HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Revision stapes surgery.

AbstractOBJECTIVES:
Surgery for otosclerosis has a highly satisfactory hearing outcome, for both the patient and the otologic surgeon. However, subsequent conductive hearing loss, dizziness/vertigo, or sound distortion could necessitate revision surgery. The aim of the present study is to evaluate the surgical findings and hearing outcomes of 84 revision stapes surgeries.
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.
AuthorsMehmet Ziya Ozüer, Levent Olgun, Gürol Gültekin
JournalOtolaryngology--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
PMID21940991 (Publication Type: Comparative Study, Journal Article)
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

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: