Differences in Postoperative Hearing Outcomes and Vertigo in Patients with Otosclerosis Treated with Laser-Assisted Stapedotomy versus Stapedectorny

被引：16

作者：

Sakamoto, Takashi ^{[1
]}

Kikuta, Shu ^{[1
]}

Kikkawa, Yayoi S. ^{[1
]}

Tsutsumiuchi, Katsuhiro ^{[1
]}

Kanaya, Kaori ^{[1
]}

Fujimaki, Yoko ^{[1
]}

Ueha, Rumi ^{[1
]}

Saito, Yuki ^{[1
]}

Yamasoba, Tatsuya ^{[1
]}

机构：

[1] Univ Tokyo, Dept Otolaryngol & Head & Neck Surg, Grad Sch Med, Fac Med, Tokyo 1138655, Japan

来源：

ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY HEAD AND NECK SURGERY | 2015年 / 77卷 / 05期

关键词：

Otosclerosis; Stapedotomy; Partial stapedectomy; Total stapedectomy; Postoperative hearing outcomes; Postoperative vertigo; PAROXYSMAL POSITIONAL VERTIGO; TERM; PISTON;

D O I：

10.1159/000439177

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: Otosclerosis is an abnormal bone growth in the otic capsule that can result in hearing loss. In this study, we compared postoperative hearing outcomes and vestibular symptoms between patients treated with laser-assisted stapedotomy versus stapedectomy. Methods: The medical charts of 99 ears treated with stapes surgery were retrospectively reviewed. Results: A stapedotomy, partial stapedectomy, or total stapedectomy was conducted in 77, 16, and 56 ears, respectively. The ears treated with partial- and total stapedectomies were unified into one stapedectomy group. The postoperative changes in the air-bone gap after stapedotomies were significantly larger than those after stapedectomies at 1, 2, and 4 kHz. The postoperative changes in the air conduction threshold after stapedotomies were significantly larger than those after stapedectomies at 1, 2, 4, and 8 kHz. The postoperative changes in the bone conduction threshold at 0.5, 1, 2, and 4 kHz did not differ between the groups. The postoperative vertigo duration after stapedotomies was significantly shorter than that after stapedectomies. Conclusions: Surgery-induced sensorineural hearing losses were similar for stapedotomies and stapedectomies. However, stapedotomies were more effective and atraumatic than stapedectomies because of the better postoperative hearing results at middle and high frequencies and the shorter postoperative vertigo. (C) 2015 S. Karger AG, Basel

引用

页码：287 / 293

页数：7

共 21 条

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