Resultados a longo prazo da cirurgia da otosclerose

Bernardo, Maria Teresa; Dias, José G.; Ribeiro, Daniela; Helena, Diamantino; Condé, Artur

doi:10.1590/s1808-86942012000400021

Braz. j. otorhinolaryngol.

2012

DOI: 10.1590/s1808-86942012000400021

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Resultados a longo prazo da cirurgia da otosclerose

Maria Teresa Bernardo¹,

José G. Dias²,

Daniela Ribeiro³

et al.

Abstract: The treatment of otosclerosis is eminently surgical. Good immediate results have been well documented when stapedotomy or stapedectomy are chosen.Objectives: This study aims to assess long term audiometric performance after otosclerosis surgery.Materials and Methods: this retrospective study enrolled stapedotomy and partial stapedectomy patients seen at our service with proven hearing improvement after surgery. Forty-one patients (47 ears) accepted the invitation to be reassessed. Audiometry results before and… Show more

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Cited by 4 publications

References 20 publications

(57 reference statements)

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Delaying partial stapedectomy for otosclerosis: effects on long-term hearing outcomes following surgery

Maniakas

Nehmé

Dufour

et al. 2014

Eur Arch Otorhinolaryngol

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The purpose of this study is to evaluate hearing outcomes following partial stapedectomy according to age at the time of surgery and evaluate functional hearing at ≥ 10 years' follow-up, and to assess the effect of delay in surgery on overall functional hearing outcomes. Data were collected from patients operated upon for otosclerosis by a single surgeon from 1990 to 1999. Pure-tone air (PTA), pure-tone bone (PTB), air-bone gap (ABG), air-conduction at 8 kHz (AC 8), bone-conduction at 4 kHz (BC4) and speech discrimination score (SDS) were compared between patients <45 and ≥ 45 years old, as well as correlated with overall age preoperatively, short term (4 months) and long term (>10 years), postoperatively. Forty-five patients were included with a mean follow-up of 12.6 years. Mean preoperative ABG and AC 8 values were significantly different between the two age groups (p = 0.002; p = 0.010, respectively). No values remained significantly different between the two age groups at the long-term follow-up. ABG values correlated with age preoperatively (p = 0.001), although no correlation was seen short- and long-term postoperatively (p = 0.980; p = 0.495, respectively). Mean PTA, PTB, and ABG values showed a significant improvement in both groups preoperatively to short-term postoperatively (p < 0.001). Although mean PTA values decreased significantly from short- to long-term follow-ups in both groups (p = 0.033; p = 0.020), the improvement from the preoperative state remained significant (p < 0.001). Regardless of age at the time of surgery, long-term hearing levels will evolve similarly in patients <45 and ≥ 45 years old. Furthermore, no difference will be seen in hearing measurements between the two age groups at ≥ 10 years postoperatively. Delaying a surgery would thus not affect overall long-term hearing outcomes.

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Delaying partial stapedectomy for otosclerosis: effects on long-term hearing outcomes following surgery

Maniakas

Nehmé

Dufour

et al. 2014

Eur Arch Otorhinolaryngol

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Outcome measures in stapes surgery: postoperative results are independent from preoperative parameters

Koopmann

Weiß

Savvas

et al. 2014

Eur Arch Otorhinolaryngol

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The aim of this study was to compare audiometric results before and after stapes surgery and identify potential prognostic factors to appropriately select patients with otosclerosis who will most likely benefit from surgery. We enrolled 126 patients with otosclerosis (162 consecutive ears) in our study who underwent stapes surgery between 2007 and 2012 at our institution. Preoperative and postoperative data including pure-tone audiometry, speech audiometry, stapedial reflex audiometry and surgical data were analyzed. The average preoperative air-bone gap (ABG) was 28.9 ± 8.6 dB. Male patients and patients older than 45 years of age had greater preoperative ABGs in comparison to females and younger patients. Postoperative ABGs were 11.2 ± 7.4 dB. The average ABG gain was 17.7 ± 11.1 dB. Preoperative audiometric data, age, gender and type of surgery did not influence the postoperative results. Stapes surgery offers predictable results independent from disease progression or patient-related factors. While absolute values of hearing improvement are instrumental in reflecting audiometric results of a cohort, relative values better reflect individual's audiometric data resembling the patient's benefit.

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Retrospective Evaluation of Otosclerosis and Stapes Surgery: Changing Trends Over 50 Years

Kasliwal,

Ahuja

2024

Indian J Otolaryngol Head Neck Surg

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Resultados a longo prazo da cirurgia da otosclerose

Cited by 4 publications

References 20 publications

Delaying partial stapedectomy for otosclerosis: effects on long-term hearing outcomes following surgery

Delaying partial stapedectomy for otosclerosis: effects on long-term hearing outcomes following surgery

Outcome measures in stapes surgery: postoperative results are independent from preoperative parameters

Retrospective Evaluation of Otosclerosis and Stapes Surgery: Changing Trends Over 50 Years

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