Pediatric stapedectomy: Does cause of fixation affect outcomes?

Neilan, Ryan E.; Zhang, Richard W.; Roland, Peter S.; Isaacson, Brandon; Lee, Kenneth H.; Kutz, Joe Walter

doi:10.1016/j.ijporl.2013.04.009

Cited by 18 publications

(45 citation statements)

References 9 publications

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“…These hearing results are consistent with those in adults, although slightly worse, as approximately 85% and 15% of adults have demonstrated ABG <10 dB and ABG 11–20 dB, respectively 16. This may occur because children and teenagers have a much higher incidence of footplate pathology and diffuse otosclerosis with oval window obliteration and cochlear involvement compared to the general stapedectomy population 2 8 17…”

Section: Discussionsupporting

confidence: 75%

“…Although the laser technique is not yet used for stapes surgery in our clinic, it could be used for children as it is used for adults 2 3 6 8 17. Lescanne et al 9 successfully performed laser stapedotomy on six children suffering from juvenile otosclerosis; in the same study, it was contended that laser stapedotomy could minimise mechanical trauma to the footplate and lessen postoperative complications as well.…”

Section: Discussionmentioning

confidence: 99%

“…In the short-term postoperative period, Neilan et al 8 described profound hearing loss associated with acute vertigo 3 weeks after stapes surgery in a child aged 10 years; in the revision stapedectomy, they found a long prosthesis, which was removed and replaced with a shorter one, with no sign of infection but also without hearing improvement.…”

Section: Discussionmentioning

confidence: 99%

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Juvenile otosclerosis: a case presentation and review of the literature

et al. 2016

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Otosclerosis in childhood and adolescence or juvenile otosclerosis is a rare disorder resulting in conductive hearing loss. A 9-year-old boy presented to our clinic, suffering from moderate hearing loss. According to his parents, his hearing acuity had progressively deteriorated over the past 2 years. Otoscopy and tympanometry revealed bilateral secretory otitis media and the patient underwent bilateral grommet insertion. However, he continued to report of hearing loss and a right exploratory tympanotomy was performed. Stapedial fixation was confirmed, being compatible with juvenile otosclerosis, and we proceeded to a right stapedotomy. One year later, follow-up showed satisfactory outcome with an air-bone gap closure to 10 dB. Juvenile otosclerosis with the coexistence of persistent secretory otitis media can be overlooked. Affected children from 9 years of age are strongly motivated to undergo stapes surgery for juvenile otosclerosis, following parental consent.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Juvenile otosclerosis: a case presentation and review of the literature

et al. 2016

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“…Of eight with JO, four cases had poorer sensorineural hearing loss (SNHL) after surgery . Profound hearing loss developed in the other four cases . The number of postoperative SNHL cases after surgery for CSF was four (2.1%).…”

Section: Resultsmentioning

confidence: 99%

A meta‐analysis of surgical success rates in Congenital stapes fixation and juvenile otosclerosis

et al. 2015

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“…In the past, stapes surgery has been thought to be more risky in children. Meanwhile, numerous authors have published the results of case series of children undergoing stapes surgery, all of which are characterized by small sample sizes . Nonetheless, caution is advocated when considering surgery in children for otosclerosis …”

Section: Introductionmentioning

confidence: 99%