Retrosigmoid endoscopic keyhole for vestibular schwannomas: Systematic review and meta-analysis
Introduction: The development of endoscopy for vestibular schwannomas in recent decades offers a panoramic view of the structures of this location that is superior to microscopic vision. Objective: To specify role of the retrosigmoid endoscopic keyhole in vestibular schwannomas. Method: The searc...
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| Format: | Article |
| Language: | Spanish |
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ECIMED
2024-04-01
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| Series: | Revista Cubana de Medicina Militar |
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| Online Access: | https://revmedmilitar.sld.cu/index.php/mil/article/view/20508 |
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| author | Ernesto Enrique Horta-Tamayo Diana Rosa Ortega-Raez Lary Benice RodrÃguez Santillan Luis César Acosta González Martha Suárez RodrÃguez Arminda González González |
| author_facet | Ernesto Enrique Horta-Tamayo Diana Rosa Ortega-Raez Lary Benice RodrÃguez Santillan Luis César Acosta González Martha Suárez RodrÃguez Arminda González González |
| author_sort | Ernesto Enrique Horta-Tamayo |
| collection | DOAJ |
| description | Introduction: The development of endoscopy for vestibular schwannomas in recent decades offers a panoramic view of the structures of this location that is superior to microscopic vision.
Objective: To specify role of the retrosigmoid endoscopic keyhole in vestibular schwannomas.
Method: The search was developed in Medline. The following terms in English with Boolean operators were used: "Vestibular schwannoma" OR "acoustic neurinoma" AND "keyhole approach" OR "endoscopic resection" OR "endoscopy". Spanish and English language restriction was used. Editorial articles, letters to the editor, books, single case presentations, reviews, meta-analyses, and those with poor method were excluded; also articles on anatomical specimens. The Major package of the Jamovi software was used to perform a single-arm meta-analysis of total resection and "acceptable" post-surgical facial function, and estimate the overall effect. I 2 greater than 75 % was taken as high heterogeneity.
Results: Eight articles were chosen for the study. In the analysis of total resection, it is estimated at 0.84 for a p-value less than 0.01. It was similar in the case of preservation of "acceptable" facial function, with 0.77. In a subgroup analysis, those series where the diameters of the tumor lesion were greater than 3 cm showed less preservation of facial function. The anatomical preservation of the facial nerve was less than 90 % in two series.
Conclusions: The retrosigmoid endoscopic keyhole is an effective and safe technique in vestibular schwannomas. Studies in this regard reveal relative success, with acceptable rates of anatomical and functional preservation of the facial nerve.
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| format | Article |
| id | doaj-art-0e7b95c1a16c4e26b82278c6b82cd606 |
| institution | Kabale University |
| issn | 1561-3046 |
| language | Spanish |
| publishDate | 2024-04-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj-art-0e7b95c1a16c4e26b82278c6b82cd6062025-01-10T19:01:41ZspaECIMEDRevista Cubana de Medicina Militar1561-30462024-04-01532954Retrosigmoid endoscopic keyhole for vestibular schwannomas: Systematic review and meta-analysisErnesto Enrique Horta-Tamayo0https://orcid.org/0000-0002-1292-1689Diana Rosa Ortega-Raez1https://orcid.org/0000-0002-6992-3570Lary Benice RodrÃguez Santillan2https://orcid.org/0000-0003-1039-0690Luis César Acosta González3https://orcid.org/0000-0002-6463-4243Martha Suárez RodrÃguez4https://orcid.org/0000-0002-4608-4903Arminda González González5https://orcid.org/0000-0001-7037-4751Universidad de Ciencias Médicas de HolguÃnUniversidad de Ciencias Médicas de HolguÃnUniversidad de Ciencias Médicas de HolguÃnUniversidad de Ciencias Médicas de HolguÃnUniversidad de Ciencias Médicas de HolguÃnUniversidad de Ciencias Médicas de HolguÃnIntroduction: The development of endoscopy for vestibular schwannomas in recent decades offers a panoramic view of the structures of this location that is superior to microscopic vision. Objective: To specify role of the retrosigmoid endoscopic keyhole in vestibular schwannomas. Method: The search was developed in Medline. The following terms in English with Boolean operators were used: "Vestibular schwannoma" OR "acoustic neurinoma" AND "keyhole approach" OR "endoscopic resection" OR "endoscopy". Spanish and English language restriction was used. Editorial articles, letters to the editor, books, single case presentations, reviews, meta-analyses, and those with poor method were excluded; also articles on anatomical specimens. The Major package of the Jamovi software was used to perform a single-arm meta-analysis of total resection and "acceptable" post-surgical facial function, and estimate the overall effect. I 2 greater than 75 % was taken as high heterogeneity. Results: Eight articles were chosen for the study. In the analysis of total resection, it is estimated at 0.84 for a p-value less than 0.01. It was similar in the case of preservation of "acceptable" facial function, with 0.77. In a subgroup analysis, those series where the diameters of the tumor lesion were greater than 3 cm showed less preservation of facial function. The anatomical preservation of the facial nerve was less than 90 % in two series. Conclusions: The retrosigmoid endoscopic keyhole is an effective and safe technique in vestibular schwannomas. Studies in this regard reveal relative success, with acceptable rates of anatomical and functional preservation of the facial nerve. https://revmedmilitar.sld.cu/index.php/mil/article/view/20508endoscopyretrosigmoid craniotomyvestibular schwannoma. |
| spellingShingle | Ernesto Enrique Horta-Tamayo Diana Rosa Ortega-Raez Lary Benice RodrÃguez Santillan Luis César Acosta González Martha Suárez RodrÃguez Arminda González González Retrosigmoid endoscopic keyhole for vestibular schwannomas: Systematic review and meta-analysis Revista Cubana de Medicina Militar endoscopy retrosigmoid craniotomy vestibular schwannoma. |
| title | Retrosigmoid endoscopic keyhole for vestibular schwannomas: Systematic review and meta-analysis |
| title_full | Retrosigmoid endoscopic keyhole for vestibular schwannomas: Systematic review and meta-analysis |
| title_fullStr | Retrosigmoid endoscopic keyhole for vestibular schwannomas: Systematic review and meta-analysis |
| title_full_unstemmed | Retrosigmoid endoscopic keyhole for vestibular schwannomas: Systematic review and meta-analysis |
| title_short | Retrosigmoid endoscopic keyhole for vestibular schwannomas: Systematic review and meta-analysis |
| title_sort | retrosigmoid endoscopic keyhole for vestibular schwannomas systematic review and meta analysis |
| topic | endoscopy retrosigmoid craniotomy vestibular schwannoma. |
| url | https://revmedmilitar.sld.cu/index.php/mil/article/view/20508 |
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