Analysis of Long-Term Hearing Gains after Stapes Surgery with Piston Reconstruction for Otosclerosis

Gristwood, R. E.; Venables, W. N.

doi:10.1177/000348941312200805

Cited by 5 publications

(1 citation statement)

References 16 publications

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“…Clinical improvement was defined as an improvement of ≥10 dB between preoperative and postoperative ABGs. The rate of deterioration in gain over time (dB/year) was calculated by dividing the difference between the postoperative 10-year and 3-month PTAs by the number of years (i.e., [PTA at 10 years -PTA at 3 months]/10) [Gristwood and Venables, 2013].…”

Section: Audiometric Assessmentmentioning

confidence: 99%

Long-Term Hearing Outcomes following Stapedotomy in Patients with Otosclerosis and Preoperative Small Air-Bone Gap

Alberti¹,

Romero-Farina³

et al. 2017

Audiol Neurotol

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Objectives: To assess the long-term effectiveness of stapedotomies performed on patients with otosclerosis and preoperative small air-bone gaps (ABGs). Methods: Retrospective study comparing the 10-year postoperative hearing outcomes after primary stapedotomies in patients with small (≤20 dB) and large ABGs (> 20 dB). Ninety out of 175 stapedotomies (22 and 68 in the small and large ABG groups, respectively) were monitored with long-term follow-ups. Results: Ten years after the operation, hearing measurements were similar for both groups, although a significant decline of bone conduction thresholds was evident (p = 0.007 and p < 0.001, respectively). An improvement of ≥10 dB in the postoperative ABG (clinical improvement) was achieved only in the large ABG group. Conclusions: Even though long-term hearing levels will evolve similarly in patients with ≤20 and > 20 dB preoperative ABGs, the lack of clinical improvement found in the small ABG group is not in favor of an early surgery.

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Section: Audiometric Assessmentmentioning

confidence: 99%