Predictors of Listening Capabilities and Patient Satisfaction After Stapes Surgery in Otosclerosis

Hazenberg, Anda; Minovi, Amir; Dazert, Stefan; Hoppe, Florian

doi:10.1097/mao.0b013e31827e5fa6

Cited by 12 publications

(11 citation statements)

References 19 publications

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“…The majority of our study patients (218/239, 91.2 %) reported being right handed, a finding in agreement with the studies on hand preferences in different populations [18][19][20][21]28]. Our findings on female prevalence among the patients with otosclerosis, mean age at presentation for stapes surgery and gender differences in handedness were consistent with those in the literature [2,3,[8][9][10][11][28][29][30][31].…”

Section: Discussionsupporting

confidence: 95%

“…It was found in normal listeners that the right ear (RE) is superior in dichotic listening, monaural speech stimuli, syntax structure, phoneme discrimination, and consonant-vowel recognition [4][5][6][7], whereas,the left ear (LE) is supposed to be superior in nonverbal sound presentation, brief melody listening, and intonation discrimination [4][5][6]. Bilateral otosclerosis (BO) has been reported in 38.9-90 % patients [8][9][10][11][12][13]. The RE advantage in righthanded individuals and the LE advantage in left-handed ones were demonstrated in individuals with a normal hearing and in a population with hearing impairment [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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In search of correlation between hand preference and laterality of hearing impairment in patients with otosclerosis

Migirov

Wolf

2014

Eur Arch Otorhinolaryngol

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The aim of this study was to investigate a possible correlation between handedness and laterality of hearing impairment due to otosclerosis. All patients operated for otosclerosis between August 2008 and February 2014 were queried about their handedness. The study group consisted of 218 right-handed and 21 left-handed (8.9%) patients [139 female (58.2%) and 100 male] with an age range of 18-75 years (mean 46.1 years). One-hundred and fifty-seven patients had a bilateral otosclerosis (BO) and 82 (34.3%) had a unilateral otosclerosis (UO). There were 11 left-handed male and 10 left-handed female (11% vs. 7.2 %, p = 0.305). In patients with UO, the left ear (LE) was affected in 6/11 (58.3%) left handed ones, and the right ear (RE) in 41/71 (57.7%) right handed ones (p = 0.842). In patients with BO, the LE was more affected in the left-handed ones, and the RE in the right-handed ones (7/10, 70% and 87/147, 59.2 %, respectively, p = 0.5). Overall, 13/21 (61.9%) left-handed patients presented with only/mostly left-sided otosclerosis, while 128/218 (58.7%) right-handed patients presented with only/mostly right-sided otosclerosis (p = 0.584). Clinical relevance of presented findings is unclear yet nevertheless current study may contribute one more element in the multifactorial process of otosclerosis-related hearing loss.

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Section: Discussionsupporting

confidence: 95%

Section: Introductionmentioning

confidence: 99%

In search of correlation between hand preference and laterality of hearing impairment in patients with otosclerosis

Migirov

Wolf

2014

Eur Arch Otorhinolaryngol

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“…The ABG closure was calculated using the four-tone average for pre- and post-operative air conduction and bone conduction thresholds in 86.3 per cent of the papers; 4 , 6 , 7 , 14 – 21 , 23 – 53 , 55 , 59 , 62 however, 3 kHz was only used in 45.1 per cent of these calculations 6 , 7 , 15 , 16 , 20 , 21 , 24 , 28 , 32 – 34 , 38 , 40 – 44 , 47 , 51 , 53 , 55 , 57 , 59 . The remaining papers either substituted 3 kHz with 4 kHz (in 79.2 of papers), or averaged 2 kHz and 4 kHz (in 16.7 per cent).…”

Section: Discussionmentioning

confidence: 99%

Reporting in stapes surgery: are we following the guidelines?

Watson

Cruz

2018

J. Laryngol. Otol.

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“…In these cases, the use of a self-reported questionnaire was intended to obtain the missing information about the effectiveness of stapes surgery. Looking at research groups in the studies analysed earlier, we note that not all patients gave postoperative observations, in particular long-term ones (1,5,15,18).…”

Section: Limitations Of the Study And Future Directionsmentioning

confidence: 97%

“…Self-reported tools can provide unique insights into the consequences of hearing loss which are unobtainable using conventional objective clinical assessments (14). Although there are a few scientific reports from medical centers around the world which have been published on hearing change after stapes surgery from the patient's point of view, to the best of our knowledge the results of similar prospective studies conducted among Polish patients have not so far been reported (9,10,(15)(16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

Stapes Surgery for Otosclerosis: Audiometric and Self-Reported Hearing Outcomes

Skarżyńśki¹,

Dziendziel²,

Świerniak³

et al. 2019

J Hear Sci

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Background. Stapes surgery is widely used to treat otosclerosis and its effectiveness is reported in audiometric terms -closure of the preoperative air-bone gap and improvement in air conduction thresholds. The objective of our study was to measure audiometric and self-assessed hearing changes in otosclerosis patients after stapes surgery. A secondary objective was to gauge the relationship between self-reported hearing and audiometric hearing thresholds.Materials and Methods. This prospective study included 236 patients with otosclerosis who underwent primary stapedotomy. The Abbreviated Profile of Hearing Aid Benefit questionnaire (APHAB) was used to measure subjective hearing before surgery and 6 months postoperatively. Pure-tone audiometry was also conducted at the same observation periods.Results. The air-and bone-conduction thresholds, as well as the air-bone gap, confirmed that there was a significant improvement in hearing. The difference between the pre-and postoperative APHAB Total score was 26.7 points and was statistically significant (p < 0.001). A weak correlation was found between the pre-and postoperative change of APHAB Total score and air conduction thresholds (rho = 0.23; p < 0.01) as well as between the change in the APHAB Total score and the size of the air-bone gap (rho = 0.19; p < 0.05). Conclusion.The results of the audiometric tests demonstrate the effectiveness of stapedotomy in improving the hearing of the majority of patients. However, audiometric results give limited information about the status of the patient's hearing. The patient's subjective perspective, together with the audiometric data, provide valuable information that can be helpful in clinical decision-making and counselling.

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Predictors of Listening Capabilities and Patient Satisfaction After Stapes Surgery in Otosclerosis

Abstract: Uncomplicated stapes surgery itself is the only predictor of improvement in listening capabilities and patient satisfaction 6 months after stapes surgery in otosclerosis.

Cited by 12 publications

References 19 publications

In search of correlation between hand preference and laterality of hearing impairment in patients with otosclerosis

In search of correlation between hand preference and laterality of hearing impairment in patients with otosclerosis

Reporting in stapes surgery: are we following the guidelines?

Stapes Surgery for Otosclerosis: Audiometric and Self-Reported Hearing Outcomes

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