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Distorted sound perception and subjective benefit after stapedotomy - a prospective single-centre study.
Bächinger, David; Röösli, Christof; Kesterke, Rahel; Dalbert, Adrian; Péus, Dominik; Veraguth, Dorothe; Pfiffner, Flurin; Huber, Alexander.
Afiliación
  • Bächinger D; a University of Zürich, Switzerland.
  • Röösli C; b University Hospital Zürich, Department of Othorhinolaryngology, Head&Neck Surgery, Switzerland.
  • Kesterke R; a University of Zürich, Switzerland.
  • Dalbert A; b University Hospital Zürich, Department of Othorhinolaryngology, Head&Neck Surgery, Switzerland.
  • Péus D; a University of Zürich, Switzerland.
  • Veraguth D; b University Hospital Zürich, Department of Othorhinolaryngology, Head&Neck Surgery, Switzerland.
  • Pfiffner F; a University of Zürich, Switzerland.
  • Huber A; b University Hospital Zürich, Department of Othorhinolaryngology, Head&Neck Surgery, Switzerland.
Int J Audiol ; 58(6): 333-338, 2019 06.
Article en En | MEDLINE | ID: mdl-30688126
OBJECTIVE: To evaluate the quality of perceived sound after stapedotomy over a 1-year follow-up period focussing on incidence of dysacusis, particularly distorted sound perception (DSP). DSP was assessed by (i) determination of the frequencies and hearing level that such perceptions are elicited by pure tones (pure-tone-evoked distorted sound perception, PTE-DSP), a novel psychoacoustic measurement introduced in this paper, and (ii) assessment of patient-reported occurrence of DSP using the Amsterdam Post Operative Sound Evaluation (APOSE) questionnaire (APOSE-DSP). DESIGN: Prospective study. STUDY SAMPLE: Patients (n = 23) with otosclerosis undergoing stapedotomy. RESULTS: An air-bone gap of <20 dB was achieved in 100% of the patients. Three weeks postoperatively, 48% of the patients reported measured PTE-DSP and 39% of the patients experienced APOSE-DSP. The PTE-DSP significantly decreased during the 1-year follow-up period (p = 0.03). Postoperatively, APOSE-DSP was associated with a smaller benefit (improvement in air conduction; p = 0.03), yet, a lower bone conduction pure-tone average was associated with PTE-DSP (p = 0.006). CONCLUSIONS: DSP after stapedotomy is associated with a smaller benefit 3 months after stapedotomy. DSP commonly occur after stapedotomy, but decrease over time. This is important information to be included in patient counselling before stapedotomy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía del Estribo / Audición Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Audiol Asunto de la revista: AUDIOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía del Estribo / Audición Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Audiol Asunto de la revista: AUDIOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido