Clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosis
Objective To analyze the changes in tinnitus after stapedotomy combined with artificial stapes implantation， and further explore the factors influencing the efficacy of postoperative tinnitus in patients with otosclerosis. Methods A total of 54 patients （65 ears） with otosclerosis complicated with...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of New Medicine
2024-03-01
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| Series: | Xin yixue |
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| Online Access: | https://www.xinyixue.cn/fileup/0253-9802/PDF/1712537369817-1950952378.pdf |
| _version_ | 1797218197161639936 |
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| author | Tian Jiawang, Li Yongqi |
| author_facet | Tian Jiawang, Li Yongqi |
| author_sort | Tian Jiawang, Li Yongqi |
| collection | DOAJ |
| description | Objective To analyze the changes in tinnitus after stapedotomy combined with artificial stapes implantation， and further explore the factors influencing the efficacy of postoperative tinnitus in patients with otosclerosis. Methods A total of 54 patients （65 ears） with otosclerosis complicated with tinnitus symptoms who underwent stapedotomy combined with artificial stapes implantation were enrolled. The hearing test results of all patients before surgery， 1 and 6 months after surgery were recorded. The scores of Tinnitus Handicap Inventory （THI） and Clinical Global Impression Scale （CGI-S） before surgery， 1 and 6 months after surgery were compared. Results Before surgery， low-frequency （<1 kHz） tinnitus was observed in 31 ears （47.7%）， medium-frequency （1-4 kHz） tinnitus in 14 ears （21.5%）， and high-frequency （≥4 kHz） tinnitus in 20 ears （30.8%）. At 1 month after surgery， tinnitus symptom was alleviated in 48 ears （73.8%） （complete healing and mitigation of tinnitus）， no changes in 16 ears （24.6%）， and tinnitus symptom was aggravated in 1 ear （1.5%）. At 6 months after surgery， tinnitus symptom was eased in 50 ears （76.9%）， no changes in 13 ears （20.0%）， and tinnitus symptom was aggravated in 1 ear （1.5%）. Patients with low- and medium-frequency tinnitus obtained more significant improvement in tinnitus compared with their counterparts with high-frequency tinnitus （<i>P < </i>0.001 and <i>P = </i>0.013）. At postoperative 1 month， the changes in subjective tinnitus， such as the average air conduction and bone conduction thresholds significantly differed from those before surgery （all <i>P < </i>0.001）， whereas there was no statistical significance in air-bone gap （<i>P > </i>0.05）. Conclusions Stapedotomy combined with artificial stapes implantation can not only restore the hearing of patients with otosclerosis， but also mitigate the tinnitus symptoms in most patients. Patients with low- and medium-frequency tinnitus before surgery can obtain more significant improvements in tinnitus after surgery than those with high-frequency tinnitus. |
| first_indexed | 2024-04-24T12:13:55Z |
| format | Article |
| id | doaj.art-b9f53edc1a674c15a9103e2f3f811bf0 |
| institution | Directory Open Access Journal |
| issn | 0253-9802 |
| language | zho |
| last_indexed | 2024-04-24T12:13:55Z |
| publishDate | 2024-03-01 |
| publisher | Editorial Office of Journal of New Medicine |
| record_format | Article |
| series | Xin yixue |
| spelling | doaj.art-b9f53edc1a674c15a9103e2f3f811bf02024-04-08T08:59:24ZzhoEditorial Office of Journal of New MedicineXin yixue0253-98022024-03-0155323323710.3969/j.issn.0253-9802.2024.03.015Clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosisTian Jiawang, Li Yongqi0Department of Otorhinolaryngology Head and Neck Surgery， the Third Affiliated Hospital of Sun Yat-sen University， Guangzhou 510630， ChinaObjective To analyze the changes in tinnitus after stapedotomy combined with artificial stapes implantation， and further explore the factors influencing the efficacy of postoperative tinnitus in patients with otosclerosis. Methods A total of 54 patients （65 ears） with otosclerosis complicated with tinnitus symptoms who underwent stapedotomy combined with artificial stapes implantation were enrolled. The hearing test results of all patients before surgery， 1 and 6 months after surgery were recorded. The scores of Tinnitus Handicap Inventory （THI） and Clinical Global Impression Scale （CGI-S） before surgery， 1 and 6 months after surgery were compared. Results Before surgery， low-frequency （<1 kHz） tinnitus was observed in 31 ears （47.7%）， medium-frequency （1-4 kHz） tinnitus in 14 ears （21.5%）， and high-frequency （≥4 kHz） tinnitus in 20 ears （30.8%）. At 1 month after surgery， tinnitus symptom was alleviated in 48 ears （73.8%） （complete healing and mitigation of tinnitus）， no changes in 16 ears （24.6%）， and tinnitus symptom was aggravated in 1 ear （1.5%）. At 6 months after surgery， tinnitus symptom was eased in 50 ears （76.9%）， no changes in 13 ears （20.0%）， and tinnitus symptom was aggravated in 1 ear （1.5%）. Patients with low- and medium-frequency tinnitus obtained more significant improvement in tinnitus compared with their counterparts with high-frequency tinnitus （<i>P < </i>0.001 and <i>P = </i>0.013）. At postoperative 1 month， the changes in subjective tinnitus， such as the average air conduction and bone conduction thresholds significantly differed from those before surgery （all <i>P < </i>0.001）， whereas there was no statistical significance in air-bone gap （<i>P > </i>0.05）. Conclusions Stapedotomy combined with artificial stapes implantation can not only restore the hearing of patients with otosclerosis， but also mitigate the tinnitus symptoms in most patients. Patients with low- and medium-frequency tinnitus before surgery can obtain more significant improvements in tinnitus after surgery than those with high-frequency tinnitus.https://www.xinyixue.cn/fileup/0253-9802/PDF/1712537369817-1950952378.pdfotosclerosis|tinnitus|efficacy|stapedotomy |
| spellingShingle | Tian Jiawang, Li Yongqi Clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosis Xin yixue otosclerosis|tinnitus|efficacy|stapedotomy |
| title | Clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosis |
| title_full | Clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosis |
| title_fullStr | Clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosis |
| title_full_unstemmed | Clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosis |
| title_short | Clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosis |
| title_sort | clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosis |
| topic | otosclerosis|tinnitus|efficacy|stapedotomy |
| url | https://www.xinyixue.cn/fileup/0253-9802/PDF/1712537369817-1950952378.pdf |
| work_keys_str_mv | AT tianjiawangliyongqi clinicalefficacyandinfluencingfactorsofstapedotomycombinedwithartificialstapesimplantationfortinnitusinpatientswithotosclerosis |