Living with otosclerosis: disease-specific health-related quality-of-life measurement in patients undergoing stapes surgery

Lailach, Susen; Schenke, T; Baumann, Ingo; Walter, Henrik; Praetorius, Mark; Beleites, Thomas; Zahnert, Thomas; Neudert, Marcus

doi:10.1007/s00405-017-4798-y

Cited by 29 publications

(13 citation statements)

References 26 publications

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“…The Stapesplasty Outcome Test 25 (SPOT-25) is the only validated questionnaire in otosclerosis patients undergoing stapes surgery. 31,32 The SPOT-25 must be validated for use in the Dutch language and culture before we can use the questionnaire in our otosclerosis patients. In a future study, we will validate the SPOT-25 for use in the Dutch otosclerosis population.…”

Section: Discussionmentioning

confidence: 99%

Revision Stapes Surgery in a Tertiary Referral Center: Surgical and Audiometric Outcomes

Blijleven

Wegner

Tange

et al. 2019

Ann Otol Rhinol Laryngol

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Objectives: To evaluate pure-tone audiometric results in otosclerosis patients undergoing revision stapes surgery following previous middle ear interventions. Methods: A retrospective cohort study was performed in a tertiary referral center. Consecutive otosclerosis patients who underwent revision stapes surgeries, following previous middle ear interventions, for persistent conductive hearing loss, recurrent conductive hearing loss, or vertigo and had available postoperative pure-tone audiometry were included. Mean pre- and postoperative air conduction, bone conduction, and air-bone gap averaged over 0.5, 1, 2, and 3 kHz were obtained. Audiometric outcomes were obtained at 7 weeks postoperatively. Results: In total, 63 consecutive otosclerosis patients who underwent 66 revision stapes surgeries were included. Air-bone gap improved significantly with a mean gain of 19 dB (95% CI, 15-22). Air conduction improved significantly with a mean gain of 18 dB (95% CI, 14-23). Bone conduction did not change significantly, with a mean deterioration of 0 dB (95% CI, –2 to 1). Air-bone gap closure to 10 dB or less was achieved in 38% of cases and to 20 dB or less in 80% of cases. Indication for surgery, previous type of procedure, primary cause of failure, and current surgical technique were not significantly associated with air-bone gap closure to 10 dB or less. Indication for surgery and primary cause of failure were associated with one another. Conclusions: Compared to the available literature, a slightly larger gain in air conduction and air-bone gap was achieved in our study. Air-bone gap closure to 10 dB or less was achieved less often in our study.

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Section: Discussionmentioning

confidence: 99%

Revision Stapes Surgery in a Tertiary Referral Center: Surgical and Audiometric Outcomes

Blijleven

Wegner

Tange

et al. 2019

Ann Otol Rhinol Laryngol

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“…In einer Studie, welche die Ergebnisse der Fragebögen prä-und postoperativ mit den tonaudiometrischen Daten und der Sprachaudiometrie verglich, konnte gezeigt werden, dass sich die gesundheitsbezogene Lebensqualität drei Monate nach Stapesplastik signifikant verbesserte, wobei der Subscore "Hörfunktion" gut mit dem Anstieg der Hörkurven korrelierte. Die Subscores "Tinnitus", "soziale Einschränkung" und "psychisches Befinden" zeigten hingegen keine signifikanten Verläufe zu den audiometrischen Daten [20]. Kontroversen, offene Fragen und Perspektiven Bei der Stapesoperation gibt es u. a. in Abhängigkeit von den persönlichen Erfahrungen und Vorlieben und auch "Ausbildungsschulen" des Operateurs Variationen und teils kontroverse Ansichten.…”

Section: Lebensqualitätunclassified

Diagnostik und operative Therapie der Otosklerose

Plontke¹,

Metasch²,

Zirkler³

et al. 2018

Laryngo-Rhino-Otol

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ZusammenfassungFür die – oft in Diagnostik und Therapie anspruchsvolle – Otosklerose kann bei richtiger Diagnosestellung eine operative oder apparative Hörrehabilitation mit sehr hohen Erfolgschancen in Aussicht gestellt werden. Der erste Teil des Fortbildungsbeitrags umfasste Grundlagen, Diagnostik und Differenzialdiagnostik, im zweiten Teil soll auf therapeutische Aspekte und Nachsorge eingegangen werden.

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“…The tendency to focus only on the audiological aspects of stapes surgery (such as closure of the air-bone gap) has been slowly changing in recent years. Increasingly, authors have begun to appreciate a wider view of the patients’ complaints, which has led to studies of the symptoms accompanying otosclerosis, which can have a considerable impact on the patient’s quality of life [ 7 ]. Apart from progressive hearing loss, tinnitus is one of the basic symptoms of otosclerosis [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and severity of tinnitus in Polish otosclerosis patients qualified for stapes surgery

Dziendziel

Skarżyńśki

Rajchel

et al. 2019

Eur Arch Otorhinolaryngol

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Purpose To assess the prevalence and severity of tinnitus among a group of Polish patients with otosclerosis who qualified for stapes surgery. A secondary objective was to gauge the relationship between tinnitus severity and hearing thresholds. Methods Based on the eligibility criteria, 460 adults with otosclerosis (236 women, 134 men) were included in the study. The Tinnitus Functional Index (TFI) was used to assess tinnitus severity. Hearing thresholds for air and bone conduction were established using clinical pure-tone audiometry in a soundproof cabin. Results Based on the medical interview, tinnitus was the first symptom of otosclerosis in 35% of the participants and 65% of all patients with otosclerosis experienced clinically significant, chronic tinnitus before stapes surgery. For 59% of patients, tinnitus was a significant or severe problem. The degree of hearing loss seemed to be marginally related to the severity of tinnitus reported by the patient. Conclusions Tinnitus is a common complaint among patients with otosclerosis, being a significant or severe problem for more than half of them. For this reason, it is worth considering in the future the implementation of standardized questionnaires for the assessment of tinnitus severity as a routine procedure in the diagnostic process of patients with otosclerosis, as well as in the postoperative period, which will be the next stage of our study.

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Living with otosclerosis: disease-specific health-related quality-of-life measurement in patients undergoing stapes surgery

Cited by 29 publications

References 26 publications

Revision Stapes Surgery in a Tertiary Referral Center: Surgical and Audiometric Outcomes

Revision Stapes Surgery in a Tertiary Referral Center: Surgical and Audiometric Outcomes

Diagnostik und operative Therapie der Otosklerose

Prevalence and severity of tinnitus in Polish otosclerosis patients qualified for stapes surgery

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