Revision stapedectomy: Intraoperative findings, results, and review of the literature

被引:66
作者
Han, WW
Incesulu, A
McKenna, MJ
Rauch, SD
Nadol, JB
Glynn, RJ
机构
[1] MASSACHUSETTS EYE & EAR INFIRM, DEPT OTOLARYNGOL, BOSTON, MA 02114 USA
[2] HARVARD UNIV, SCH MED, DEPT OTOL & LARYNGOL, BOSTON, MA 02115 USA
[3] BRIGHAM & WOMENS HOSP, DEPT MED, DIV PREVENT MED, BOSTON, MA 02115 USA
关键词
D O I
10.1097/00005537-199709000-00006
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Seventy-four revision stapedectomies performed consecutively over 10 years (1986 to 1995) were reviewed retrospectively. The most common intraoperative findings were incus erosion, prosthesis displacement, and oval window closure, Incus erosion was more frequently associated with multiple revisions, The postoperative results were reported using the conventional method (postoperative air minus preoperative bone) as well as the guidelines recently published by the American Academy of Otolaryngology-Head and Neck Surgery (postoperative air minus postoperative bone), with success rates of postoperative air-bone gap closure to within 10 dB after revision surgery of 51.6% and 45.6%, respectively, Patients with persistent conductive hearing loss (large residual air-bone gaps) after primary stapedectomy had poorer postrevision hearing results. Sensorineural hearing loss (defined as a drop in bone pure-tone average of more than 10 dB) occurred in four cases (5.4%), The number of revision surgeries, variations in operative techniques using laser or drill, and the ossicle to which the prosthesis was attached did not statistically affect the postoperative air-bone gaps, These results were compared with previously published data.
引用
收藏
页码:1185 / 1192
页数:8
相关论文
共 24 条
[11]  
Lesinski S G, 1989, Laryngoscope, V99, P13
[12]  
Lippy WH, 1980, AM J OTOL, V2, P15
[13]   STAPEDECTOMY REVISION OF THE WIRE-GELFOAM PROSTHESIS [J].
LIPPY, WL ;
SCHURING, AG .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1983, 91 (01) :9-13
[14]   THE ROLE OF KTP LASER IN REVISION STAPEDECTOMY [J].
MCGEE, TM ;
DIAZORDAZ, EA ;
KARTUSH, JM .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1993, 109 (05) :839-843
[15]   COMMITTEE ON HEARING AND EQUILIBRIUM GUIDELINES FOR THE EVALUATION OF RESULTS OF TREATMENT OF CONDUCTIVE HEARING-LOSS [J].
MONSELL, EM ;
BALKANY, TA ;
GATES, GA ;
GOLDENBERG, RA ;
MEYERHOFF, WL ;
HOUSE, JW .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1995, 113 (03) :186-187
[16]   POST-STAPEDECTOMY CONDUCTIVE DEAFNESS AND RESULTS OF REVISION SURGERY [J].
PEARMAN, K ;
DAWES, JDK .
JOURNAL OF LARYNGOLOGY AND OTOLOGY, 1982, 96 (05) :405-410
[17]   REVISION SURGERY IN OTOSCLEROSIS - OPERATIVE FINDINGS IN 186 PATIENTS [J].
PEDERSEN, CB .
CLINICAL OTOLARYNGOLOGY, 1994, 19 (05) :446-450
[18]   RESULTS OF REVISION STAPEDECTOMY FOR CONDUCTIVE HEARING-LOSS [J].
PRASAD, S ;
KAMERER, DB .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1993, 109 (04) :742-747
[19]  
RAUCH SD, 1992, AM J OTOL, V13, P556
[20]  
SHEEHY JL, 1981, LARYNGOSCOPE, V91, P43