Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review

Purpose Postoperative headache (POH) is a complication that occurs after surgical resection of cerebellopontine angle (CPA) tumors. The two most common surgical approaches are the translabyrinthine (TL), and retrosigmoid (RS) approach. The objective of this systematic review was to investigate wheth...

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Veröffentlicht in:European archives of oto-rhino-laryngology 2021-10, Vol.278 (10), p.3643-3651
Hauptverfasser: Pogoda, Louis, Nijdam, Jelle S., Smeeing, Diederik P. J., Voormolen, Eduard H. J., Ziylan, Fuat, Thomeer, Hans G. X. M.
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container_end_page 3651
container_issue 10
container_start_page 3643
container_title European archives of oto-rhino-laryngology
container_volume 278
creator Pogoda, Louis
Nijdam, Jelle S.
Smeeing, Diederik P. J.
Voormolen, Eduard H. J.
Ziylan, Fuat
Thomeer, Hans G. X. M.
description Purpose Postoperative headache (POH) is a complication that occurs after surgical resection of cerebellopontine angle (CPA) tumors. The two most common surgical approaches are the translabyrinthine (TL), and retrosigmoid (RS) approach. The objective of this systematic review was to investigate whether POH occurs more frequently after RS compared to TL approaches. Methods A systematic search was conducted in Cochrane, Pubmed and Embase. Studies were included if POH after CPA tumor removal was reported and both surgical approaches were compared. The methodological quality of the studies was assessed using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results In total, 3,942 unique articles were screened by title and abstract. After the initial screening process 63 articles were screened for relevance to the inquiry, of which seven studies were included. Three studies found no significant difference between both surgical approaches ( p  = 0.871, p  = 0.120, p  = 0.592). Three other studies found a lower rate of POH in the TL group compared to the RS group ( p  = 0.019, p  
doi_str_mv 10.1007/s00405-021-06627-6
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J. ; Voormolen, Eduard H. J. ; Ziylan, Fuat ; Thomeer, Hans G. X. M.</creator><creatorcontrib>Pogoda, Louis ; Nijdam, Jelle S. ; Smeeing, Diederik P. J. ; Voormolen, Eduard H. J. ; Ziylan, Fuat ; Thomeer, Hans G. X. M.</creatorcontrib><description>Purpose Postoperative headache (POH) is a complication that occurs after surgical resection of cerebellopontine angle (CPA) tumors. The two most common surgical approaches are the translabyrinthine (TL), and retrosigmoid (RS) approach. The objective of this systematic review was to investigate whether POH occurs more frequently after RS compared to TL approaches. Methods A systematic search was conducted in Cochrane, Pubmed and Embase. Studies were included if POH after CPA tumor removal was reported and both surgical approaches were compared. The methodological quality of the studies was assessed using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results In total, 3,942 unique articles were screened by title and abstract. After the initial screening process 63 articles were screened for relevance to the inquiry, of which seven studies were included. Three studies found no significant difference between both surgical approaches ( p  = 0.871, p  = 0.120, p  = 0.592). Three other studies found a lower rate of POH in the TL group compared to the RS group ( p  = 0.019, p  &lt; 0.001, p  &lt; 0.001). Another study showed a significantly lower POH rate in the TL group after one and six months ( p  = 0.006), but not after 1 year ( p  = 0.6). Conclusion The results of this systematic review show some evidence of a lower rate of POH in favor of the TL approach versus the RS approach for CPA tumor resection. Prospective research studies are needed to further investigate this finding.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-021-06627-6</identifier><identifier>PMID: 33523284</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cerebellopontine Angle - surgery ; Head and Neck Surgery ; Headache ; Humans ; Medicine ; Medicine &amp; Public Health ; Neuroma, Acoustic - surgery ; Neurosurgery ; Neurosurgical Procedures - adverse effects ; Otorhinolaryngology ; Postoperative Complications - diagnosis ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Review ; Review Article</subject><ispartof>European archives of oto-rhino-laryngology, 2021-10, Vol.278 (10), p.3643-3651</ispartof><rights>The Author(s) 2021</rights><rights>2021. 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J.</creatorcontrib><creatorcontrib>Voormolen, Eduard H. J.</creatorcontrib><creatorcontrib>Ziylan, Fuat</creatorcontrib><creatorcontrib>Thomeer, Hans G. X. M.</creatorcontrib><title>Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Purpose Postoperative headache (POH) is a complication that occurs after surgical resection of cerebellopontine angle (CPA) tumors. The two most common surgical approaches are the translabyrinthine (TL), and retrosigmoid (RS) approach. The objective of this systematic review was to investigate whether POH occurs more frequently after RS compared to TL approaches. Methods A systematic search was conducted in Cochrane, Pubmed and Embase. Studies were included if POH after CPA tumor removal was reported and both surgical approaches were compared. The methodological quality of the studies was assessed using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results In total, 3,942 unique articles were screened by title and abstract. After the initial screening process 63 articles were screened for relevance to the inquiry, of which seven studies were included. Three studies found no significant difference between both surgical approaches ( p  = 0.871, p  = 0.120, p  = 0.592). Three other studies found a lower rate of POH in the TL group compared to the RS group ( p  = 0.019, p  &lt; 0.001, p  &lt; 0.001). Another study showed a significantly lower POH rate in the TL group after one and six months ( p  = 0.006), but not after 1 year ( p  = 0.6). Conclusion The results of this systematic review show some evidence of a lower rate of POH in favor of the TL approach versus the RS approach for CPA tumor resection. Prospective research studies are needed to further investigate this finding.</description><subject>Cerebellopontine Angle - surgery</subject><subject>Head and Neck Surgery</subject><subject>Headache</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neuroma, Acoustic - surgery</subject><subject>Neurosurgery</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Otorhinolaryngology</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Review</subject><subject>Review Article</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EotvCH-CAfOQSGH_FMQckVAFFqkQP7dlynPFuqiRebGdR_z1ut1Rw4WIf5p1nxn4IecPgPQPQHzKABNUAZw20LddN-4xsmBSykZq3z8kGjNCNlFqfkNOcbwFASSNekhMhFBe8kxuCVzGXuMfkynhAukM3OL9D6kLBRPOatqN3Ey0JXZlxKTQG6jFhj9MU93Ep41LDy3ZCWtY5pvyROprvcsG5Ej1NeBjx1yvyIrgp4-vH-4zcfP1yfX7RXP749v3882XjFeOlaQcUOnjpwBsdlOr9YExrpO6GgANzvQEtFYTeBIeopMSgu455HOoRTCfOyKcjd7_2Mw6-LpzcZPdpnF26s9GN9t_KMu7sNh5sJzregq6Ad4-AFH-umIudx-zrW92Ccc2Wy04yBexhFj9GfYo5JwxPYxjYez_26MdWP_bBj21r09u_F3xq-SOkBsQxkGtp2WKyt3FNS_20_2F_A5_5n9E</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Pogoda, Louis</creator><creator>Nijdam, Jelle S.</creator><creator>Smeeing, Diederik P. J.</creator><creator>Voormolen, Eduard H. J.</creator><creator>Ziylan, Fuat</creator><creator>Thomeer, Hans G. X. M.</creator><general>Springer Berlin Heidelberg</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6735-508X</orcidid></search><sort><creationdate>20211001</creationdate><title>Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review</title><author>Pogoda, Louis ; Nijdam, Jelle S. ; Smeeing, Diederik P. J. ; Voormolen, Eduard H. J. ; Ziylan, Fuat ; Thomeer, Hans G. X. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-6de37fc4a0c97f55bcd9969478dfed1ab907450fb9faee544ef7881ced81cf983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cerebellopontine Angle - surgery</topic><topic>Head and Neck Surgery</topic><topic>Headache</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neuroma, Acoustic - surgery</topic><topic>Neurosurgery</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Otorhinolaryngology</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Review</topic><topic>Review Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pogoda, Louis</creatorcontrib><creatorcontrib>Nijdam, Jelle S.</creatorcontrib><creatorcontrib>Smeeing, Diederik P. J.</creatorcontrib><creatorcontrib>Voormolen, Eduard H. J.</creatorcontrib><creatorcontrib>Ziylan, Fuat</creatorcontrib><creatorcontrib>Thomeer, Hans G. X. M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pogoda, Louis</au><au>Nijdam, Jelle S.</au><au>Smeeing, Diederik P. J.</au><au>Voormolen, Eduard H. J.</au><au>Ziylan, Fuat</au><au>Thomeer, Hans G. X. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>278</volume><issue>10</issue><spage>3643</spage><epage>3651</epage><pages>3643-3651</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Purpose Postoperative headache (POH) is a complication that occurs after surgical resection of cerebellopontine angle (CPA) tumors. The two most common surgical approaches are the translabyrinthine (TL), and retrosigmoid (RS) approach. The objective of this systematic review was to investigate whether POH occurs more frequently after RS compared to TL approaches. Methods A systematic search was conducted in Cochrane, Pubmed and Embase. Studies were included if POH after CPA tumor removal was reported and both surgical approaches were compared. The methodological quality of the studies was assessed using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results In total, 3,942 unique articles were screened by title and abstract. After the initial screening process 63 articles were screened for relevance to the inquiry, of which seven studies were included. Three studies found no significant difference between both surgical approaches ( p  = 0.871, p  = 0.120, p  = 0.592). Three other studies found a lower rate of POH in the TL group compared to the RS group ( p  = 0.019, p  &lt; 0.001, p  &lt; 0.001). Another study showed a significantly lower POH rate in the TL group after one and six months ( p  = 0.006), but not after 1 year ( p  = 0.6). Conclusion The results of this systematic review show some evidence of a lower rate of POH in favor of the TL approach versus the RS approach for CPA tumor resection. Prospective research studies are needed to further investigate this finding.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33523284</pmid><doi>10.1007/s00405-021-06627-6</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6735-508X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Cerebellopontine Angle - surgery
Head and Neck Surgery
Headache
Humans
Medicine
Medicine & Public Health
Neuroma, Acoustic - surgery
Neurosurgery
Neurosurgical Procedures - adverse effects
Otorhinolaryngology
Postoperative Complications - diagnosis
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Review
Review Article
title Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review
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