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Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia

OBJECTIVE: Otosclerosis is a frequent ear disorder causing a stapedo-ovalar ankylosis and conductive hearing loss. Stapedoplasty, performed under both general (GA) and local anaesthesia (LA), is the most advisable surgical solution. Auditory recovery relies on the patient’s conditions and on the int...

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Autores principales: Giannoni, Beatrice, Pollastri, Federica, Adembri, Chiara, Straticò, Dina, Vannucchi, Paolo, Stival, Alessia, Checcucci, Curzio, Bruno, Chiara, Pecci, Rudi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore Srl 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793144/
https://www.ncbi.nlm.nih.gov/pubmed/36541385
http://dx.doi.org/10.14639/0392-100X-N2033
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author Giannoni, Beatrice
Pollastri, Federica
Adembri, Chiara
Straticò, Dina
Vannucchi, Paolo
Stival, Alessia
Checcucci, Curzio
Bruno, Chiara
Pecci, Rudi
author_facet Giannoni, Beatrice
Pollastri, Federica
Adembri, Chiara
Straticò, Dina
Vannucchi, Paolo
Stival, Alessia
Checcucci, Curzio
Bruno, Chiara
Pecci, Rudi
author_sort Giannoni, Beatrice
collection PubMed
description OBJECTIVE: Otosclerosis is a frequent ear disorder causing a stapedo-ovalar ankylosis and conductive hearing loss. Stapedoplasty, performed under both general (GA) and local anaesthesia (LA), is the most advisable surgical solution. Auditory recovery relies on the patient’s conditions and on the intervention itself. The aim of our work was to compare hearing outcomes with stapedoplasty performed under GA or LA and to investigate patients’ compliance to both methods. METHODS: Fifty-five otosclerotic patients underwent stapedoplasty both under GA (32/55) and LA (23/55). Pre- and post-operative air and bone tone audiometry threshold values as well as the air-bone gap and its closure score, were analysed. All patients filled in a satisfaction questionnaire regarding their concern and level of appreciation of the type of anaesthesia. RESULTS AND CONCLUSIONS: Our data show that the auditory results with stapedoplasty are good and do not differ between LA and GA. Even considering the advantages and limits of the two methods, one cannot favour one or the other type of anaesthesia. Finally, the patient’s satisfaction cannot be considered a criterion of choice, since this was found to be high in both cases.
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spelling pubmed-97931442023-01-06 Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia Giannoni, Beatrice Pollastri, Federica Adembri, Chiara Straticò, Dina Vannucchi, Paolo Stival, Alessia Checcucci, Curzio Bruno, Chiara Pecci, Rudi Acta Otorhinolaryngol Ital Otology OBJECTIVE: Otosclerosis is a frequent ear disorder causing a stapedo-ovalar ankylosis and conductive hearing loss. Stapedoplasty, performed under both general (GA) and local anaesthesia (LA), is the most advisable surgical solution. Auditory recovery relies on the patient’s conditions and on the intervention itself. The aim of our work was to compare hearing outcomes with stapedoplasty performed under GA or LA and to investigate patients’ compliance to both methods. METHODS: Fifty-five otosclerotic patients underwent stapedoplasty both under GA (32/55) and LA (23/55). Pre- and post-operative air and bone tone audiometry threshold values as well as the air-bone gap and its closure score, were analysed. All patients filled in a satisfaction questionnaire regarding their concern and level of appreciation of the type of anaesthesia. RESULTS AND CONCLUSIONS: Our data show that the auditory results with stapedoplasty are good and do not differ between LA and GA. Even considering the advantages and limits of the two methods, one cannot favour one or the other type of anaesthesia. Finally, the patient’s satisfaction cannot be considered a criterion of choice, since this was found to be high in both cases. Pacini Editore Srl 2022-10-31 2022-10 /pmc/articles/PMC9793144/ /pubmed/36541385 http://dx.doi.org/10.14639/0392-100X-N2033 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en
spellingShingle Otology
Giannoni, Beatrice
Pollastri, Federica
Adembri, Chiara
Straticò, Dina
Vannucchi, Paolo
Stival, Alessia
Checcucci, Curzio
Bruno, Chiara
Pecci, Rudi
Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia
title Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia
title_full Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia
title_fullStr Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia
title_full_unstemmed Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia
title_short Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia
title_sort hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia
topic Otology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793144/
https://www.ncbi.nlm.nih.gov/pubmed/36541385
http://dx.doi.org/10.14639/0392-100X-N2033
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