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 functional outcomes of pa...

Full description

Saved in:

Bibliographic Details
Published in:	International Archives of Otorhinolaryngology Vol. 20; no. 1; pp. 039 - 042
Main Authors:	Souza, José Celso Rodriques de, Bento, Ricardo Ferreira, Pereira, Larissa Vilela, Ikari, Liliane, Souza, Stephanie Rugeri, Della Torre, Ana Adelina Giantomasi, Fonseca, Anna Carolina de Oliveira
Format:	Journal Article
Language:	English
Published:	Rio de Janeiro, Brazil Thieme Publicações Ltda 01-01-2016 Fundação Otorrinolaringologia Thieme Revinter Publicações Ltda
Subjects:	hearing loss Original Research OTORHINOLARYNGOLOGY otosclerosis stapes mobilization stapes surgery stapes mobilization otosclerosis hearing loss stapes surgery
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	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.
ISSN:	1809-9777 1809-4864 1809-4864
DOI:	10.1055/s-0035-1563540