Bilateral stapedotomy in patients with otosclerosis: a disability-orientated evaluation of the benefit of second ear surgery (original) (raw)
Related papers
Stapedotomy and its effect on hearing – our experience with 54 cases
African Health Sciences, 2016
Introduction: This study reviews the cases of stapedotomy and evaluates its effectiveness at improving hearing loss in patients with otosclerosis. Materials and methods: Retrospective review of patients' records who had clinical and audiometric diagnosis of otosclerosis from January to December 2012 Results: A total of 54 stapedotomy surgeries (52 unilateral and 1 bilateral surgeries) were received. Average post-operative ABG for 0.5, 1, 2 and 4 KHz showed that 61.1% had complete closure of ABG (ABG < 10 dB) compared with 1.6% preoperatively and 85.2% had closure of ABG to within 20dB compared with 4.7% preoperatively (t-13.89, p = 0.000). More than 94% had hearing improvement and 81.5% had ABG closure greater than 10 dB postoperatively (mean gain 23.38 ± 12.37, t = 13.89, p = 0.000). A total of 13% complications were recorded with TM perforation (5.6%) being the commonest complication. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patients' quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique.
Functional hearing results in patients with otosclerosis before and after stapedotomy
Medicinski pregled, 2012
Surgical treatment of otosclerosis with stapedotomy leads to the improvement of subjective and objective problems in patients with otosclerosis. A prospective study included patients who had been treated surgically at the Department for Ear, Nose and Throat in Novi Sad in the period from September 2006 to September 2007. On the basis of the appropriate diagnostic procedures, 33 patients were diagnosed with otosclerosis. Functional hearing was assessed before and after surgery by means of pure tone audiometry. The comparison of functional results before and after surgery revealed no changes in pure tone average of bone conduction threshold (average hearing threshold for hearing range), whereas pure tone average of air conduction and pure tone average of the gap showed statistically significant improvement. The results of this study demonstrated the applicability of stapedotomy as a method for successful management of otosclerosis. This way of examination offers a new perspective on p...
Annals of Saudi medicine
Otosclerosis is a common cause of progressive hearing impairment that causes fixation of the stapes. Surgical intervention is the preferred treatment approach to ameliorate the conductive hearing loss associated with stapedial otosclerosis. However, given that it is a difficult and delicate procedure, the surgery may fail for a number of reasons. Therefore, it is very important to evaluate the success rate of the surgical approach used in each regional center. To examine the effectiveness of stapedotomy in improving hearing sensitivity for otosclerotic patients at King Abdul Aziz University Hospital in Riyadh. Retrospective chart review with an analysis of pre- and postoperative surgical treatment. Tertiary referral otolaryngology clinic. All cases who underwent stapedotomy between 1997 and 2009 were retrospectively reviewed. Preoperative and postoperative audiometric assessments were conducted using conventional pure tone audiometry. Differences were analyzed by two-way repeated me...
Failures in stapedotomy for otosclerosis
Otolaryngology - Head and Neck Surgery, 2009
To review the results of 78 revision stapedotomies, determining the causes of failure and the predictors of surgical success. STUDY DESIGN: Case series with chart review. SETTING: Tertiary referral center. SUBJECTS AND METHODS: Seventy-eight operations were performed in a tertiary referral center on 72 patients between 1995 and 2005. Indication for surgery was recurrent or persistent conductive hearing loss.
Outcome of classical and reversal stapedotomy in otosclerosis
Bangabandhu Sheikh Mujib Medical University Journal
Classical and reversal stapedotomy both are exclusively done in otosclerosis but definite information regarding surgical advances, postoperative results, complications and information about how and in which patients these surgical techniques should exclusively be used are a source of continuous discussions. This prospective observational study was conducted in the Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka from July 2019 to December 2020 o compare the outcomes of classical and reversal stapedotomy in patients with otosclerosis. Total 28 cases of otosclerosis who underwent stapedotomy were divided in to two groups i.e. Group A (classical stapedotomy) & Group B (reversal stapedotomy) with 14 patients in each group. All patients were followed up post-operatively up to 3 months with Pure-tone audiometry (PTA). There is no significant difference between classical and reversal stapedotomy approach in terms of hearing impr...
Otosclerosis: Experience With Stapes Surgery
Cureus, 2020
Introduction Otosclerosis is a disorder in which the footplate of the stapes is replaced by an abnormal bone, thereby affecting sound transmission to the inner ear at the level of the oval window. The solution to this condition is to reestablish this mechanism back to normal via the ossicular chain to the inner ear. The aim of stapes surgery is to improve the hearing level to thresholds appropriate enough to obviate the need for hearing aid. The hearing improvement achieved after surgery often lasts for many years. The purpose of the current study was to review our experience and find out the rate of success related to hearing outcomes after stapedotomy.
Journal of Pharmaceutical Research International
Introduction: In order to treat the symptoms of otosclerosis, various surgical and medical treatments are suggested. Surgical treatments are the choice. This study aimed to determine the incidence of vertigo and its cause in Iran, and the present study focused on this issue. Methods: This was a prospective cohort study carried out on patients with otosclerosis undergoing stapedotomy referred to Rasoul Akram hospital, Tehran during 2017-18. The patients aged below 18 or those who had a history of vertigo were excluded. Diapasonic and audiometric tests were carried out. The follow-ups included the time of admission (the day after surgery) for the presence of vertigo using visual analogue scale and diapasonic tests, one week after surgery using visual analogue scale and diapasonic tests, and one month after surgery using visual analogue scale and audiometry. The data were imported to SPSS v.22 software and analyzed. Results: The surgical complications that occurred after stapedotomy fo...
The outcome of stapedotomy in adult patients with clinical otosclerosis in Erbil
Zanco Journal of Medical Sciences, 2019
Introduction Otosclerosis is defined as a continuous process of bone remodeling in which there is an alteration in bone metabolism of the ottic capsule in the form of bone resorption and re-deposition. Unlike other similar bone diseases, it does not occur outside of the temporal bone. The formation of centers of newly constructed bone, usually occurs in the area of the oval window and annular ligament, leading to stapes fixation. 1 Otosclerosis was first described by Vasalva in 1735 as ankylosis of the stapes to the margins of the oval window. 2 It is well known that otosclerosis has clinical and histological forms. The clinical form of otosclerosis refers to the presence of symptoms like hearing loss and tinnitus. While the histological form the disease is present without symptoms. Histologically demonstrated that otosclerosis is about ten times more common than clinical otosclerosis. 3 The overall incidence of otosclerosis reveals the variability in distribution according to race, gender, geographic location, familial incidence, pregnancy, and age. The disease occurs more frequently in the Caucasian race (white race) than in other races. 4,5 It is less common in Asians and rare in Africans. There has been an increasing incidence of otosclerosis in Japan. 6 Otosclerosis process usually affects young adults and people between 15 and 45 years of age. 7 The incidence of otosclerosis described in the literature ranges between 0.3 and 2%. Souza et al. 8 indicated that clinical otosclerosis is present in 0.5% to 1.0% of the population. In 2001, Declau et al. 9 stated that clinical otosclerosis has a prevalence of 0.3% to 0.4% among the white ethnic population. A recent Jordanian Background and objective: Otosclerosis is a primary disease of the temporal bone that leads to stapes fixation. Hearing loss and tinnitus are the main symptoms. Treatment includes surgery, medical treatment, and sound amplification therapy alone or in combination. This study aimed to evaluate the functional outcomes of patients with clinical diagnosis of otosclerosis undergoing primary stapes surgery in Erbil city. Methods: A retrospective descriptive study. A total of 32 patients with clinical otosclerosis underwent unilateral stapedotomy in the specialized center between September 2011 and September 2013. These included 20 females and 12 males, aged 21 to 48 years, their mean age (±SD) was 31.9 (±10.91) years. Results: The average preoperative and postoperative air conduction threshold was 51.13 and 23.91 dB, respectively. The mean preoperative and postoperative bone conduction threshold was 21.53 and 16.21dB, respectively. The average preoperative and postoperative air-bone gap was 29.03 and 8.51 dB, respectively. All 32 ears (100%) had a residual air-bone gap <10 dB. Conclusion: Stapes surgery showed significant functional hearing outcomes in this study. The very significant reduction in the air-bone gap is a good indicator of the success of the surgery.
Audiological Outcomes of Stapedotomy: Our Experience
Nepalese Journal of ENT Head and Neck Surgery, 2018
Objective: This study was aimed to sequentially document the patient’s audiological improvement after stapedotomy as measured by pure tone audiometry.Material and Methods: This prospective clinical study was performed in a total of 100 patients (age range: 20 – 63 years), diagnosed with Otosclerosis who underwent Stapedotomy at the Department of Otology, Madras ENT Research Foundation, Chennai between September 2010 to March 2012. Pre-operative and Post-operative audiometric evaluation was done using the same conventional pure tone audiometer with standard calibrations. Post-operative audiometry was sequentially performed at 6 months, 1 year and 2 years. Bone-conduction and air conduction thresholds and the Air-bone gap (ABG), were assessed at each schedule at 0.5 KHz, 1 KHz, 2 KHz and 4 KHz frequencies respectively.Result: All patients had significant audiological improvement as measured by their sequential pure tone audiometries. Overall, the frequency specific pre-operative mean ...
Stapes Surgery for Otosclerosis: Audiometric and Self-Reported Hearing Outcomes
Journal of hearing science, 2019
Background. Stapes surgery is widely used to treat otosclerosis and its effectiveness is reported in audiometric terms-closure of the preoperative air-bone gap and improvement in air conduction thresholds. The objective of our study was to measure audiometric and self-assessed hearing changes in otosclerosis patients after stapes surgery. A secondary objective was to gauge the relationship between self-reported hearing and audiometric hearing thresholds. Materials and Methods. This prospective study included 236 patients with otosclerosis who underwent primary stapedotomy. The Abbreviated Profile of Hearing Aid Benefit questionnaire (APHAB) was used to measure subjective hearing before surgery and 6 months postoperatively. Pure-tone audiometry was also conducted at the same observation periods. Results. The air-and bone-conduction thresholds, as well as the air-bone gap, confirmed that there was a significant improvement in hearing. The difference between the pre-and postoperative APHAB Total score was 26.7 points and was statistically significant (p < 0.001). A weak correlation was found between the pre-and postoperative change of APHAB Total score and air conduction thresholds (rho = 0.23; p < 0.01) as well as between the change in the APHAB Total score and the size of the air-bone gap (rho = 0.19; p < 0.05). Conclusion. The results of the audiometric tests demonstrate the effectiveness of stapedotomy in improving the hearing of the majority of patients. However, audiometric results give limited information about the status of the patient's hearing. The patient's subjective perspective, together with the audiometric data, provide valuable information that can be helpful in clinical decision-making and counselling.