Journal article
Stapedectomy versus stapedotomy: comparison of results with long-term follow-up
The Laryngoscope, Vol.112(11), pp.2046-2050
11/2002
DOI: 10.1097/00005537-200211000-00025
PMID: 12439178
Abstract
To compare the effectiveness and long-term stability of hearing results between stapedectomy and small fenestra stapedotomy in patients with conductive hearing loss due to otosclerosis.
Retrospective review of prospectively collected audiometric data.
The hearing results and complication rates of 209 ears with long-term follow-up that underwent either stapedectomy or stapedotomy by the senior author (h.p.h.) between 1961 and 1989 were compared. Forty-two patients underwent stapedectomy in one ear and stapedotomy in the opposite ear, permitting a paired case review of the results in these patients. The techniques were compared with respect to initial and late hearing results and change of the results over time.
Patients undergoing stapedectomy and stapedotomy were followed for an average of 11.5 and 6.0 years, respectively. There were no statistically significant differences in initial or late postoperative pure-tone average (PTA), PTA air-bone gap, speech discrimination scores, or incidence of sensorineural hearing loss between the two groups. Ears treated by stapedotomy showed statistically better initial and late postoperative 4-kHz air-conduction threshold and initial 4-kHz air-bone gap, but the gap difference was not significant with late follow-up. There was no significant difference in the percentage of patients with air-bone gap closure within 10 dB for any frequency other than 4 kHz at the initial postoperative test. Importantly, the successful outcomes in both groups were stable over long-term follow-up. Results were the same when comparing the two procedures in patients having undergone both.
These results show that, in the hands of an experienced surgeon, either technique provides satisfactory and stable long-term results.
Details
- Title: Subtitle
- Stapedectomy versus stapedotomy: comparison of results with long-term follow-up
- Creators
- Howard P House - House Ear Clinic, Los Angeles, California 90057, USAMarlan R HansenAbdul Aziz A Al DakhailJohn W House
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.112(11), pp.2046-2050
- Publisher
- United States
- DOI
- 10.1097/00005537-200211000-00025
- PMID
- 12439178
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Language
- English
- Date published
- 11/2002
- Academic Unit
- Molecular Physiology and Biophysics; Neurosurgery; Otolaryngology
- Record Identifier
- 9984007195802771
Metrics
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