Otosclerosis

Mansour, Salah; Magnan, Jacques; Nicolas, Karen; Haidar, Hassan

doi:10.1007/978-3-319-72962-6_1

Cited by 4 publications

(2 citation statements)

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“…The incidence of preoperative vestibular symptoms in otosclerosis patients varies greatly from one study to another. Different studies have reported incidence ranging from 8.6 to 30% [ 33 , 34 , 35 ]. While the exact cause of vertigo in patients with otosclerosis is not fully understood, several factors have been proposed ( Table 1 ).…”

Section: Preoperative Vertigomentioning

confidence: 99%

Vertigo Associated with Otosclerosis and Stapes Surgery—A Narrative Review

Necula,

Maniu,

Ujváry

et al. 2023

Medicina

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Otosclerosis is a pathological condition affecting the temporal bone, and is characterized by remodelling of the labyrinthine bone tissue through a dynamic process of osteolysis and osteogenesis. This condition progressively leads to hearing loss, tinnitus, and vertigo. Stapedotomy, a surgical procedure involving the removal of the stapes superstructure and its replacement with a prosthesis, is the treatment of choice to improve hearing in individuals with otosclerosis. However, vestibular dysfunction is a significant complication associated with this procedure, which can occur intraoperatively or postoperatively, ranging from the immediate postoperative period to weeks, months, or even years after surgery. This paper aims to provide a comprehensive review of the most important causes of vertigo associated with otosclerosis and stapes surgery with the goal of minimizing the incidence of this complication. Understanding the underlying factors contributing to vertigo in this context is crucial for the prevention and effective management of vertigo in patients undergoing stapedotomy.

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Section: Preoperative Vertigomentioning

confidence: 99%

Vertigo Associated with Otosclerosis and Stapes Surgery—A Narrative Review

Necula,

Maniu,

Ujváry

et al. 2023

Medicina

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“…Stapedectomy or stapedotomy are preferred surgical treatment choices 3 . On the other hand, less commonly, some health professionals opt for medical treatments using bisphosphonates or fluoride compounds, usually during the early stages of the disease, either separately or in conjunction with calcium and vitamin D. Glucocorticoids and calcitonin have also been considered in otosclerosis with sensorineural component 4–6 …”

Section: Introductionmentioning

confidence: 99%

Post‐stapedotomy dizziness after applying topical steroid on footplate: A randomized controlled trial

Barati,

Shahzamani,

Tabrizi

et al. 2024

Laryngoscope Investig Oto

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BackgroundOtosclerosis is characterized by abnormal bone growth in the otie capsule. Nowadays, stapedotomy is commonly used for otosclerosis treatment. Currently, postoperative dizziness has been associated with stapedotomy. In 1981, intratympanic dexamethasone was utilized to manage inner ear disorders like tinnitus and acute sensorineural hearing loss. However, there is much uncertainty regarding the effect and safety of topical steroid therapy in the middle ear during stapedotomy. In the present study, we assessed the effect of topical steroid therapy during stapedotomy on postoperative dizziness.MethodsOtosclerosis patients eligible for stapedotomy were randomly divided into two groups based on dexamethasone administration or placebo. Audiometric and tympanometry results were observed and recorded for the involved frequencies. The Dizziness Handicap Inventory was used to quantify patient perceptions of dizziness and balance issues. Audiometry and dizziness assessments were repeated at discharge and 4 months after the operation.ResultsThe study comprised 72 otosclerosis patients undergoing stapedotomy. At discharge, the intervention group showed a significant reduction in the incidence of dizziness compared to the placebo group. However, in the 4‐month follow‐up after the operation, both groups experienced a decrease in dizziness incidence, with no significant difference between them. There was also no significant difference in audiometric levels between the two groups. Interestingly, the intervention group had a significantly lower need for systemic anti‐dizziness drugs after surgery compared to the control group.ConclusionTopical dexamethasone during stapedotomy effectively minimizes dizziness at discharge and reduces the need for postoperative anti‐dizziness medication.Level of evidence2.

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Temporal Bone Imaging

Nicolas

Elsotouhy

2020

Textbook of Clinical Otolaryngology

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Otosclerosis

Cited by 4 publications

References 151 publications

Vertigo Associated with Otosclerosis and Stapes Surgery—A Narrative Review

Vertigo Associated with Otosclerosis and Stapes Surgery—A Narrative Review

Post‐stapedotomy dizziness after applying topical steroid on footplate: A randomized controlled trial

Temporal Bone Imaging

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