Functional Results of Surgery for Otosclerosis

Objective & Hypothesis:Introduction: To evaluate the audiological variables andto investigate the factors affecting hearing improvement inpatients who underwent stapedotomy with the diagnosis ofotosclerosis.Methods: The data of 114 patients who had middle earexploration were retrospectively reviewed.

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Key Findings & Data:Air conductionthresholds between 250-6000 Hz and bone conductionthresholds between 500-4000 Hz were examined in pure toneaudiometry.

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Conclusion & Impact:Postoperative mean ABG and ABG values at 2000and 4000 Hz were found to be significantly lower in patientswith 0.8 mm diameter prosthesis (p

🔬Design:Review & Systematic Survey

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Introduction: To evaluate the audiological variables andto investigate the factors affecting hearing improvement inpatients who underwent stapedotomy with the diagnosis ofotosclerosis.Methods: The data of 114 patients who had middle earexploration were retrospectively reviewed. Air conductionthresholds between 250-6000 Hz and bone conductionthresholds between 500-4000 Hz were examined in pure toneaudiometry. Postoperative air-bone gap (ABG), change in ABG,and change in bone conduction threshold at high frequencywere primarily examined. The results of different pistondiameters were compared.Results: Eighty-three patients with stapedial footplate fixationwere included in the study. While post-operative air conductionthresholds decreased significantly at all frequencies, boneconduction thresholds decreased significantly only at 2000Hz (p=0.001). The most notable gain in ABG was obtained at500 Hz. The post-operative air conduction pure tone averagewas significantly higher in patients with 0.6 mm diameterprosthesis. Postoperative mean ABG and ABG values at 2000and 4000 Hz were found to be significantly lower in patientswith 0.8 mm diameter prosthesis (p

Özet

Amaç: Otoskleroz tanısıyla stapedotomi yapılmış olan olgularda odyolojik değişkenleri değerlendirmek ve işitme kazancını etkileyen faktörleri incelemektir. Yöntemler: Orta kulak eksplorasyonu yapılmış 114 hastanın retrospektif taraması yapıldı. Saf ses odyometrik incelemede hava iletim eşikleri 250-6000 Hz arası, kemik iletim eşikleri ise 500-4000 Hz arasında incelendi. Postoperatif hava-kemik aralığı (HKA), HKA değerindeki değişim ve yüksek frekans kemik iletimindeki değişim primer olarak incelendi. Farklı çapta piston kullanılan hastaların sonuçları kıyaslandı. Bulgular: Stapes taban fiksasyonu tespit edilen 83 hasta çalışmaya dahil edildi. Postoperatif hava yolu eşiklerinde tüm frekanslarda anlamlı azalma tespit edilirken, kemik yolu eşiklerinde sadece 2000 Hz’te anlamlı bir azalma tespit edildi (p=0,001). HKA’da en yüksek kazanç 500 Hz’te elde edildi. Postoperatif hava yolu saf ses ortalaması 0,6 mm çaplı protez kullanılan hastalarda anlamlı olarak daha yüksek tespit edildi. Postoperatif HKA ortalaması ile 2000 ve 4000 Hz’teki değerleri, 0,8 mm piston çapı kullanılan hastalarda anlamlı olarak daha düşük bulundu (p

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Cite This Article

ALTINDAĞ, M. F. Y., EDİZER, D. T., YİĞİT, Ö., YASAK, A. G. (2022). Functional Results of Surgery for Otosclerosis. İstanbul Medical Journal, Cilt: 20 - Sayı: 1, 21–25. https://ajindex.com/articles/551988

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References (14)

Koopmann M, Weiss D, Savvas E, Rudack C, Stenner M. Outcome measures in stapes surgery: postoperative results are independent from preoperative parameters. Eur Arch Otorhinolaryngol 2015; 272: 2175-81
Caylakli F, Yavuz H, Yilmazer C, Yilmaz I, Ozluoglu LN. Effect of preoperative hearing level on success of stapes surgery. Otolaryngol Head Neck Surg 2009; 141: 12-5
Marchese MR, Conti G, Cianfrone F, Scorpecci A, Fetoni AR, Paludetti G. Predictive role of audiological and clinical features for functional results after stapedotomy. Audiol Neurootol 2009; 14: 279-85
Vincent R, Sperling NM, Oates J, Jindal M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology-neurotology database. Otol Neurotol 2006; 27: p.25-47
Gerard JM, Serry P, Gersdorff MC. Outcome and lack of prognostic factors in stapes surgery. Otol Neurotol 2008; 29: 290-4
Fisch U. Stapedotomy versus stapedectomy. Otol Neurotol 2009; 30: 1166-7
Spandow O, Söderberg O, Bohlin L. Long-term results in otosclerotic patients operated by stapedectomy or stapedotomy. Scand Audiol 2000; 29: 186-90
Bittermann AJ, Rovers MM, Tange RA, Vincent R, Dreschler WA, Grolman W. Primary stapes surgery in patients with otosclerosis: prediction of postoperative outcome. Arch Otolaryngol Head Neck Surg 2011; 137: 780-4
Kisilevsky V, Bailie NA, Halik JJ. Bilateral hearing results of 751 unilateral stapedotomies evaluated with the Glasgow benefitplot. J Laryngol Otol 2010; 124: 482-9. 10. de Bruijn AJ, Tange RA, Dreschler WA. Efficacy of evaluation of audiometric results after stapes surgery in otosclerosis. I. The effects of using different audiologic parameters and criteria on success rates. Otolaryngol Head Neck Surg 2001; 124: 76-83
Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearingloss. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. Otolaryngol Head NeckSurg 1995; 113: 186-7
Carhart R. The clinical application of bone conduction audiometry. Arch Otolaryngol 1950; 51: 798-808
Homma K, Du Y, Shizmu Y, Puria S. Ossicular resonance modes of the human middle ear for bone and air conduction. Journal of the Acoustical Society of America 2009; 125: 968-79
Tondorf J. A new concept of bone conduction. Arch Otolaryngol 1968; 87: 595-600
Perez R, de Almeida J, Nedzelski JM, Chen JM. Variations in the “Car