tommaso; Africano, Stefano; Gaglio, Gilda; Carmisciano, Luca; Piccirillo, Enrico; Castello, E; Peretti, Giorgio

doi:10.1007/s00405-021-06679-8

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…Whereas many studies document complications from the records, e.g., a study conducted in Saudi Arabia found that 105 patients (10.2%) experienced postoperative problems of which minor complications were the most common (9.5%) [ 16 ], and many other studies elsewhere [ 12 , 16 , 17 ]. In relation to gender and age, one study [ 18 ] reported that the female gender has a protective effect against intraoperative complications as well as patient age which was found to be correlated with a higher incidence of intraoperative complications [ 18 ]. In our humble opinion, this omission may be attributable to reporting bias.…”

Section: Discussionmentioning

confidence: 99%

A Brief Review of Demographic and Clinical Correlates of Cholesteatoma Surgery in the Qassim Region

Alhazmi¹,

Mansour²,

Aljasser³

et al. 2023

Cureus

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BackgroundCholesteatoma is described as the accumulation of squamous epithelium and keratinocytes within and around the middle ear cleft. There is a paucity of information regarding demographic and treatment outcomes for cholesteatoma in Saudi Arabia. An evaluation of the prevalence of comorbidities, complications and associations, of surgical treatment and demographics in the Qassim region was conducted. MethodsThis was a six-year retrospective review of patients treated for cholesteatoma at a private health facility, from August 2016 to July 2022. Data for age, gender, nationality, presence of comorbidities, type of surgery, type of anesthesia, and associated complications were collected from the electronic medical records and analyzed with Statistical Package for Social Sciences software. ResultsA total of 60 participants records were retrieved. The average age of the study population was ([43.2 ±SD] 21.8) years. There was a slightly higher male preponderance (males 51.7% and females 48.3%). Hypertension was the most commonly reported comorbidity (31.7%), followed by diabetes mellitus (25%). Age and gender were not statistically significantly associated with type of surgery or complications. ConclusionDemographic variables were not significantly associated with clinical correlates, however, further studies with larger sample sizes, robust clinical information, and long-term follow-up are required.

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Section: Discussionmentioning

confidence: 99%

A Brief Review of Demographic and Clinical Correlates of Cholesteatoma Surgery in the Qassim Region

Alhazmi¹,

Mansour²,

Aljasser³

et al. 2023

Cureus

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“…), показано, что применение классификации SAMEO-ATO может быть полезно для прогнозирования улучшения слуха после операции. В это исследование включены 273 пациента, у большинства из которых (54%) использовалась открытая хирургическая техника (Canal Wall Down, соответствует M2c по SAMEO-ATO), у 33% -закрытая хирургическая техника (Canal Wall Up, соответствует [28]. По данным многомерного регрессионного анализа с риском развития осложнений статистически значимо ассоциированы оценка по SAMEO-ATO O1 (2 vs 1), SAMEO-ATO T (3 vs 1 или 2) и SAMEO-ATO O2 (S-vs F-) [28].…”

Section: классификация хирургических вмешательств на среднем ухе Same...unclassified

New classification of EAONO/JOS cholesteatoma and SAMEO-ATO middle ear surgery: relevance and clinical significance

2021

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Middle ear cholesteatoma (MEC) is a common problem of modern otology. The European Academy of Otology and Neurootology in cooperation with the Japanese Otological Society (EAONO/JOS) published consensus recommendations on the definition, classification and stages of MEC in 2017. In 2018, the classification of middle ear surgery was presented under the auspices of the International Otology Outcome Group. The leading problem of MEC surgery remains the high recurrence rate, which ranges from 5 to 32% depending on the type of surgical intervention. The main purpose of this article is to describe the new EAONO/JOS classification of MEC and SAMEO-ATO middle ear surgical interventions with an analysis of their possible clinical significance in determining the risk of cholesteatoma recurrence as well as the prognosis for hearing recovery after surgery.

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“…Hence, second look surgery was routinely performed in the past [ 3 ]. However, in addition to the general surgical injury, the operation of middle ear CS will also lead to complications such as wax deposition, otorrhea, maze fistula and so on [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Performance of 2D BLADE turbo gradient- and spin-echo diffusion-weighted imaging in the quantitative diagnosis of recurrent temporal bone cholesteatoma

et al. 2022

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Background Diffusion-weighted imaging (DWI) has become an important tool for the detection of cholesteatoma. The purpose of this study was to explore the value of 2D BLADE turbo gradient- and spin-echo imaging (TGSE BLADE) DWI in the quantitative diagnosis of recurrent temporal bone cholesteatoma (CS). Methods From March 2018 to October 2021, 67 patients with suspected recurrence of temporal bone CS after assessment by clinical otorhinolaryngologists who had undergone previous ear surgery for CS were prospectively evaluated by magnetic resonance imaging (MRI). Two radiologist assessed images independently. Quantitative parameters such as signal intensity ratio (SIR) calculated using, as a reference, the inferior temporal cortex (SIRT) and the background noise (SIRN), apparent diffusion coefficient (ADC) value, and ADC ratio (with pons as reference) measured on TGSE BLADE sequences were assessed. Using receiver operating characteristic (ROC) curve analysis, the optimal threshold and diagnostic performance for diagnosing recurrent CS were determined. Pair-wise comparison of the ROC curves was performed using the area under the ROC curve (AUC). Results Finally, 44 patients were included in this study, including 25 CS and 19 non-cholesteatoma (NCS). Mean SIRT and mean SIRN on TGSE BLADE DWI were significantly higher for CS than NCS lesions (p < 0.001). Meanwhile, mean ADC values and mean ADC ratios on ADC maps were significantly lower in the CS group than in the NCS group (p < 0.001). According to ROC analysis, the diagnostic efficacy of quantitative parameters such as SIRT (AUC = 0.967), SIRN (AUC = 0.979), ADC value (AUC = 1.0), and ADC ratio (AUC = 0.983) was significantly better than that of qualitative DWI (AUC = 0.867; p = 0.007, 0.009, 0.011 and 0.037, respectively). Conclusions Residual/recurrent temporal bone CS can be accurately detected using quantitative evaluation of TGSE BLADE DWI.

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Correlation between peri-operative complication in middle ear cholesteatoma surgery using STAMCO, ChOLE, and SAMEO-ATO classifications

Cited by 7 publications

References 15 publications

A Brief Review of Demographic and Clinical Correlates of Cholesteatoma Surgery in the Qassim Region

A Brief Review of Demographic and Clinical Correlates of Cholesteatoma Surgery in the Qassim Region

New classification of EAONO/JOS cholesteatoma and SAMEO-ATO middle ear surgery: relevance and clinical significance

Performance of 2D BLADE turbo gradient- and spin-echo diffusion-weighted imaging in the quantitative diagnosis of recurrent temporal bone cholesteatoma

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