Simultaneous bilateral stapes surgery.
Acta Otolaryngol
; 128(4): 347-51, 2008 Apr.
Article
em En
| MEDLINE
| ID: mdl-18368563
ABSTRACT
CONCLUSIONS:
The patients recovered from the surgery as after unilateral surgery. The success rate for hearing improvement was good both subjectively and objectively, and this was also displayed in the quality of life. According to our study, simultaneous bilateral stapes surgery can be performed safely in selected patients with bilateral conductive hearing loss.OBJECTIVES:
Otosclerosis is bilateral in the majority of patients. In this study we evaluated the outcome of simultaneous bilateral stapes surgery. SUBJECTS ANDMETHODS:
Eighteen patients suffering from bilateral otosclerosis or osteogenesis imperfecta were prospectively included. After operation, hearing and vestibular function were followed by audiometry and visual feedback posturography (VFP). Patients estimated their hearing gain, the intensity of vestibular symptoms and quality of life score with a questionnaire during the follow-up period of 1 year.RESULTS:
The mean improvement in pure-tone average (PTA) air conduction (PTA-AC) was 18 dB (range 1-41 dB). The mean air-bone gap (AB-GAP) diminished from 22 dB (range 10-41 dB) to 7 dB on both sides (range 0-18 dB). The mean preoperative score of 2.3 for hearing improved significantly to 4.1 (p<0.001). Vestibular symptoms were mild and temporary. The VFP was not permanently impaired in any of the patients. The quality of life score improved significantly from 3.4 to 1.3 postoperatively (p<0.001).
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Otosclerose
/
Estribo
/
Cirurgia do Estribo
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article