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Meta analysis in otolaryngology

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13 papers 100 to 500 followers
By Jonathan Simmonds Otolaryngology Resident in Boston
Peter M Vila, Joseph Zenga, Ryan S Jackson
Objective To determine the optimal duration and type of antibiotic prophylaxis in patients undergoing clean-contaminated resection for head and neck cancer. Data Sources Search strategies were created by a medical librarian, implemented in multiple databases, and completed in June 2016. Review Methods The population of interest was adults ≥18 years undergoing clean-contaminated head and neck surgery, intervention was postoperative antibiotic prophylaxis, comparator was duration and types of antibiotics used, outcome was the wound infection rate, and the study design was randomized controlled trials (RCTs)...
October 2017: Otolaryngology—Head and Neck Surgery
Victor F Certal, Rui Pratas, Lidia Guimarães, Rodolfo Lugo, Yungan Tsou, Macario Camacho, Robson Capasso
OBJECTIVE: Traditionally, upper airway examination is performed while the patient is awake. However, in the past two decades, drug-induced sleep endoscopy (DISE) has been used as a method of tridimensional evaluation of the upper airway during pharmacologically induced sleep. This study aimed to systematically review the evidence regarding the usefulness of DISE compared with that of traditional awake examination for surgical decision making in patients with obstructive sleep apnea (OSA)...
March 2016: Laryngoscope
Sungjin A Song, Anthony M Tolisano, Benjamin B Cable, Macario Camacho
OBJECTIVE: To provide an up-to-date systematic review and critical appraisal of prospectively performed studies evaluating neurocognitive function in children treated with adenotonsillectomy. DATA SOURCES: PubMed/MEDLINE, Scopus, Web of Science, and the Cochrane Library. REVIEW METHODS: Searches were performed from inception through September 2, 2015. RESULTS: Nineteen prospective studies (898 adenotonsillectomy patients) met criteria and reported neurocognitive outcomes...
April 2016: International Journal of Pediatric Otorhinolaryngology
Macario Camacho, Dongcai Li, Makoto Kawai, Soroush Zaghi, Jeffrey Teixeira, Andrew J Senchak, Scott E Brietzke, Samuel Frasier, Victor Certal
OBJECTIVES/HYPOTHESIS: To determine if sleepiness and sleep study variables (e.g., Apnea-Hypopnea Index [AHI] and lowest oxygen saturation) improve following isolated tonsillectomy for adult obstructive sleep apnea (OSA). STUDY DESIGN: Systematic review and meta-analysis. METHODS: Nine databases (PubMed/MEDLINE included) were searched through November 24, 2015. RESULTS: Seventeen studies (n = 216 patients, 34.4 ± 10...
September 2016: Laryngoscope
Macario Camacho, Brandyn Dunn, Carlos Torre, Jodie Sasaki, Raymond Gonzales, Stanley Yung-Chuan Liu, Dylan K Chan, Victor Certal, Benjamin B Cable
OBJECTIVES/HYPOTHESIS: To determine if apnea-hypopnea index (AHI) and lowest oxygen saturation (LSAT) improve following isolated supraglottoplasty for laryngomalacia with obstructive sleep apnea (OSA) in children. STUDY DESIGN: Systematic review and meta-analysis. METHODS: Nine databases, including PubMed/MEDLINE, were searched through September 30, 2015. RESULTS: A total of 517 studies were screened; 57 were reviewed; and 13 met criteria...
May 2016: Laryngoscope
Roderick P Venekamp, Benjamin J Hearne, Deepak Chandrasekharan, Helen Blackshaw, Jerome Lim, Anne G M Schilder
BACKGROUND: Obstructive sleep-disordered breathing (oSDB) is a condition that encompasses breathing problems when asleep, due to an obstruction of the upper airways, ranging in severity from simple snoring to obstructive sleep apnoea syndrome (OSAS). It affects both children and adults. In children, hypertrophy of the tonsils and adenoid tissue is thought to be the commonest cause of oSDB. As such, tonsillectomy - with or without adenoidectomy - is considered an appropriate first-line treatment for most cases of paediatric oSDB...
October 14, 2015: Cochrane Database of Systematic Reviews
C Carrie Liu, Ashok R Jethwa, Samir S Khariwala, Jonas Johnson, Jennifer J Shin
OBJECTIVES: (1) To analyze the sensitivity and specificity of fine-needle aspiration (FNA) in distinguishing benign from malignant parotid disease. (2) To determine the anticipated posttest probability of malignancy and probability of nondiagnostic and indeterminate cytology with parotid FNA. DATA SOURCES: Independently corroborated computerized searches of PubMed, Embase, and Cochrane Central Register were performed. These were supplemented with manual searches and input from content experts...
January 2016: Otolaryngology—Head and Neck Surgery
Joshua M Levy, Michael J Marino, Edward D McCoul
OBJECTIVE: Paranasal sinus balloon catheter dilation (BCD) represents a commonly used tool in the management of chronic rhinosinusitis (CRS) for which the indications, utilization, and outcomes have not been well established. A systematic review and meta-analysis were undertaken to evaluate change in quality of life and sinus opacification following paranasal sinus BCD in the treatment of CRS. DATA SOURCES: MEDLINE and EMBASE databases. REVIEW METHODS: Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were utilized to identify English-language studies reporting patient outcomes following BCD for CRS...
January 2016: Otolaryngology—Head and Neck Surgery
Soroush Zaghi, Jon-Erik C Holty, Victor Certal, Jose Abdullatif, Christian Guilleminault, Nelson B Powell, Robert W Riley, Macario Camacho
IMPORTANCE: Maxillomandibular advancement (MMA) is an invasive yet effective surgical option for obstructive sleep apnea (OSA) that achieves enlargement of the upper airway by physically expanding the facial skeletal framework. OBJECTIVE: To identify criteria associated with surgical outcomes of MMA using aggregated individual patient data from multiple studies. DATA SOURCES: The Cochrane Library, Scopus, Web of Science, and MEDLINE from June 1, 2014, to March 16, 2015, using the Medical Subject Heading keywords maxillomandibular advancement, orthognathic surgery, maxillary osteotomy, mandibular advancement, sleep apnea, surgical, surgery, sleep apnea syndrome, and obstructive sleep apnea...
January 2016: JAMA Otolaryngology—Head & Neck Surgery
Jason L Acevedo, Macario Camacho, Scott E Brietzke
OBJECTIVE: To critically review published literature for treatment-related outcomes for bilateral inferior turbinate reduction (IFTR) via either microdebrider-assisted turbinoplasty (MAT) or radiofrequency turbinoplasty. The primary outcomes were relief of nasal obstruction according to visual analog scale and nasal airflow, volume, and resistance measures based on acoustic rhinomanometry. DATA SOURCES: MEDLINE, EMBASE, The Cochrane Catalog, and CINAHL. REVIEW METHODS: The databases were searched with the terms "turbinoplasty" and "turbinate reduction...
December 2015: Otolaryngology—Head and Neck Surgery
Luke R Rudmik, Scott G Walen, Elijah Dixon, Joseph Dort
OBJECTIVE: To evaluate the quality of meta-analyses written on otolaryngological topics and define areas that can be improved upon in future studies. DATA SOURCES: MEDLINE (PubMed) and EMBASE databases were searched. The Cochrane database of systematic reviews was excluded, because these meta-analyses have already been critically evaluated and found to be of high quality. REVIEW METHODS: A systematic review of otolaryngological meta-analyses published between 1997 and 2006 (10 years) was performed in duplicate and independently by two authors...
August 2008: Otolaryngology—Head and Neck Surgery
Anne Elizabeth Conlin, Laurie McLean
BACKGROUND: Flexible fibre-optic nasolaryngoscopy (FFN) is a common otolaryngology procedure that patients may find uncomfortable. Preparative agents, including topical anesthetic, vasoconstrictive, and lubricating agents, have been studied in randomized controlled trials (RCTs). METHODS: A systematic review and meta-analysis was conducted on RCTs published between January 1966 and October 2005 and indexed to MEDLINE, CINAHL, and Cochrane CENTRAL databases. Methodologic validity was evaluated...
April 2008: Journal of Otolaryngology—Head & Neck Surgery
Yan Feng, Binquan Wang, Shuxin Wen
BACKGROUND: Laser surgery and radiotherapy are commonly used to treat glottic cancer. OBJECTIVE OF REVIEW: To compare outcomes and cost of laser surgery versus radiotherapy for T1-T2N0 glottic cancer. TYPE OF REVIEW: Meta-analysis. SEARCH STRATEGY: The Cochrane Central Register of Controlled Trials, Ovid MEDLINE® In-Process & Other Non-Indexed Citations, Embase, Web of Science (1990-2010) were searched electronically...
2011: ORL; Journal for Oto-rhino-laryngology and its related Specialties
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