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• W3165659420 startingPage "249" @default.
• W3165659420 abstract "ObjectiveWe investigated the incidence of tympanic membrane (TM) perforations induced after intratympanic steroid injection (ITSI) in patients with sudden sensorineural hearing loss (SSNHL) through a systematic review and meta-analysis.Data SourcesPubMed, Embase, and MEDLINE.Review MethodsPrimary database searches were performed, and 1901 records were identified. After removal of 1802 articles through abstract screening, the remaining 99 full-text journals were assessed for eligibility to be included in the study. Fifty-eight studies that used either ventilation tubing (VT) or tympanocentesis (TC) for ITSI were selected for analysis. The subjects were divided into VT and TC groups. The rate of TM perforation after ITSI in 2 groups, sites of ITSI, needle gauge, and influence on residual hearing were investigated.ResultsThe cohorts comprised patients who underwent VT (n = 257, 9.6%) and TC (n = 2415, 90.4%). The proportion of TM perforation after ITSI in each group was 0.073 (95% CI, 0.0469-0.1113) and 0.010 (95% CI, 0.0045-0.0215), respectively, which suggested that the VT group showed a significantly higher TM perforation rate than the TC group (P < .001). In the subgroup analyses, there was no significant difference in the odds ratio for the rate of TM perforation according to the injection site and needle gauge for TC. The proportion of surgical repair showed no significant difference between the 2 groups.ConclusionITSI via VT may have a significantly higher risk of TM perforation than ITSI via TC, although those are relatively small overall. ITSI should be performed in the direction to minimize possible adverse effects." @default.
• W3165659420 created "2021-06-07" @default.
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• W3165659420 date "2021-06-01" @default.
• W3165659420 modified "2023-09-27" @default.
• W3165659420 title "Tympanic Membrane Perforation After Intratympanic Steroid Injection: A Systematic Review and Meta‐analysis" @default.
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• W3165659420 doi "https://doi.org/10.1177/01945998211012300" @default.
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