Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution
Abstract Introduction Otosclerosis is a primary disease of the temporal bone that leads to stapes ankylosis. Hearing loss is the main symptom. Treatment includes surgery, medical treatment, and sound amplification therapy alone or in combination. Objective To evaluate the f...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2016-01-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1563540 |
| _version_ | 1818144146702991360 |
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| author | José Celso Rodriques de Souza Ricardo Ferreira Bento Larissa Vilela Pereira Liliane Ikari Stephanie Rugeri Souza Ana Adelina Giantomasi Della Torre Anna Carolina de Oliveira Fonseca |
| author_facet | José Celso Rodriques de Souza Ricardo Ferreira Bento Larissa Vilela Pereira Liliane Ikari Stephanie Rugeri Souza Ana Adelina Giantomasi Della Torre Anna Carolina de Oliveira Fonseca |
| author_sort | José Celso Rodriques de Souza |
| collection | DOAJ |
| description | Abstract
Introduction Otosclerosis is a primary disease of the temporal bone that leads to stapes ankylosis. Hearing loss is the main symptom. Treatment includes surgery, medical treatment, and sound amplification therapy alone or in combination.
Objective To evaluate the functional outcomes of patients with clinical diagnosis of otosclerosis undergoing primary stapes surgery in a teaching institution.
Method Retrospective descriptive study.
Results A total of 210 ears of 163 patients underwent stapes surgery. Of the 163 patients, 116 (71.2%) underwent unilateral surgery and 47 (28.8%) underwent bilateral surgery. Six of the 210 operated ears had obliterative otosclerosis. The average preoperative and postoperative air–bone gap was 32.06 and 4.39 dB, respectively. The mean preoperative and postoperative bone conduction threshold was 23.17 and 19.82 dB, respectively. A total of 184 (87.6%) ears had a residual air–bone gap <10 dB, and 196 (93.3%) had a residual air–bone gap ≤15 dB. Two patients (0.95%) had severe sensorineural hearing loss.
Conclusion Stapes surgery showed excellent functional hearing outcomes in this study. This surgery may be performed in educational institutions with the supervision of experienced surgeons. |
| first_indexed | 2024-12-11T11:42:56Z |
| format | Article |
| id | doaj.art-28bd423a7804490dbcef6b07169d45f9 |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-12-11T11:42:56Z |
| publishDate | 2016-01-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-28bd423a7804490dbcef6b07169d45f92022-12-22T01:08:33ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642016-01-01200103904210.1055/s-0035-1563540Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching InstitutionJosé Celso Rodriques de Souza0Ricardo Ferreira Bento1Larissa Vilela Pereira2Liliane Ikari3Stephanie Rugeri Souza4Ana Adelina Giantomasi Della Torre5Anna Carolina de Oliveira Fonseca6Department of Otolaryngology, Universidade de São Paulo, School of Medicine, São Paulo, São Paulo, BrazilDepartment of Otolaryngology, Universidade de São Paulo, School of Medicine, São Paulo, São Paulo, BrazilDepartment of Otolaryngology, Universidade de São Paulo, School of Medicine, São Paulo, São Paulo, BrazilDepartment of Otolaryngology, Universidade de São Paulo, School of Medicine, São Paulo, São Paulo, BrazilDepartment of Otolaryngology, Universidade de Mogi das Cruzes, Mogi das Cruzes, São Paulo, BrazilDepartment of Otolaryngology, Universidade de São Paulo, School of Medicine, São Paulo, São Paulo, BrazilDepartment of Otolaryngology, Universidade de São Paulo, School of Medicine, São Paulo, São Paulo, BrazilAbstract Introduction Otosclerosis is a primary disease of the temporal bone that leads to stapes ankylosis. Hearing loss is the main symptom. Treatment includes surgery, medical treatment, and sound amplification therapy alone or in combination. Objective To evaluate the functional outcomes of patients with clinical diagnosis of otosclerosis undergoing primary stapes surgery in a teaching institution. Method Retrospective descriptive study. Results A total of 210 ears of 163 patients underwent stapes surgery. Of the 163 patients, 116 (71.2%) underwent unilateral surgery and 47 (28.8%) underwent bilateral surgery. Six of the 210 operated ears had obliterative otosclerosis. The average preoperative and postoperative air–bone gap was 32.06 and 4.39 dB, respectively. The mean preoperative and postoperative bone conduction threshold was 23.17 and 19.82 dB, respectively. A total of 184 (87.6%) ears had a residual air–bone gap <10 dB, and 196 (93.3%) had a residual air–bone gap ≤15 dB. Two patients (0.95%) had severe sensorineural hearing loss. Conclusion Stapes surgery showed excellent functional hearing outcomes in this study. This surgery may be performed in educational institutions with the supervision of experienced surgeons.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1563540hearing lossotosclerosisstapes surgerystapes mobilization |
| spellingShingle | José Celso Rodriques de Souza Ricardo Ferreira Bento Larissa Vilela Pereira Liliane Ikari Stephanie Rugeri Souza Ana Adelina Giantomasi Della Torre Anna Carolina de Oliveira Fonseca Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution International Archives of Otorhinolaryngology hearing loss otosclerosis stapes surgery stapes mobilization |
| title | Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution |
| title_full | Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution |
| title_fullStr | Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution |
| title_full_unstemmed | Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution |
| title_short | Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution |
| title_sort | evaluation of functional outcomes after stapes surgery in patients with clinical otosclerosis in a teaching institution |
| topic | hearing loss otosclerosis stapes surgery stapes mobilization |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1563540 |
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