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[PMID]:29429175
[Au] Autor:Peng Z; Wang ZX; Xie J; Wang LE; Liu Y; Gong SS
[Ad] Endereço:Department of Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijng 100050, China.
[Ti] Título:[Middle ear teratoma in infant: report of three cases and review of the literatures].
[So] Source:Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;53(2):81-85, 2018 Feb 07.
[Is] ISSN:1673-0860
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To summarize the clinical characteristics and therapeutic experiences of the middle ear teratoma in infants. Three cases of middle ear teratoma, from 2012-2015 in Beijing Friendship Hospital were analyzed. The three cases all developed slowly and presented unilateral otorrhea and hearing loss. Otoscopy showed the granulation tissue in the external ear canal. Audiological changes varied according to the degree of severity. Imaging features showed the pocket-like occupancy lesions in the Eustachian tube area. The temporal bone CT showed mass with soft tissue density usually involved in the mastoid and tympanic cavity. MRI showed mixed signal intense on both T1 and T2 weighted imaging. All the three cases received neoplasm resection of the middle ear. Only one case received tympanoplasty surgery at the same time. And all the pathology results displayed mature teratoma. The follow-up time was 17 to 54 months. MRI showed complete removal of the tumor. Teratoma are rare in the head and neck neoplasm. When the infants suffer from the unilateral otorrhea, hearing loss, and granulation tissue formed in the external ear canal, it should be vigilant for teratoma. The differential diagnosis is middle ear cholesteatoma, congenital first branchial cyst or fistula, and middle ear carcinoma. Temporal bone CT combined with MRI could improve the accuracy of diagnosis. It should be totally resection as soon as possible if there is no contraindication. Postoperative follow-up and imaging examination are necessary to eliminate tumor recurrence.
[Mh] Termos MeSH primário: Neoplasias da Orelha/cirurgia
Orelha Média
Teratoma
[Mh] Termos MeSH secundário: Branquioma
Surdez/etiologia
Diagnóstico Diferencial
Neoplasias da Orelha/complicações
Neoplasias da Orelha/diagnóstico por imagem
Orelha Média/diagnóstico por imagem
Tuba Auditiva/diagnóstico por imagem
Neoplasias de Cabeça e Pescoço
Seres Humanos
Lactente
Imagem por Ressonância Magnética
Processo Mastoide/diagnóstico por imagem
Recidiva Local de Neoplasia
Otoscopia
Osso Temporal/diagnóstico por imagem
Teratoma/complicações
Teratoma/diagnóstico por imagem
Teratoma/cirurgia
Tomografia Computadorizada por Raios X
Timpanoplastia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1673-0860.2018.02.001


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[PMID]:29407505
[Au] Autor:Nardi C; De Falco L; Selvi V; Lorini C; Calistri L; Colagrande S
[Ad] Endereço:Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit number 2, University of Florence, Azienda Ospedaliero, Universitaria Careggi, Florence, Italy. Electronic address: cosimo.nardi@unifi.it.
[Ti] Título:Role of cone-beam computed tomography with a large field of view in Goldenhar syndrome.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):269-277, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Goldenhar syndrome is a rare disease with hemifacial microsomia and craniofacial disorders originating from the first and second branchial arches, such as ocular, auricular, and vertebral anomalies. The complexity and variety of the ways in which the disease presents itself usually need several examinations. In this study, we aimed to evaluate both craniofacial and vertebral skeletal anomalies and asymmetries between the nonaffected and affected sides in patients with Goldenhar syndrome by using cone-beam computed tomography. METHODS: Ten patients (7-14 years old; 6 boys, 4 girls) were evaluated via NewTom 5G cone-beam computed tomography (QR srl, Verona, Italy) with a large field of view (18 × 16 cm). Ten anatomic facial landmarks were identified to measure the following distances bilaterally: sella turcica (ST)-mandibular angle, ST-condyle, ST-mastoid, ST-mental foramen, ST-fronto zygomatic suture, ST-zygomatic temporal suture, ST-zygomatic facial foramen, ST-sphenopalatine fossa, mandibular angle-mandibular symphysis, and mandibular angle-condyle. The following 6 volumes were calculated bilaterally: orbit, maxillary sinus, condyle, external ear canal, middle ear, and internal auditory canal. These measurements were performed to assess skeletal asymmetries to compare the nonaffected side with the affected side by the Wilcoxon test. Cervical spine anomalies were classified into fusion anomalies and posterior arch deficiencies. RESULTS: All patients showed a deficit of skeletal development on the affected side. Statistically significant differences (0.001 ≤ P value ≤ 0.043) between the nonaffected and affected sides were recorded for all measurements, except for ST-frontozygomatic suture, mandibular angle-mandibular symphysis, and maxillary sinus volume. Vertebral fusion anomalies and posterior arch deficiencies were found in 7 and 4 patients, respectively. CONCLUSIONS: Cone-beam computed tomography with a large field of view was able to accurately identify craniofacial and vertebral skeletal anomalies, and to quantify asymmetries between the nonaffected and affected sides for an efficient maxillofacial treatment planning.
[Mh] Termos MeSH primário: Tomografia Computadorizada de Feixe Cônico
Síndrome de Goldenhar/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Criança
Tomografia Computadorizada de Feixe Cônico/métodos
Anormalidades Craniofaciais/diagnóstico por imagem
Feminino
Forame Magno/diagnóstico por imagem
Seres Humanos
Masculino
Mandíbula/diagnóstico por imagem
Côndilo Mandibular/diagnóstico por imagem
Processo Mastoide/diagnóstico por imagem
Sela Túrcica/diagnóstico por imagem
Coluna Vertebral/diagnóstico por imagem
Zigoma/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:28807061
[Au] Autor:Schwartz A; Kaplan D; Rosenzweig V; Klein M; Gruenbaum BF; Gruenbaum SE; Boyko M; Zlotnik A; Brotfain E
[Ad] Endereço:Department of Anesthesiology and Critical Care,Soroka Medical Center and Ben Gurion University of the Negev,Beer Sheva,Israel.
[Ti] Título:The incidence of hyperthermia during cochlear implant surgery in children.
[So] Source:J Laryngol Otol;131(10):900-906, 2017 Oct.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Inadvertent hyperthermia during anaesthesia is a rare but life-threatening complication. We have encountered several cases of severe hyperthermia in paediatric patients undergoing anaesthesia for cochlear implantation. METHODS: This study aimed to describe the clinical characteristics of children who developed hyperthermia while undergoing cochlear implantation, and to explore possible mechanisms and predisposing factors. The anaesthetic charts of all patients aged under 18 years who underwent cochlear implantation, or mastoid or ophthalmic surgery, between 1 January 2006 and 31 December 2009, at Soroka Medical Center in Beer Sheva, Israel, were reviewed. Patients undergoing mastoid and ophthalmic surgical procedures were used as controls. RESULTS: A larger percentage of patients who underwent cochlear implant surgery (10 per cent) developed hyperthermia compared to controls (0.7 per cent, p < 0.05). In five of the seven cases, hyperthermia appeared in combination with tachycardia and hypercapnia, adhering to the clinical triad of malignant hyperthermia. CONCLUSION: Patients undergoing cochlear implantation are susceptible to developing intra-operative hyperthermia. This article describes the hyperthermic events that occur during paediatric cochlear implantation, and attempts to identify potential triggers of hyperthermia.
[Mh] Termos MeSH primário: Implante Coclear/efeitos adversos
Febre/epidemiologia
Complicações Intraoperatórias/epidemiologia
Processo Mastoide/cirurgia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Seres Humanos
Incidência
Lactente
Recém-Nascido
Israel/epidemiologia
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170816
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117001682


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[PMID]:28724461
[Au] Autor:Kameswaran M; Natarajan K; Parthiban M; Krishnan PV; Raghunandhan S
[Ad] Endereço:Madras ENT Research Foundation,Chennai,Tamil Nadu,India.
[Ti] Título:Tuberculous otitis media: a resurgence?
[So] Source:J Laryngol Otol;131(9):785-792, 2017 Sep.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Tuberculosis is a global health problem that is especially prevalent in developing countries such as India. Recently, atypical presentation has become more common and a high index of suspicion is essential. This study analysed the various presenting symptoms and signs of tuberculous otitis media and the role of diagnostic tests, with the aim of formulating criteria for the diagnosis. METHODS: A total of 502 patients underwent tympanomastoidectomy over a two-year period. Microbiological and histopathological examinations and polymerase chain reaction analysis of tissue taken during tympanomastoidectomy were performed. RESULTS: A total of 25 patients (5 per cent) were diagnosed with tuberculous otitis media. Severe mixed hearing loss, facial palsy, labyrinthine fistula, post-aural fistula, perichondritis and extradural abscess were noted. CONCLUSION: There seems to be a resurgence in tuberculous otitis media in India. Microbiological, histopathological and polymerase chain reaction tests for tuberculosis are helpful for its diagnosis.
[Mh] Termos MeSH primário: Processo Mastoide/cirurgia
Ventilação da Orelha Média/métodos
Otite Média/cirurgia
Tuberculose/diagnóstico
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Feminino
Seres Humanos
Masculino
Otite Média/microbiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117001281


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[PMID]:28693661
[Au] Autor:Kim GJ; Yoo S; Han S; Bu J; Hong Y; Kim DK
[Ad] Endereço:Department of Otolaryngology - Head and Neck Surgery,Daejeon St Mary's Hospital,College of Medicine,Catholic University of Korea,Daejeon,Korea.
[Ti] Título:Bacterial strain changes during chronic otitis media surgery.
[So] Source:J Laryngol Otol;131(9):801-804, 2017 Sep.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Cultures obtained from pre-operative middle-ear swabs from patients with chronic otitis media have traditionally been used to guide antibiotic selection. This study investigated changes in the bacterial strains of the middle ear during chronic otitis media surgery. METHODS: Pre-operative bacterial cultures of otorrhoea, and peri-operative cultures of the granulation tissue in either the middle ear or mastoid cavity, were obtained. Post-operative cultures were selectively obtained when otorrhoea developed after surgery. RESULTS: Bacterial growth was observed in 45.5 per cent of pre-operative cultures, 13.5 per cent of peri-operative cultures and 4.5 per cent of post-operative cultures. Methicillin-resistant Staphylococcus aureus was identified as the most common bacteria in all pre-operative (32.4 per cent), peri-operative (52.4 per cent) and post-operative (71.4 per cent) tests, and the percentage of Methicillin-resistant S aureus increased from the pre- to the post-operative period. CONCLUSION: The bacterial culture results for post-operative otorrhoea showed low agreement with those for pre-operative or peri-operative culture, and strain re-identification was required.
[Mh] Termos MeSH primário: Bactérias/classificação
Orelha Média/microbiologia
Processo Mastoide/microbiologia
Otite Média/cirurgia
Infecções Estafilocócicas/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Bactérias/isolamento & purificação
Criança
Feminino
Seres Humanos
Masculino
Staphylococcus aureus Resistente à Meticilina/isolamento & purificação
Meia-Idade
Otite Média/microbiologia
Período Perioperatório
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117001414


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[PMID]:28688558
[Au] Autor:Marchioni D; Rubini A; Gonzalez-Navarro M; Alicandri-Ciufelli M; James A; Presutti L
[Ad] Endereço:Department of Otolaryngology - Head & Neck Surgery, University of Verona, Piazzale Aristide Stefani, 1 37126 Verona, Italy.
[Ti] Título:Bilateral congenital cholesteatoma: Surgical treatment and considerations.
[So] Source:Int J Pediatr Otorhinolaryngol;99:146-151, 2017 Aug.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To describe a multicenter study regarding surgical management of bilateral congenital cholesteatoma (BCC) and underline the importance of endoscopes in the management of this condition. In BCC, hearing preservation is more crucial than in unilateral cases. The endoscopic approach allows complete removal of cholesteatoma via a minimally invasive technique offering low residual disease rates while preserving the normal physiology of the middle ear and possibly the ossicular chain. STUDY DESIGN: Retrospective chart and surgical video review of patients with BCC who underwent surgery at Otolaryngology Department of Modena and Verona University Hospitals and the Hospital for Sick Children, Toronto. METHODS: From 2002 to November 2016, six patients were identified with bilateral congenital cholesteatoma and included in this study. Pre-operative assessments, surgical treatments and outcomes were collected and described. RESULTS: The median age at presentation was 4 years (range 2-7 years). A microscopic post auricular tympanoplasty was performed in two ears, four underwent a canal wall up mastoidectomy procedure and in the other six a transcanal endoscopic approach (TEA) was used. No intra- or post-operative complications were observed in any patients. The mean follow up period was 54.5 months. CONCLUSIONS: When both ears are involved with congenital cholesteatoma, it is particularly important to use a minimally invasive technique that preserves normal ossicular and mastoid structure and function whenever possible. In many cases this can be achieved with TEA, even in young children. In addition the endoscope allows good surgical control of cholesteatoma removal from hidden recesses.
[Mh] Termos MeSH primário: Colesteatoma da Orelha Média/cirurgia
Colesteatoma/congênito
Orelha Média/patologia
Endoscopia/métodos
[Mh] Termos MeSH secundário: Canadá
Criança
Pré-Escolar
Colesteatoma/cirurgia
Feminino
Seguimentos
Testes Auditivos
Hospitais Universitários
Seres Humanos
Masculino
Processo Mastoide/cirurgia
Complicações Pós-Operatórias/cirurgia
Estudos Retrospectivos
Resultado do Tratamento
Timpanoplastia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170710
[St] Status:MEDLINE


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[PMID]:28631684
[Au] Autor:Garov EV; Zelenkova VN; Stepanova EA; Meparishvili AS
[Ad] Endereço:L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.
[Ti] Título:[Multiple pneumocele associated with temporal bone hyperpneumatization].
[Ti] Título:Mnozhestvennoe pnevmotsele pri giperpnevmatizatsii visochnoi kosti..
[So] Source:Vestn Otorinolaringol;82(3):58-61, 2017.
[Is] ISSN:0042-4668
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The authors consider in brief epidemiology, diagnostics, and variants of the surgical treatment of the rare clinical condition pneumocele and pneumoencephalocele of the temporal bone. Diagnostic and surgical modalities for the management of multiple pneumocele associated with temporal bone hyperpneumatization are discussed.
[Mh] Termos MeSH primário: Doenças Ósseas
Pneumocefalia
[Mh] Termos MeSH secundário: Adolescente
Doenças Ósseas/diagnóstico
Doenças Ósseas/etiologia
Doenças Ósseas/fisiopatologia
Doenças Ósseas/cirurgia
Perda Auditiva/diagnóstico
Perda Auditiva/etiologia
Seres Humanos
Masculino
Processo Mastoide/diagnóstico por imagem
Processo Mastoide/patologia
Processo Mastoide/cirurgia
Procedimentos Cirúrgicos Otológicos/métodos
Pneumocefalia/diagnóstico
Pneumocefalia/fisiopatologia
Pneumocefalia/cirurgia
Osso Temporal/diagnóstico por imagem
Osso Temporal/patologia
Osso Temporal/cirurgia
Tomografia Computadorizada Espiral/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170621
[St] Status:MEDLINE
[do] DOI:10.17116/otorino201782358-61


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[PMID]:28558458
[Au] Autor:Yang Y; Chen M; Hao JS; Liu W; Zhang J
[Ad] Endereço:Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.
[Ti] Título:[Clinical characteristics in children with cleft palate associated with middle ear cholesteatoma].
[So] Source:Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;52(5):377-380, 2017 May 07.
[Is] ISSN:1673-0860
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To summarize the characteristics of children diagnosed as cleft palate associated with middle ear cholesteatoma. There were five middle ear cholesteatoma cases who had previously received cleft palate repairment surgery. All of the patients were followed up for 17 to 47 months. Median follow-up time was 31 months. There were three males and two females with three to eleven years old , and the average of age was seven years and ten months. The time of cleft palate repairment surgery was from six months to four years, and the average age was one year and nine months. No history of grommet insertion. Three cases were unilateral choleateatoma (right ear in two cases and left ear in one case, of which two cases of contralateral ear with secretory otitis media) and two cases were bilateral choleateatoma. Five cases(seven ears) received surgeries. Radical mastoidectomy + canal wall down tympanoplasty were performed in three ears, in which we found stapes disappeared. Radical mastoidectomy + canal wall up tympanoplasty were performed in four ears, in which we found intact foot plate, with recurrence occurred in one case nine months after the first surgery. No recurrence occurred after the second canal wall down tympanoplasty. The postoperative average hearing thresholds of air conduction were improved in different degrees. There may be a relationship between cleft palate associated with middle ear cholesteatoma and no grommet insertion history. The incidence of bilateral cases is relatively high, and otitis media with effusion may occur because of poor Eustachian tube function in the unilateral cases. Choice of surgical methods should be decided basing on combination of decreasing the recrudescence and improving the hearing.
[Mh] Termos MeSH primário: Colesteatoma da Orelha Média/complicações
Fissura Palatina/complicações
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Fissura Palatina/cirurgia
Feminino
Seres Humanos
Masculino
Processo Mastoide/cirurgia
Ventilação da Orelha Média
Otite Média/etiologia
Otite Média com Derrame/complicações
Recidiva
Estribo
Resultado do Tratamento
Timpanoplastia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1673-0860.2017.05.011


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[PMID]:28555605
[Au] Autor:Eeten EV; Faber H; Kunst D
[Ad] Endereço:Department of Otolaryngology, Radboud University Medical Center, Nijmegen, Netherlands. FaberH@zgv.nl.
[Ti] Título:Surgical Treatment for Epstein-Barr Virus Otomastoiditis Complicated by Facial Nerve Paralysis: A Case Report of Two Young Brothers and Review of Literature.
[So] Source:J Int Adv Otol;13(1):143-146, 2017 Apr.
[Is] ISSN:1308-7649
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:We report the case of two young brothers with Epstein-Barr virus (EBV) otomastoiditis complicated by a facial nerve paralysis. The boys, aged 7 months (patient A) and 2 years and 8 months (patient B), were diagnosed with a facial nerve paralysis House-Brackmann (HB) grade IV (A) and V (B). After unsuccessful pharmacological treatment, patient A underwent mastoidectomy and atticoantrotomy and patient B underwent a transmastoidal surgical decompression of the facial nerve. They recovered to HB grades I and II facial nerve palsy (FNP), respectively. Although rare and relatively unknown, EBV should be considered in the differential diagnosis of children with FNP of unknown cause. Surgical intervention may be a viable therapy with good recovery.
[Mh] Termos MeSH primário: Infecções por Vírus Epstein-Barr/complicações
Paralisia Facial
Processo Mastoide
Mastoidite
Otite
Irmãos
[Mh] Termos MeSH secundário: Pré-Escolar
Paralisia Facial/diagnóstico
Paralisia Facial/cirurgia
Paralisia Facial/virologia
Seres Humanos
Lactente
Masculino
Processo Mastoide/cirurgia
Mastoidite/diagnóstico
Mastoidite/cirurgia
Mastoidite/virologia
Otite/diagnóstico
Otite/cirurgia
Otite/virologia
Procedimentos Cirúrgicos Otológicos/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170531
[St] Status:MEDLINE
[do] DOI:10.5152/iao.2017.2788


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[PMID]:28418754
[Au] Autor:Lui JT; Hoy MY
[Ad] Endereço:1 Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Calgary, Calgary, Canada.
[Ti] Título:Evaluating the Effect of Virtual Reality Temporal Bone Simulation on Mastoidectomy Performance: A Meta-analysis.
[So] Source:Otolaryngol Head Neck Surg;156(6):1018-1024, 2017 Jun.
[Is] ISSN:1097-6817
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background The increasing prevalence of virtual reality simulation in temporal bone surgery warrants an investigation to assess training effectiveness. Objectives To determine if temporal bone simulator use improves mastoidectomy performance. Data Sources Ovid Medline, Embase, and PubMed databases were systematically searched per the PRISMA guidelines. Review Methods Inclusion criteria were peer-reviewed publications that utilized quantitative data of mastoidectomy performance following the use of a temporal bone simulator. The search was restricted to human studies published in English. Studies were excluded if they were in non-peer-reviewed format, were descriptive in nature, or failed to provide surgical performance outcomes. Meta-analysis calculations were then performed. Results A meta-analysis based on the random-effects model revealed an improvement in overall mastoidectomy performance following training on the temporal bone simulator. A standardized mean difference of 0.87 (95% CI, 0.38-1.35) was generated in the setting of a heterogeneous study population ( I = 64.3%, P < .006). Conclusion In the context of a diverse population of virtual reality simulation temporal bone surgery studies, meta-analysis calculations demonstrate an improvement in trainee mastoidectomy performance with virtual simulation training.
[Mh] Termos MeSH primário: Competência Clínica
Simulação por Computador
Processo Mastoide/cirurgia
Procedimentos Cirúrgicos Otológicos/educação
Osso Temporal/cirurgia
[Mh] Termos MeSH secundário: Educação de Pós-Graduação em Medicina
Seres Humanos
Internato e Residência
Interface Usuário-Computador
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.1177/0194599817698440



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