Comparison of Endoscopic and Microscopic Surgery for the Treatment of Acquired Cholesteatoma by EAONO/JOS Staging
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Designs
- Pars flaccida
- Pars tensa
- Secondary
- Combination
- Unclassifiable
- Stage I: Cholesteatoma localized in the primary site.
- Stage II: Cholesteatoma involving two or more sites.
- Stage III: Cholesteatoma with extracranial complications and/or intratemporal pathological conditions.
- Stage IV: Cholesteatoma with intracranial complications.
2.2. Outcome Measures
2.3. Statistical Analysis
3. Results
3.1. Types of Cholesteatoma (Figure 3, Table 1)
EES * | MES * | p-Value | |
---|---|---|---|
pars flaccida | 20 (55.6%) | 55 (77.5%) | 0.015 |
pars tensa | 8 (22.2%) | 8 (11.3%) | 0.13 |
secondary | 5 (13.8%) | 1 (1.4%) | 0.019 |
combination | 2 (5.6%) | 4 (5.6%) | 1.0 |
unclassifiable | 1 (2.8%) | 3 (4.2%) | 1.0 |
total | 36 | 71 |
3.2. Staging of Cholesteatoma (Table 2)
EES * | MES * | p-Value | |
---|---|---|---|
stage I | 15 (41.6%) | 12 (16.9%) | 0.0053 |
stage II | 20 (55.6%) | 55 (77.5%) | 0.019 |
stage III | 1 (2.8%) | 4 (5.6%) | 0.66 |
total | 36 | 71 |
3.3. Location of Cholesteatoma (Supplementary Table S1)
3.4. Complications
3.5. Recurrence of Cholesteatoma
3.6. Hearing Outcomes (Table 3A–C)
(A) | |||
Preoperative (dB) | Postoperative (dB) | p-Value | |
stage I (n = 13) | 47.12 ± 21.45 | 40.77 ± 19.62 | 0.04 |
stage II (n =16) | 40.31 ± 14.31 | 41.09 ± 22.45 | 0.80 |
all cases (n=30) | 42.67 ± 17.95 | 40.96 ± 20.50 | 0.44 |
(B) | |||
Preoperative (dB) | Postoperative (dB) | p-Value | |
stage I (n = 4) | 57.19 ± 10.28 | 59.69 ± 29.87 | 0.82 |
stage II (n =38) | 45.49 ± 18.08 | 41.90 ± 17.00 | 0.14 |
all cases (n =45) | 46.36 ± 18.28 | 44.33 ± 19.42 | 0.37 |
(C) | |||
EES (dB) | MES (dB) | p-Value | |
stage I (n =13 in EES, 4 in MES) | 6.35 ± 9.94 | −2.50 ± 21.04 | 0.25 |
stage II (n =16 in EES, 38 in MES) | −0.78 ± 12.02 | 3.57 ± 14.50 | 0.30 |
all cases (n =30 in EES, 45 in MES) | 1.71 ± 11.97 | 2.02 ± 14.98 | 0.92 |
4. Discussion
5. Limitations
6. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Otsuka, A.; Koyama, H.; Kashio, A.; Matsumoto, Y.; Yamasoba, T. Comparison of Endoscopic and Microscopic Surgery for the Treatment of Acquired Cholesteatoma by EAONO/JOS Staging. Healthcare 2024, 12, 1737. https://doi.org/10.3390/healthcare12171737
Otsuka A, Koyama H, Kashio A, Matsumoto Y, Yamasoba T. Comparison of Endoscopic and Microscopic Surgery for the Treatment of Acquired Cholesteatoma by EAONO/JOS Staging. Healthcare. 2024; 12(17):1737. https://doi.org/10.3390/healthcare12171737
Chicago/Turabian StyleOtsuka, Ayaka, Hajime Koyama, Akinori Kashio, Yu Matsumoto, and Tatsuya Yamasoba. 2024. "Comparison of Endoscopic and Microscopic Surgery for the Treatment of Acquired Cholesteatoma by EAONO/JOS Staging" Healthcare 12, no. 17: 1737. https://doi.org/10.3390/healthcare12171737
APA StyleOtsuka, A., Koyama, H., Kashio, A., Matsumoto, Y., & Yamasoba, T. (2024). Comparison of Endoscopic and Microscopic Surgery for the Treatment of Acquired Cholesteatoma by EAONO/JOS Staging. Healthcare, 12(17), 1737. https://doi.org/10.3390/healthcare12171737