Prognostic factors for duration of vertigo after stapes surgery via a time-to-event analysis

Fukuda, Atsushi; Fujiwara, Kazutoshi; Morita, Shinya; Hoshino, Kimiko; Yanagi, Hiroko; Nakamaru, Yuji; Homma, Akihiro

doi:10.1080/00016489.2020.1853808

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Regarding prognostic evaluation, studies indicate that previous surgery in the contralateral ear is the main poor prognostic factor for persistent spontaneous nystagmus and prolonged vertigo after stapedotomy in the opposite ear. 120 …”

Section: Resultsmentioning

confidence: 99%

Brazilian Society of Otology task force – Otosclerosis: evaluation and treatment

Silva,

Pauna,

Lavinsky

et al. 2023

Brazilian Journal of Otorhinolaryngology

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Section: Resultsmentioning

confidence: 99%

Brazilian Society of Otology task force – Otosclerosis: evaluation and treatment

Silva,

Pauna,

Lavinsky

et al. 2023

Brazilian Journal of Otorhinolaryngology

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“…Nystagmus is observed postoperatively in approximately 65.7% of patients, and may persist for over one month, as shown by Fukuda et al [ 55 ] in a study conducted in 2021.…”

Section: Immediate Postoperative Vertigomentioning

confidence: 90%

“…Several factors can contribute to prolonged vertigo, including age, sex, stapes surgery in the opposite ear, the seal around the prosthesis in the footplate, and postoperative hearing outcomes. A history of stapes surgery in the opposite ear has been identified as a significant predictive factor for prolonged nystagmus and subjective vestibular symptoms [ 55 ].…”

Section: Late Postoperative 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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