Cargando…

Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution

Introduction Otosclerosis is a primary disease of the temporal bone that leads to stapes ankylosis. Hearing loss is the main symptom. Treatment includes surgery, medical treatment, and sound amplification therapy alone or in combination. Objective To evaluate the functional outcomes of patients with...

Descripción completa

Detalles Bibliográficos
Autores principales: Souza, José Celso Rodriques de, Bento, Ricardo Ferreira, Pereira, Larissa Vilela, Ikari, Liliane, Souza, Stephanie Rugeri, Della Torre, Ana Adelina Giantomasi, Fonseca, Anna Carolina de Oliveira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Publicações Ltda 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687999/
https://www.ncbi.nlm.nih.gov/pubmed/26722344
http://dx.doi.org/10.1055/s-0035-1563540
_version_ 1782406703127461888
author Souza, José Celso Rodriques de
Bento, Ricardo Ferreira
Pereira, Larissa Vilela
Ikari, Liliane
Souza, Stephanie Rugeri
Della Torre, Ana Adelina Giantomasi
Fonseca, Anna Carolina de Oliveira
author_facet Souza, José Celso Rodriques de
Bento, Ricardo Ferreira
Pereira, Larissa Vilela
Ikari, Liliane
Souza, Stephanie Rugeri
Della Torre, Ana Adelina Giantomasi
Fonseca, Anna Carolina de Oliveira
author_sort Souza, José Celso Rodriques de
collection PubMed
description Introduction Otosclerosis is a primary disease of the temporal bone that leads to stapes ankylosis. Hearing loss is the main symptom. Treatment includes surgery, medical treatment, and sound amplification therapy alone or in combination. Objective To evaluate the functional outcomes of patients with clinical diagnosis of otosclerosis undergoing primary stapes surgery in a teaching institution. Method Retrospective descriptive study. Results A total of 210 ears of 163 patients underwent stapes surgery. Of the 163 patients, 116 (71.2%) underwent unilateral surgery and 47 (28.8%) underwent bilateral surgery. Six of the 210 operated ears had obliterative otosclerosis. The average preoperative and postoperative air–bone gap was 32.06 and 4.39 dB, respectively. The mean preoperative and postoperative bone conduction threshold was 23.17 and 19.82 dB, respectively. A total of 184 (87.6%) ears had a residual air–bone gap <10 dB, and 196 (93.3%) had a residual air–bone gap ≤15 dB. Two patients (0.95%) had severe sensorineural hearing loss. Conclusion Stapes surgery showed excellent functional hearing outcomes in this study. This surgery may be performed in educational institutions with the supervision of experienced surgeons.
format Online
Article
Text
id pubmed-4687999
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Thieme Publicações Ltda
record_format MEDLINE/PubMed
spelling pubmed-46879992016-01-01 Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution Souza, José Celso Rodriques de Bento, Ricardo Ferreira Pereira, Larissa Vilela Ikari, Liliane Souza, Stephanie Rugeri Della Torre, Ana Adelina Giantomasi Fonseca, Anna Carolina de Oliveira Int Arch Otorhinolaryngol Article Introduction Otosclerosis is a primary disease of the temporal bone that leads to stapes ankylosis. Hearing loss is the main symptom. Treatment includes surgery, medical treatment, and sound amplification therapy alone or in combination. Objective To evaluate the functional outcomes of patients with clinical diagnosis of otosclerosis undergoing primary stapes surgery in a teaching institution. Method Retrospective descriptive study. Results A total of 210 ears of 163 patients underwent stapes surgery. Of the 163 patients, 116 (71.2%) underwent unilateral surgery and 47 (28.8%) underwent bilateral surgery. Six of the 210 operated ears had obliterative otosclerosis. The average preoperative and postoperative air–bone gap was 32.06 and 4.39 dB, respectively. The mean preoperative and postoperative bone conduction threshold was 23.17 and 19.82 dB, respectively. A total of 184 (87.6%) ears had a residual air–bone gap <10 dB, and 196 (93.3%) had a residual air–bone gap ≤15 dB. Two patients (0.95%) had severe sensorineural hearing loss. Conclusion Stapes surgery showed excellent functional hearing outcomes in this study. This surgery may be performed in educational institutions with the supervision of experienced surgeons. Thieme Publicações Ltda 2015-11-04 2016-01 /pmc/articles/PMC4687999/ /pubmed/26722344 http://dx.doi.org/10.1055/s-0035-1563540 Text en © Thieme Medical Publishers
spellingShingle Article
Souza, José Celso Rodriques de
Bento, Ricardo Ferreira
Pereira, Larissa Vilela
Ikari, Liliane
Souza, Stephanie Rugeri
Della Torre, Ana Adelina Giantomasi
Fonseca, Anna Carolina de Oliveira
Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution
title Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution
title_full Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution
title_fullStr Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution
title_full_unstemmed Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution
title_short Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution
title_sort evaluation of functional outcomes after stapes surgery in patients with clinical otosclerosis in a teaching institution
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687999/
https://www.ncbi.nlm.nih.gov/pubmed/26722344
http://dx.doi.org/10.1055/s-0035-1563540
work_keys_str_mv AT souzajosecelsorodriquesde evaluationoffunctionaloutcomesafterstapessurgeryinpatientswithclinicalotosclerosisinateachinginstitution
AT bentoricardoferreira evaluationoffunctionaloutcomesafterstapessurgeryinpatientswithclinicalotosclerosisinateachinginstitution
AT pereiralarissavilela evaluationoffunctionaloutcomesafterstapessurgeryinpatientswithclinicalotosclerosisinateachinginstitution
AT ikarililiane evaluationoffunctionaloutcomesafterstapessurgeryinpatientswithclinicalotosclerosisinateachinginstitution
AT souzastephanierugeri evaluationoffunctionaloutcomesafterstapessurgeryinpatientswithclinicalotosclerosisinateachinginstitution
AT dellatorreanaadelinagiantomasi evaluationoffunctionaloutcomesafterstapessurgeryinpatientswithclinicalotosclerosisinateachinginstitution
AT fonsecaannacarolinadeoliveira evaluationoffunctionaloutcomesafterstapessurgeryinpatientswithclinicalotosclerosisinateachinginstitution