Stapedectomy Versus Stapedotomy

Cheng, Horace; Agrawal, Sumit; Parnes, Lorne S.

doi:10.1016/j.otc.2017.11.008

Cited by 34 publications

(28 citation statements)

References 33 publications

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“…In our observations, the lack of Carhart notch in the presurgical tonal audiogram is a favorable prognostic factor in terms of hearing improvement (closing the cochlear reserve and improving bone conduction) in the case of stapedotomy. 24,25 Conclusions 1. The presence of Carhart notch in the presurgical tonal audiogram is an unfavorable prognostic factor in relation to closing the cochlear reserve and improving bone conduction after the stapedotomy.…”

Section: Discussionmentioning

confidence: 99%

Carhart Notch—A Prognostic Factor in Surgery for Otosclerosis

et al. 2019

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Objective: Otosclerosis is an underlying disease of the bony labyrinth. This disorder, occurring only within the area of a person’s temporal bone, is characterized by a progressive hearing loss and tinnitus. Material and Methods: The study looked for the answer to the question of whether the presence or absence of Carhart notch in the presurgical tonal audiogram affects the final outcome of the otosclerosis surgery. Results: The analysis included 140 patients operated on for the first time due to otosclerosis between 2010 and 2016. The study group consisted of 107 women aged from 19 to 62 (average age: 40.33) and 33 men aged 27 to 59 (average age: 38.23). Analysis showed a statistically better result of stapedotomy in patients without the notch than in the same procedure in patients with the notch present. The opposite situation occurred in the case of stapedectomy. Conclusion: (1) The presence of a refraction of the bone conduction curve with a depth of 10 to 20 dB at a frequency of 2000 Hz (the so-called Carhart notch) in the presurgical tonal audiogram is an unfavorable prognostic factor in relation to closing the cochlear reserve and improving bone conduction after the stapedotomy. (2) Regardless of the presence or absence of Carhart notch in the presurgical tonal audiogram, stapedotomy is the procedure with the highest efficiency in the treatment of otosclerosis.

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Section: Discussionmentioning

confidence: 99%

Carhart Notch—A Prognostic Factor in Surgery for Otosclerosis

et al. 2019

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“…Nowadays, stapes surgery is considered to be a relatively safe and efficient surgical procedure. Stapedotomy definitely led to better audiological results and fewer complications [2] compared to the original method, stapedectomy. Further improvements could be observed with the introduction of laser-stapedotomy [3,4]; however, not enough data are available to draw a distinction between the outcomes of the different laser techniques.…”

Section: Introductionmentioning

confidence: 97%

Mid-term evaluation of perioperative i.v. corticosteroid treatment efficacy on overall and audiological outcome following CO2 laser stapedotomy: a retrospective study of 84 cases

Székely

Gáborján

Dános

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose Our aim was to determine whether perioperatively administered corticosteroid treatment has any beneficial effect on the outcome of stapes surgery, with special regard to the audiological results and early postoperative morbidity. Methods 84 CO 2 laser stapedotomies performed in our institute between 2013 and 2018 were included in our investigation. All cases underwent preoperative and mid-term postoperative pure-tone audiometric evaluation. Vestibular complications were also evaluated. The cases were subdivided into two groups, 23 patients received perioperative i.v. methylprednisolone treatment ("S") while the other 61 patients ("nS") did not receive any adjuvant pharmacological therapy. The data were analyzed retrospectively using IBM SPSS Statistics. Results CO 2 laser stapedotomy proved to be a successful intervention with a significant improvement in ABG and AC thresholds as well. Long-term BC levels were significantly better compared to preoperative ones in the S group; however, in the nS group, no difference could be shown. Hearing and ABG gain were significantly superior in group S [28.1 dB (SD11.2) vs. 18.1 dB (SD 10.9) and 23.9 dB(SD 9.8) vs. 17.2 dB (SD 9.5), respectively]. Conclusion No significant inner ear damage was detectable in the results of our CO 2 laser stapedotomy method; however, the positive effect of corticosteroid treatment could be demonstrated through the postoperative hearing levels. We found no statistical difference in early postoperative morbidity. According to our data, the routine administration of corticosteroids during stapes surgery could be an issue worthy of consideration. The effects of perioperative treatment vs that on the first day after surgery, and topical vs. systemic treatment could be the subject of further investigation in a prospective manner.

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“…In stapedoplasty, the stapes superstructure is removed, the stapes footplate is perforated (stapedotomy) and a prosthesis is inserted into this perforation, which is attached to the long process of the incus by a loop or clip [17]. Although hearing improvement can be expected in about 90 % of operations [18,19], and existing tinnitus is reduced after the operation [20], an approximately 1 % risk of deafness must be taken into account [18,19].…”

Section: Therapymentioning

confidence: 99%

Imaging of otosclerosis

Kösling

Plontke

Bartel

2020

Rofo

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Background Otosclerosis is an important cause of hearing loss and a widespread pathology in ENT medicine. Although a high diagnostic value of CT with impact on therapy is emphasized in the literature, the disease is seldom seen in the radiological routine diagnostics due to ENT findings often being diagnostic. Radiologists detect it rather more often in cases of unclear hearing loss or cochlear implant candidates. The findings may be very subtle. They require a target search and an optimal imaging technique. Methods This review article is based on a selective search of the literature in PubMed without any time frame restrictions as well as on the long clinical experience of the authors. Results The paper focuses on imaging aspects of otosclerosis: current role, advice for imaging technique, characteristic imaging signs, radiological differential diagnoses and findings after stapedoplasty. Pathology, clinical signs and therapeutic options are summarized briefly. Conclusions With an optimal technique and sufficient radiological experience otosclerosis can be correctly diagnosed by imaging in a high percentage of cases. Radiology plays the key role in the diagnosis of retrofenestral otosclerosis. It can provide valuable information for the management of complications after stapedotomy. Key points: Citation Format

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Stapedectomy Versus Stapedotomy

Cited by 34 publications

References 33 publications

Carhart Notch—A Prognostic Factor in Surgery for Otosclerosis

Carhart Notch—A Prognostic Factor in Surgery for Otosclerosis

Mid-term evaluation of perioperative i.v. corticosteroid treatment efficacy on overall and audiological outcome following CO2 laser stapedotomy: a retrospective study of 84 cases

Imaging of otosclerosis

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