Stapes fixation in children

Abstract

When explorative tympanotomy is indicated, a thin-layer CT scan of the temporal bone should be made to assess the risk of a liquor pressure labyrinth developing.

Primary stapedotomy in children with otosclerosis: A prospective study of 41 consecutive cases

“…A rapid systematic literature search identified 16 articles reporting audiometric results following stapes surgery in children with otosclerosis. Overall, air‐bone gap closure to within 10 dB was reached in 40% to 100% in these studies (Table ).…”

“…Children with juvenile otosclerosis generally show better hearing results following stapes surgery than children with congenital stapes fixation. Risk differences for air‐bone gap closure within 10 dB differ between 4% and 38% in favor of juvenile otosclerosis in eight studies . Risk differences for air‐bone gap closure within 20 dB differ between 0% and 30% in favor of juvenile otosclerosis in six studies .…”

“…[4][5][6][8][9][10]15,17 Risk differences for air-bone gap closure within 20 dB differ between 0% and In all studies, pure-tone averages were calculated using thresholds at 0.5, 1, 2, and 3 or 4 kHz, except for the studies by Cole 7 (0.5, 1, and 2 kHz), House et al 10 (NR), Millman et al 13 (0.5, 1, and 2 kHz), Robinson 16 30% in favor of juvenile otosclerosis in six studies. [4][5][6]9,15,17 It needs to be noted that all of the sample sizes are small; as a result, none of these risk differences is statistically significant. Vincent et al 2 previously reported a success percentage, defined as air-bone gap closure within 10 dB of 94% out of 3,050 stapedotomies, in a mixed population of children, adults, and elderly.…”

“…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 …”

“…Meanwhile, numerous authors have published the results of case series of children undergoing stapes surgery, all of which are characterized by small sample sizes. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Nonetheless, caution is advocated when considering surgery in children for otosclerosis. 19 The objective of this study was to prospectively evaluate hearing outcomes in children with otosclerosis undergoing primary stapes surgery.…”