Stapes surgery for otosclerosis: retrospective analysis of outcomes
DOI:
https://doi.org/10.34631/sporl.208Keywords:
Stapes surgery, otosclerosis, resultsAbstract
Objective: To report hearing results of primary stapes surgery for otosclerosis in a consecutive series of 99 ears.
Materials and methods: Retrospective chart review of eightyfour consecutive patients who underwent stapedectomy (99 ears) in a District General Hospital.
Results: The mean 4-frequency (0.5, 1, 2 and 4 KHz) postoperative air-bone gap (ABG) was 5,4 dB, the preoperative minus postoperative ABG (hearing gain) was 23,1 dB. A postoperative ABG ≤10 dB was obtained in 87,5% of cases. A significant postoperative sensorineural hearing loss (>15 dB) was seen in 5,9% of cases.
Conclusion: Our data support the efficacy and safety of stapes surgery for otosclerosis.
References
Committee on hearing and equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg 1995; 113(3): 186-187.
Shea J. Forty years of stapes surgery. Am J Otol 1998; 19: 52-55.
Glasscock M, Storper I, Haaynes D, et al. Twenty-five years of experience with stapedectomy. Laryngoscope 1995; 105: 899-904.
Sedwick J, Louden C, Shelton C. Stapedectomy vs stapedotomy: do you really need a laser? Arch Otolaryngol Head Neck Surg 1997;
: 177-180
Ramsay H. Success in surgery for otosclerosis: hearing improvement and other indicators. Am J Otol1997, 18 (1): 23-28
Harkness P, Brown P, Fowler S, et al. A confidential comparative audit of stapedectomies: results of a Royal College of Surgeons of
England comparative audit of ENT surgery in 1994. J Laryngol Otol 1995; 109: 317-319.
Puls T. Stapes surgery: results when performing a moderate number of stapedectomies. Acta Otorhinol Belg 1997; 51: 23-25.
Testa J, Millas I, Vuono I, Neto M, et al. Otosclerose: resultado de estapedectomias; Rev Bras Otorrinolaringol 2002; 66(2): 251-3.
Oliveira F, Vidal C, Latourrette O, Maio R, Santos AG. Cirurgia da Otosclerose: Cinco anos da experiência do Serviço de ORL do Hospital
Geral de Santo António. Rev Port ORL 2001; 39 (2): 121-129.
Mair IW. Occasional Stapes Surgery: A Norwegian Experience. J Laryngol Otol 1989; 130: 259-262.
Banerjee A. Audit of stapedectomy results in a district general hospital 2002. Clin Otolaryngol 2002, 27: 275-278
Smyth GD, Patterson CC. Results of middle ear reconstruction: do patients and surgeons agree? Am J Otol 1985; 6(3): 276-9.
Browning G, Gatehouse S, Swan I. The Glasgow benefit plot: a new method for reporting benefits from middle ear surgery.
Laryngoscope 1991; 101: 180-185.
Kursten R, Schneider B, Zrunek M. Long term results after stapedectomy versus stapedotomy. Am J Otolaryngol 1994; 15 (6):
-806.
Persson P, Harder H, Magnuson B. Hearing results in otosclerosis surgery after partial stapedectomy, total stapedectomy and
stapedotomy. Acta Otolaryngol 1997; 117 (1): 94-99.
Levy R, Shrevo J, Hadar T. Stapedotomy technique and results: Ten year experience and comparative study. Laryngoscope 1990; 100
(10): 1097-99.
