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Results for “Stapes Surgery”

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At least 109 records · Page 6Linked to original sources
PubMed1999

Stapes surgery in a residency training program.

OBJECTIVES: Determine parameters for successful stapedectomy and whether this procedure can be performed safely by residents in a teaching hospital. STUDY DESIGN: Retrospective analysis of techniques and results for 71 stapedectomy procedures. MATERIALS AND METHODS: Charts were reviewed for technique, audiological test results, complications, operative time, and anesthetic used. RESULTS: Overall, closure of the air-bone gap at 10 dB was achieved in 87% of patients. Use of general anesthesia and a laser-assisted, small-fenestra technique allowed residents to complete more operations. No severe sensorineural hearing loss was noted. CONCLUSIONS: Residents can safely and successfully perform stapes surgery using a laser-assisted, small-fenestra technique.

Clinical Competence↗
PubMed2001

Results of stapes surgery on patients with osteogenesis imperfecta.

Osteogenesis imperfecta (OI) is a heterogeneous group of connective tissue disorders. The classic triad of blue sclerae, spontaneous fractures and hearing loss is known as the Van der Hoeve and De Kleyn syndrome. Between 1989 and 2000, six patients with OI presented with conductive hearing loss. Five of them proceeded to stapedotomy. All the patients who had surgery had significant hearing gain. None of the patients had any complications. This study presents a higher incidence of spontaneous fractured crura as the cause of the conductive hearing loss than previously reported, and that the presence of a fractured crura with mobile footplate can be anticipated by the presence of a large conductive hearing loss. The pre- and postoperative results are presented and support the view that stapes surgery in OI can have encouraging results, provided the operator anticipates the possibility of a fractured crura and a mobile footplate.

Adult↗
PubMed2003

Hearing results in stapes surgery using two different prosthesis.

AIM OF THE STUDY: Evaluation of hearing results after implantation of a fluoroplastic-platinum piston (FP) and of a titanium piston (T) with a shaft diameter of respectively 0.6 mm and 0.4 mm, in cases of otosclerosis requiring stapedotomy. MATERIAL AND METHODS: Pre-operative and post-operative hearing results obtained after primary stapedotomy by implantation of 30 FP and 30 T performed by the same expert author (C.Z.) were reviewed. In each patient we evaluated pre- and post-operative auditory thresholds, as recommended. RESULTS: All patients of both groups showed a significant air-bone gap (ABG) improvement for all frequencies after surgery ( P < 0. 001). Post-operative ABG comparison between the two groups showed a better ABG for lower frequencies in the FP group and for higher frequencies in the T group, but the difference was not significant. No post-operative complications, including sensorineural hearing loss, were found. Bone conduction improvement was better in the FP group than in the T one and this difference was statistically significant at 1000 and 2000 Hz. There was no statistically significant difference in the post-operative outcomes between the two prosthesis. Better results of FP for lower frequencies suggest that an increase in diameter of the prosthesis results in a greater improvement in the hearing threshold at low frequencies, while a decrease of diameter results in a greater improvement in the hearing threshold at high frequencies, as indicated by previous international studies. CONCLUSION: Our data shows that titanium piston is a as good as fluoroplastic piston in stapes surgery for otosclerosis.

Adult↗
PubMed1999

The effect of stapes surgery on high frequency hearing in patients with otosclerosis.

OBJECTIVE: To assess the effect of stapedectomy on high frequency hearing. STUDY DESIGN: A retrospective, one-group, pretest-posttest case review was performed of the audiometric data of patients who underwent stapedectomy at a tertiary referral center. PATIENTS: Thirty-eight patients (40 ears) with primary uncomplicated surgery were selected. Twenty-two of the patients were older than 40 years. Preoperative and postoperative audiograms were analyzed. RESULTS: Preoperative and postoperative audiograms exhibited a down-sloping configuration toward the high frequencies. Surgery resulted in a significant improvement (p < 0.05) from 500 to 4000 Hz in air conduction and 500 to 2000 Hz in bone conduction. Analysis of variance showed that age had no bearing on preoperative audiometric results (p < 0.05) for air conduction, bone conduction, and the air bone gap. Postoperatively, younger patients' 4000 to 8000 Hz (air conduction) and 4000 Hz (bone conduction) were better than those of the older patients (p < 0.05), but the high frequency range was still poorer than age-matched controls in the younger patients. CONCLUSION: Stapedectomy resulted in significant closure of the air bone gap between 500 to 4000 Hz, but failed to influence hearing above 4000 Hz. Age appears to be an important variable; poorer results in the high frequency range were seen in the older patients who underwent stapes surgery. These findings, together with the residual postoperative hearing loss in the high frequency range in young patients, may reflect disease-specific injury resulting from cochlear otosclerosis.

Adult↗