Abstract | OBJECTIVES: STUDY DESIGN: Case series with chart review. SETTING: Tertiary referral center. SUBJECTS AND METHODS: At our institution, 84 revision cases were performed between 1998 and 2009. Conductive hearing loss was the revision indication in 69 cases, severe dizziness/ vertigo in 8 patients, sound distortion in 5 cases, and progressive hearing loss with dizziness in 2 patients. Operative findings were noted in every case and evaluated separately. RESULTS: Surgical intervention revealed problems related to prosthesis in 51 cases, fibrotic bands in 26 cases, adhesions in 13 cases, incus necrosis in 15 cases, perilymphatic fistula in 3 cases, intact footplate in 5 cases, incus-malleus fixation in 2 cases, and reobliteration in 2 cases. Mean follow-up period was 19 months (range, 12-53 months). Successful hearing results (air-bone gap <10 dB) were reached in 58% of the cases, and satisfactory hearing results (air-bone gap <20 dB) were reached in 71% of the cases. CONCLUSIONS: The ideal patient for revision stapes surgery is one who benefits from the initial surgery but complained of conductive hearing loss. In the present study, improvement in pure-tone average was 13.2 dB, and the mean air-bone gap was 9.6 dB.
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Authors | Mehmet Ziya Ozüer, Levent Olgun, Gürol Gültekin |
Journal | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
(Otolaryngol Head Neck Surg)
Vol. 146
Issue 1
Pg. 109-13
(Jan 2012)
ISSN: 1097-6817 [Electronic] England |
PMID | 21940991
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Audiometry, Pure-Tone
- Bone Conduction
- Female
- Follow-Up Studies
- Hearing Loss, Conductive
(physiopathology, surgery)
- Humans
- Incidence
- Male
- Middle Aged
- Ossicular Prosthesis
- Postoperative Complications
(epidemiology, etiology, surgery)
- Reoperation
- Retrospective Studies
- Stapes Surgery
(methods)
- Treatment Outcome
- Turkey
(epidemiology)
- Young Adult
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