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Factors affecting hearing results after stapes surgery

Published online by Cambridge University Press:  29 June 2007

Hiromi Ueda ,
Takashi Miyazawa ,
Kiyomitsu Asahi  and
Noriyuki Yanagita
Hiromi Ueda*
Affiliation:
Department of Otorhinolaryngology, Nagoya University School of Medicine, Nagoya, Japan.
Takashi Miyazawa
Affiliation:
Department of Otorhinolaryngology, Nagoya University School of Medicine, Nagoya, Japan.
Kiyomitsu Asahi
Affiliation:
Department of Otorhinolaryngology, Nagoya University School of Medicine, Nagoya, Japan.
Noriyuki Yanagita
Affiliation:
Department of Otorhinolaryngology, Nagoya University School of Medicine, Nagoya, Japan.
*
Address for correspondence: Hiromi Ueda, M.D., Department of Otorhinolaryngology, Nagoya University School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550Japan. fax: 00-81-52-744-2325 e-mail: [email protected]
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Abstract

Factors affecting auditory improvement after stapes surgery were investigated retrospectively on a study group of 106 otosclerotic ears (86 subjects). While the closure of the air-bone (A-B) gap after surgery was good at 2 kHz and 4 kHz, it was poor at 8 kHz and at frequencies lower than 1 kHz. Under 1 kHz, the lower the frequency, the worse the A-B gap after surgery. Stapedotomy and partial stapedectomy showed better post-operative hearing gain at 4 kHz than total stapedectomy. Total stapedectomy scored significantly better at 250 Hz and 500 Hz than stapedotomy. There was a close relationship between the pre-operative and post-operative A-B gap at frequencies under 1 kHz. The smaller the pre-operative A-B gap, the better the closure of the post-operative A-B gap at frequencies under 1 kHz. The smaller the pre-operative A-B gap, the better the closure of the post-operative A-B gap at these frequencies. It was speculated that otosclerotic ears with a larger pre-operative airbone gap might have another lesion in the middle ear other than the oval window.

Keywords

OtosclerosisStapes surgeryHearing loss, conductive
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 5 , May 1999 , pp. 417 - 421
Copyright
Copyright © JLO (1984) Limited 1999

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References

Fisch, U. (1982) Stapedotomy vs. stapedectomy. American Journal of Otology 4: 112–117.Google Scholar
Ginsberg, I., Hoffman, S. R., Stinziano, G. D., White, T. P. (1978) Stapedectomy – in depth analysis of 2405 cases. Laryngoscope 88: 1999–2016.CrossRefGoogle ScholarPubMed
Marquet, J., Creston, W. L., Van Camp, K. J. (1972) Consideration about the surgical approach in stapedectomy. Acta Otolaryngologica (Stockh) 74: 406–410.CrossRefGoogle ScholarPubMed
McGee, T. M. (1981) Comparison of small fenestra and total stapedectomy. Annals of Otology, Rhinology and Laryngology 90: 630–632.CrossRefGoogle ScholarPubMed
Moon, C. N. Jr., Hahn, M. J. (1984) Partial vs total footplate removal in stapedectomy: A comparative study. Laryngoscope 94: 912–915.CrossRefGoogle ScholarPubMed
Nilsson, G. (1977) Long-term results after stapedectomy. Acta Otolaryngologica (Stockh) 84: 260–265.CrossRefGoogle ScholarPubMed
Niwa, H., Ishida, K., Tago, C., Ueda, H., Yanagita, N. (1992a) Factors affecting improvement of hearing after stapes surgery. Auris Nasus Larynx (Tokyo) 19 (Suppl 1): S39–S43.CrossRefGoogle Scholar
Niwa, H., Ishida, K., Tago, C., Ueda, H., Yanagita, N. (1992b) Improvement in hearing and incidence of complications following three types of stapes surgery. Auris Nasus Larynx (Tokyo) 19 (Suppl 1): S31–S37.Google Scholar
Persson, P., Harder, H., Magnuson, B. (1997) Hearing results in otosclerosis surgery after partial stapedectomy, total stapedectomy and stapedotomy. ActaOtolaryngologica (Stockh) 117: 94–99.CrossRefGoogle ScholarPubMed
Rizer, F. M., Lippy, W. H. (1993) Evolution of techniques of stapedectomy from the total stapedectomy to the small fenestra stapedectomy. Otolaryngologic Clinics of North America 26: 443–451.CrossRefGoogle Scholar
Schuknecht, H. F., Barber, W. (1985) Histologic variants in otosclerosis. Laryngoscope 95: 1307–1317.CrossRefGoogle ScholarPubMed
Shea, J. J. (1958) Fenestration of the oval window. Annals ofOtology, Rhinology and Laryngology 67: 932–951.CrossRefGoogle ScholarPubMed
Shea, J. J. (1982) Stapedectomy - a long term report. Annals of Otology, Rhinology and Laryngology 91: 516–520.CrossRefGoogle ScholarPubMed
Shea, J. J., Sanabria, F., Smyth, G. D. L. (1962) Teflon piston operation for otosclerosis. Archives of Otolaryngology 76: 516–521.CrossRefGoogle Scholar
Smyth, G. D., Hassard, T. H. (1978) Eighteen years experience in stapedectomy. The case for the small fenestra operation. Annals of Otology, Rhinology and Laryngology 49 (Suppl 1): 3–36.CrossRefGoogle Scholar
Somers, T., Govaerts, P., Marquet, T., Offeciers, E. (1994) Statistical analysis of otosclerosis surgery performed by Jean Marquet. Annals of Otology, Rhinology and Laryngology 103: 945–951.CrossRefGoogle Scholar