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PubMed · 9183906

[Failures after tympanoplasty].

Abstract

Failures and pitfalls in chronic ear surgery have been studied. The material consists of a retrospective study of 616 cases of tympanoplasty. The results were mainly analysed into cases of iatrogenic cholesteatoma (23), labyrinthine fistulae (25) and disruption of ossicular chain (46). The incidence of fistula into the semi-circular canal is high with cholesteatoma, and careful removal of the matrix is recommended to prevent sensorineural hearing loss. Disarticulation of the incudo-stapedial joint is performed to eradicate attic cholesteatoma and protect the cochlea. However, this procedure gives a risk of damage to the inner ear. The frequency and nature of sensorineural losses following chronic ear surgery have been discussed. Surgical precautions are advocated to prevent inner ear damage or other iatrogenic complications.

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BibTeXRIS

A Desaulty, V Lansiaux, S Machiels, J F Gael. 1996. [Failures after tympanoplasty].. https://pubmed.ncbi.nlm.nih.gov/9183906/

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The long-term effect of multidisciplinary back training: a systematic review.

STUDY DESIGN: Systematic review of randomized controlled trials. OBJECTIVES: To determine the long-term effect of multidisciplinary back training on the work participation of patients with nonspecific chronic low back pain. SUMMARY OF BACKGROUND DATA: Chronic low back pain is influenced by multiple factors. Multidisciplinary back training represents one of the options to take this multiplicity into account. So far, only evidence of the short-term effectiveness of this approach in terms of work participation is available. METHODS: Electronic databases were searched and the references of various articles were screened for relevant publications. Ten studies met the inclusion criteria. All included studies were evaluated for their methodologic quality. RESULTS: Five of the studies had a low methodologic quality. All high-quality studies found a positive effect on at least one of the 4 outcome measures used. Based on our criteria, effectiveness was found for the outcome measures of work participation and quality of life. No effectiveness was found for experienced pain and functional status. The intensity of the intervention seems to have no substantial influence on the effectiveness of the intervention. CONCLUSION: In the long-term, multidisciplinary back training has a positive effect on work participation in patients with nonspecific chronic low back pain.

Chronic Disease↗