Outcomes of canalplasty for chronic obliterative otitis externa

Potter, Christian; Bottrill, Ian

doi:10.1017/s0022215112001703

Cited by 11 publications

(8 citation statements)

References 30 publications

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“…Where papers did not fit into easily defined categories or intervention or pathology, it was felt that combining these would only add heterogeneity. Therefore, these eight papers are reported in Table S1 and will not be further analysed …”

Section: Resultsmentioning

confidence: 99%

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The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient‐recorded outcome measure

Hendry

Chin

Swan

et al. 2016

Clinical Otolaryngology

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BackgroundThe Glasgow Benefit Inventory (GBI) is a validated, generic patient-recorded outcome measure widely used in otolaryngology to report change in quality of life post-intervention.Objectives of reviewTo date, no systematic review has made (i) a quality assessment of reporting of Glasgow Benefit Inventory outcomes; (ii) a comparison between Glasgow Benefit Inventory outcomes for different interventions and objectives; (iii) an evaluation of subscales in describing the area of benefit; (iv) commented on its value in clinical practice and research.Type of reviewSystematic review.Search strategy‘Glasgow Benefit Inventory’ and ‘GBI’ were used as keywords to search for published, unpublished and ongoing trials in PubMed, EMBASE, CINAHL and Google in addition to an ISI citation search for the original validating Glasgow Benefit Inventory paper between 1996 and January 2015.Evaluation methodPapers were assessed for study type and quality graded by a predesigned scale, by two authors independently. Papers with sufficient quality Glasgow Benefit Inventory data were identified for statistical comparisons. Papers with <50% follow-up were excluded.ResultsA total of 118 eligible papers were identified for inclusion. A national audit paper (n = 4325) showed that the Glasgow Benefit Inventory gave a range of scores across the specialty, being greater for surgical intervention than medical intervention or ‘reassurance’. Fourteen papers compared one form of surgery versus another form of surgery. In all but one study, there was no difference between the Glasgow Benefit Inventory scores (or of any other outcome). The most likely reason was lack of power. Two papers took an epidemiological approach and used the Glasgow Benefit Inventory scores to predict benefit. One was for tonsillectomy where duration of sore throat episodes and days with fever were identified on multivariate analysis to predict benefit albeit the precision was low. However, the traditional factor of number of episodes of sore throat was not predictive. The other was surgery for chronic rhinosinusitis where those with polyps on univariate analysis had greater benefit than those without. Forty-three papers had a response rate of >50% and gave sufficient Glasgow Benefit Inventory total and subscales for meta-analysis. For five of the 11 operation categories (vestibular schwannoma, tonsillectomy, cochlear implant, middle ear implant and stapes surgery) that were most likely to have a single clear clinical objective, score data had low-to-moderate heterogeneity. The value in the Glasgow Benefit Inventory having both positive and negative scores was shown by an overall negative score for the management of vestibular schwannoma. The other six operations gave considerable heterogeneity with rhinoplasty and septoplasty giving the greatest percentages (98% and 99%) most likely because of the considerable variations in patient selection. The data from these operations should not be used for comparative purposes. Five papers also reported the number of patients that h...

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Section: Resultsmentioning

confidence: 99%

“…Subscales reported. Distribution of individual data given Low grade: Children in cohort and not reported separately.…”

Section: Methodsmentioning

confidence: 99%

The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient‐recorded outcome measure

Hendry

Chin

Swan

et al. 2016

Clinical Otolaryngology

View full text Add to dashboard Cite

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“…There are three other publications in the current literature which address both subjective and objective outcomes after either meatoplasty or canalplasty for chronic otitis externa, however, none adopt a similar surgical method or have comparable patient groups to our study.…”

Section: Discussionmentioning

confidence: 95%

“…Management involves regular aural toilet combined with topical antibiotic‐steroid application, in addition to avoidance of causative factors. When these methods fail, surgical intervention by means of a meatoplasty or canalplasty can be offered . Meatoplasty is widening of the lateral cartilaginous section of the external auditory meatus, as opposed to canalplasty which eradicates soft tissue or bony obstruction from the external auditory canal .…”

Section: Introductionmentioning

confidence: 99%

“…When these methods fail, surgical intervention by means of a meatoplasty or canalplasty can be offered. [3][4][5][6][7] Meatoplasty is widening of the lateral cartilaginous section of the external auditory meatus, as opposed to canalplasty which eradicates soft tissue or bony obstruction from the external auditory canal. 8 Often a combination of the two is sought.…”

Section: Introductionmentioning

confidence: 99%

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