Short-term hearing results in adults after a stapedotomy

• Authors: Eghbalnejad Mofrad Amir Mohammad
• Languages of publication: EN

Abstracts

EN

Background. A stapedectomy or stapedotomy is known as the best treatment option for patients with otosclerosis. Otosclerosis is a primary disease of the bony labyrinth capsule, which is characterized by one or more localized foci, where bone deposition occurs repeatedly. The best and most effective treatment option is a stapedectomy or stapedotomy. Objectives. The present study evaluated the short-term hearing results in patients with otosclerosis after primary stapes surgery. Material and methods. In this retrospective study, the short-term hearing results of all patients with otosclerosis after a primary stapedotomy admitted to the Ahvaz Emam hospital from 2007 to 2017 was evaluated. Improvement in hearing was evaluated according to the pre- and post-audiometry results. Air Conduction (AC), Bone Conduction (BC) and Air-Bone Gap (ABG) thresholds were recorded at 500, 1 000, 2 000 and 4 000 Hz. SPSS software (Version 22.0) was used for statistical analysis. Results. Of the 413 cases, 231 (55.93%) and 182 (44.07%) were females and males, respectively. The mean age of patients was 39.06 ± 11.29 years. The disease in 131 (31.72%) was bilateral. The mean ABG in 341 patients (82.63%) ≤ 10 dB and in 52 patients (12.47%) was 10–20 dB. Conclusions. The results of the study showed that a primary stapedotomy is a successful and effective way to improve short-term hearing results in adults with otosclerosis.

Keywords

EN

hearing loss; otosclerosis; audiometry; stapedotomy.

• Publisher: Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
• Journal: Family Medicine & Primary Care Review
• Year: 2019
• Issue: 2
• Pages: 144-148

Contributors

author

Eghbalnejad Mofrad Amir Mohammad

References

• Modzelewska B, Samluk A, Wałejko Ł, et al. Influence of risky and protective behaviors connected with listening to music on hearing loss and the noise induced threshold shift among students of the Medical University of Bialystok. Fam Med Prim Care Rev 2017; 19(1): 44–48, doi: 10.5114/fmpcr.2017.65090.
• Gil GLM, Palau EM, Jurado FJA, et al. Stapedotomy outcomes in the treatment of otosclerosis: our experience. Acta Otorrinolaringol Esp 2008; 59(9): 448–454.
• Kolo ES, Ramalingam R. Hearing results in adults after stapedotomy. Niger Med J 2013; 54(4): 236–239.
• House WJ, Cunningham DC . Otosclerosis. In: Cumming CW, Flint PW, Harker LA, et al., eds. Cummings otolaryngology head and neck surgery. 5th ed. Philadelphia: Elsevier Mosby; 2010: 1887–2035.
• Markou K, Goudakos J. An overview of the etiology of otosclerosis. Eur Arch Otorhinolaryngol 2009; 266(1): 25–35.
• Bernardo MT, Dias J, Ribeiro D, et al. Long term outcome of otosclerosis surgery. Braz J Otorhinolaryngol 2012; 78(4): 115–119.
• Bayat A, Saki N, Nikakhlagh S, et al. Ossicular chain defects in adults with chronic otitis media. Int Tinnitus J 2019; 23: 6–9.
• Tange RA, Grolman W. Late postoperative hearing results after stapedotomy. Int Adv Otol 2009; 5: 323–326.
• Nair G, Pradhananga RB, Raghunandhan S, et al. Audiological outcomes of stapedotomy: our experience. SAS J Surg 2016; 2(5):209–213.
• Hossain MD, Rafiquzzaman M, Ahamed NU, et al. Surgical findings & audiological outcomes of stapedotomy in patients with otosclerosis.Bangladesh J Otorhinolaryngol 2014; 20(2): 87–92.
• Kileny RP, Zwolan AT. Otosclerosis. In: Cumming CW, Flint PW, Harker LA, et al., eds. Cummings otolaryngology head and neck surgery.5th ed. Philadelphia: Elsevier Mosby; 2010: 1887–1903.
• Calmels MN, Viana C, Wanna G, et al. Very far-advanced otosclerosis: stapedotomy or cochlear implantation. Acta Otolaryngol 2007;127: 574–578.
• Saki N, Nikakhlagh S, Hekmatshoar M, et al. Evaluation of hearing results in otosclerotic patients after stapedectomy. Iran J Otorhinolaryngol 2011; 4(23): 127–133.
• Tange RA, Grolman W. Late postoperative hearing results after stapedotomy. Int Adv Otol 2009; 5(3): 323–326.
• Simoncelli C, Ricci G, Trabalzini F, et al. Stapes surgery: a review of 515 operations performed from 1988 to 2002. Mediterr J Otol 2005;1: 1–7.
• Mahafza T, AL-Layla A, Tawalbeh M, et al. Surgical treatment of otosclerosis: eight years’ experience at the Jordan University Hospital.Iran J Otorhinolaryngol 2013; 25(4); 233–238.
• Vincent R, Sperling NM, Oates J, et al. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis:a prospectve study with the otology-neurotology database. Otol Neurotol 2006; 27(8 Suppl. 2): 25–47.
• Bagherian Z. Evaluation of hearing outcomes following surgery in patients with otosclerosis referred to Tehran Valiasr hospital between2006–2013 [general physician’s thesis]. Teheran: Tehran University of Medical Sciences; 2015 (In Persian).
• Vinicius AF, Celso GB, Roberto ESG, et al. Surgical treatment of otosclerosis in medical residency training. Rev Bras Otorrinolaringol 2006; 72(6): 38–42.
• Redfors YD, Möller C. Otosclerosis: thirty-year follow-up after surgery. Ann Otol Rhinol Laryngol 2011; 120(9): 608–614.
• Quaranta N, Besozzi G, Fallacara AR, et al. Air and conduction change after stapedotomy and partial stapedectomy for otosclerosis.Otolaryngol Head Neck Surg 2005; 133: 116–120.
• Dankuc D, Pejakoviv N, Komazec Z, et al. Functional hearing results in patients with otosclerosis before and after stapedotomy. Med Pregl 2012; 1–2: 54–58.
• Tange RA, Grolman W. Late postoperative hearing results after stapedotomy. Int Adv Otol 2009; 5(3): 323–326
• Karhuketo TS, Lundmark J, Vanhatalo J, et al. Stapes surgery: a 32-year follow-up. ORL J Otorhinolaryngol Relat Spec 2007; 69(5):322–326.
• Baradaranfar M, Karimi G, Molasadeghi A, et al. assessment of surgical success rate and acoustic tests findings in patients with otosclerosis.JSSU 2010; 18(3): 256–262 (In Persian).
• Mangham CA Jr. Titanium CliP piston versus platinum-ribbon Teflon piston: piston and fenestra size affect air-bone gap. Otol Neurotol 2008; 29(1): 8–12.
• Lippy WH, Berenholz LP. Primary stapedectomy: the surgery. Ear Nose Throat J 2008; 87(12): 678–680.