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Management of Juvenile Otosclerosis: A Systematic Review

Background. Otosclerosis can occur during childhood, resulting in the early onset of conductive hearing loss. The approach to a child with otosclerosis can present some difficulties in terms of diagnosis and treatment, and the literature on juvenile otosclerosis (JO) is still relatively limited. Aim...

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Autores principales: Fancello, Virginia, Sacchetto, Luca, Bianchini, Chiara, Ciorba, Andrea, Monzani, Daniele, Palma, Silvia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9688878/
https://www.ncbi.nlm.nih.gov/pubmed/36421236
http://dx.doi.org/10.3390/children9111787
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author Fancello, Virginia
Sacchetto, Luca
Bianchini, Chiara
Ciorba, Andrea
Monzani, Daniele
Palma, Silvia
author_facet Fancello, Virginia
Sacchetto, Luca
Bianchini, Chiara
Ciorba, Andrea
Monzani, Daniele
Palma, Silvia
author_sort Fancello, Virginia
collection PubMed
description Background. Otosclerosis can occur during childhood, resulting in the early onset of conductive hearing loss. The approach to a child with otosclerosis can present some difficulties in terms of diagnosis and treatment, and the literature on juvenile otosclerosis (JO) is still relatively limited. Aim. To explore the current approaches to JO, in order to clear the management of this condition and evaluate the outcomes and the possible complications of surgical treatment. Methods. A systematic review was performed according to PRISMA guidelines, searching Medline and Embase from January 2002 through to 30 September 2022. A total of 759 papers were identified but based on specified criteria, nine were included in this study. Results. There were 94 children affected by JO and treated by stapes surgery. According to the available data, Male: Female ratio was 1:3–4, whilst the mean ages ranged from 10 to 16.3 years at the time of stapes surgery. After stapes surgery, the target of ABG < 10 dB was achieved in most of the patients. Overall, the 4 complications were reported (4/94= 4%): stenosis of the external ear canal, deterioration of hearing, anacusis with vertigo, tinnitus. Conclusions. The heterogeneity of the available studies does not allow us to draw straight conclusions on this topic, currently. More data about the natural history of the disease in children could help in approaching the treatment correctly, and possibly in drawing guidelines. Studies with a prolonged follow-up could be helpful for assisting clinicians and families in taking the most favorable decision about treatment.
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spelling pubmed-96888782022-11-25 Management of Juvenile Otosclerosis: A Systematic Review Fancello, Virginia Sacchetto, Luca Bianchini, Chiara Ciorba, Andrea Monzani, Daniele Palma, Silvia Children (Basel) Review Background. Otosclerosis can occur during childhood, resulting in the early onset of conductive hearing loss. The approach to a child with otosclerosis can present some difficulties in terms of diagnosis and treatment, and the literature on juvenile otosclerosis (JO) is still relatively limited. Aim. To explore the current approaches to JO, in order to clear the management of this condition and evaluate the outcomes and the possible complications of surgical treatment. Methods. A systematic review was performed according to PRISMA guidelines, searching Medline and Embase from January 2002 through to 30 September 2022. A total of 759 papers were identified but based on specified criteria, nine were included in this study. Results. There were 94 children affected by JO and treated by stapes surgery. According to the available data, Male: Female ratio was 1:3–4, whilst the mean ages ranged from 10 to 16.3 years at the time of stapes surgery. After stapes surgery, the target of ABG < 10 dB was achieved in most of the patients. Overall, the 4 complications were reported (4/94= 4%): stenosis of the external ear canal, deterioration of hearing, anacusis with vertigo, tinnitus. Conclusions. The heterogeneity of the available studies does not allow us to draw straight conclusions on this topic, currently. More data about the natural history of the disease in children could help in approaching the treatment correctly, and possibly in drawing guidelines. Studies with a prolonged follow-up could be helpful for assisting clinicians and families in taking the most favorable decision about treatment. MDPI 2022-11-21 /pmc/articles/PMC9688878/ /pubmed/36421236 http://dx.doi.org/10.3390/children9111787 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Fancello, Virginia
Sacchetto, Luca
Bianchini, Chiara
Ciorba, Andrea
Monzani, Daniele
Palma, Silvia
Management of Juvenile Otosclerosis: A Systematic Review
title Management of Juvenile Otosclerosis: A Systematic Review
title_full Management of Juvenile Otosclerosis: A Systematic Review
title_fullStr Management of Juvenile Otosclerosis: A Systematic Review
title_full_unstemmed Management of Juvenile Otosclerosis: A Systematic Review
title_short Management of Juvenile Otosclerosis: A Systematic Review
title_sort management of juvenile otosclerosis: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9688878/
https://www.ncbi.nlm.nih.gov/pubmed/36421236
http://dx.doi.org/10.3390/children9111787
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