Effects of small fenestra stapedotomy in comparison with total stapedectomy / 南方医科大学学报

ABSTRACT

<p><b>OBJECTIVE</b>To compare the effect of small fenestra stapedotomy and total stapedectomy in patients with otosclerosis.</p><p><b>METHODS</b>Twenty-seven patients (30 ears) undergoing small fenestra stapedotomy and 36 patients (43 ears) receiving total stapedectomy were compared for hearing results and complication rates.</p><p><b>RESULTS</b>No statistically significant differences were seen in postoperative speech pure tone average in closing air-bone gap between the two groups. The ears treated by small fenestra stapedotomy showed statistically better air-bone gap closure at high frequencies with lower rates of sensorineural hearing loss at high frequencies and milder dizziness.</p><p><b>CONCLUSION</b>In spite of the successful hearing outcomes in both groups, small fenestra stapedotomy can achieve better results at high frequencies and reduce the incidence of complications.</p>