Techniques and results of stapedial surgery

Fakir, Abu Yusuf; Bhuyan, Arif Hossain; Al-Masum, Syed Hasan Imam; Rahman, HM Mustafizur; Uddin, Mosleh; Joarder, Ariful Islam; Alauddin, Md.

doi:10.3329/bjo.v15i1.4305

Cited by 2 publications

(4 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mean ± SD pre and post-operative air conduction was 54.88±3.43 dB and 29.52±3. 16 20 found that male (68.75%) was affected more by otosclerosis than female (31.25%) which was dissimilar to our finding. This difference may be due to lack of medical facilities in the remote part of the country.…”

Section: Resultscontrasting

confidence: 99%

“…Among them bilateral otosclerosis was common. Almost similar finding was observed by Xie J et al 21 Fakir et al 20 found deafness (100%), tinnitus (75%) and vertigo (25%) in their study which was almost similar to our study. Souza et al 1 reported that unilateral (71.2%) otosclerosis was more common than bilateral which was dissimilar to our finding.…”

Section: Resultssupporting

confidence: 92%

“…Fakir et al 20 found in his study that 31.25% was student, 15.62% was service holder and 25% was house wife.…”

Section: Resultsmentioning

confidence: 91%

See 2 more Smart Citations

Outcome of classical and reversal stapedotomy in otosclerosis

Parvez

Akhtar

Rahman

et al. 2023

Bangabandhu Sheikh Mujib Medical University Journal

View full text Add to dashboard Cite

Classical and reversal stapedotomy both are exclusively done in otosclerosis but definite information regarding surgical advances, postoperative results, complications and information about how and in which patients these surgical techniques should exclusively be used are a source of continuous discussions. This prospective observational study was conducted in the Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka from July 2019 to December 2020 o compare the outcomes of classical and reversal stapedotomy in patients with otosclerosis. Total 28 cases of otosclerosis who underwent stapedotomy were divided in to two groups i.e. Group A (classical stapedotomy) & Group B (reversal stapedotomy) with 14 patients in each group. All patients were followed up post-operatively up to 3 months with Pure-tone audiometry (PTA). There is no significant difference between classical and reversal stapedotomy approach in terms of hearing improvement and complications. Chorda tympani injury was the main complication in both the groups. Regarding hearing gain and complications there was no significant difference between classical and reversal stapedotomy approach. BSMMU J 2022; 15(2): 121-126

show abstract

Section: Resultscontrasting

confidence: 99%

Section: Resultssupporting

confidence: 92%

See 1 more Smart Citation

Outcome of classical and reversal stapedotomy in otosclerosis

Parvez

Akhtar

Rahman

et al. 2023

Bangabandhu Sheikh Mujib Medical University Journal

View full text Add to dashboard Cite

show abstract

“…This difference may be due to demographic variation. Regarding the occupation in the study population were service holders, housewives and students 18 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Uncomfortable Loudness Level in Stapedotomy with or without Stapedial Tendon Preservation

Nawshin¹,

Saha

Sohel

et al. 2021

Bangladesh J of Otorhinolaryngology

View full text Add to dashboard Cite

Background: Otosclerosis is one of the commonest diseases of the ear mostly involves the otic capsule. Most often otosclerotic foci appear in stapes region leading to stapes fixation, predominantly affect the adolescence female. The most common presenting symptom of clinical otosclerosis is conductive deafness. The mainstay of treatment for otosclerosis is surgery. Surgical options include stapedectomy, stapedotomy with or without stapedial tendon preservation. The latter being is the procedure of choice. Aim: The aim of this study is to compare the outcome of uncomfortable loudness level in stapedotomy with or without stapedial tendon preservation. Methods: A prospective observational study was conducted in the Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka for 18 months in patients with otosclerosis. Total 30 subjects were selected based on the inclusion and exclusion criteria. All patients were assessed pre-operatively by clinical examination, otoscopy and microscopic examination. Hearing was assessed by pure tone audiometry. Uncomfortable level and stapedial reflex threshold were tested in all cases. The selected cases were placed into two groups. Stapedial tendon resection in Group-I and stapedial tendon preservation in Group-II. Post-operative follow up was done at 3 months and 6 months. Hearing and uncomfortable loudness level were evaluated with PTA during follow up by calculating the average of 500Hz, 1000Hz, 2000Hz and 4000HZ. The data were calculated manually. The statistical significance was set to P< 0.05. Results of the study were expressed as mean, standard deviation (± SD), frequency and percentages. Means and standard deviations were reported for continuous variables. Frequencies and percentages were reported for categorical variables. Unpaired Student’s t test was done to compare the continuous variables and Chi Square test was done to compare the categorical variables. Results: In this study preoperative average ABG for group I and group II were 35 ± 4.57 dB and 34 ± 4.17 dB respectively. In group I, post operative average ABG after 3 months and 6 months were 14 ± 3.7 dB and 13±3.3 dB respectively. Post operative average ABG after 3 months was 13 ± 5.7 dB and was 12 ± 4.4 dB for group II. But the hearing improvement between two groups was not statistically significant. In case of preoperative mean UCL was 95 ± 1.8 dB and 96 ± 2.5 dB for group I and group II respectively. Postoperative mean UCL after 3 months was 96 ± 3.57 dB and after 6 months was 99 ± 6.28 dB in group I. For group II, postoperative mean UCL after 3 months and 6 months was 107±4.2 dB and 113 ± 3.2 dB respectively. Here mean UCL was on average 11 dB higher for group II in 3 months and additional 6 dB improvement noted after 6 months, but show minimal change in group I. This finding was statistically significant. Conclusion: Preservation of the stapedial tendon is the choice in the surgical treatment of otosclerosis which helps to improve functional outcomes as well as to provide the more physiologic protection of middle ear. Postoperative discomfort threshold levels were increased in patients who had their stapedial tendon restored. Bangladesh J Otorhinolaryngol 2021; 27(2): 117-123

show abstract

Techniques and results of stapedial surgery

Abstract: Abstract:Objective: To evaluate the improvement of hearing after stapedial surgery, to record the problems during surgery and to assess the complications of the same.

Cited by 2 publications

References 4 publications

Outcome of classical and reversal stapedotomy in otosclerosis

Outcome of classical and reversal stapedotomy in otosclerosis

Comparison of Uncomfortable Loudness Level in Stapedotomy with or without Stapedial Tendon Preservation

Contact Info

Product

Resources

About