Present Problems in the Surgery of Otosclerosis

Causse, J

doi:10.1017/s0022215100063702

Cited by 19 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It was not possible to determine the cause of necrosis in all cases. The role of extensive periosteal demucosation (Causse, 1965), anaemic ischaemic atrophy (Farrior, 1962) and septic necrosis (Alberti and Dawes, 1961) could not be quantified. It is often possible to position another piston higher up the long process, but if this cannot be done, then a malleolabyrinthopexy or a prosthesis with temporalis facia wrapped round the lower end of the incus and support by the chorda tympani for the Teflon head is usually adequte to provide a hearing improvement.…”

Section: Comparison Of Results Of Revision and Primary Stapes Surgerymentioning

confidence: 99%

Revision stapes surgery

Bhardwaj¹,

Kacker²

1988

J. Laryngol. Otol.

View full text Add to dashboard Cite

SummaryThe records of 120 patients who had undergone revision stapedectomy were analyzed to determine: (i) the causes of failure; (ii) how to prevent failure by taking precautions during primary surgery; (iii) hearing results; and (iv) possible identifying factors which might pinpoint those patients with a high risk of sensorineural deafness.A review of these cases demonstrates that the results of revision stapedectomy are different from those of primary stapedectomy. The commonest cause of failure was prosthetic dislocation (30.8 per cent), followed by fibrous adhesions (18.3 per cent) and otosclerotic regrowth (14.1 per cent). First revision operations resulted in post-operative bone-air gaps of 15 dB. or less in 46.5 per cent of cases, much better than 25 per cent for second revisions. Primary stapedectomy resulted in successful closure of the air-bone gap to 15 dB. or less in 89.5 per cent of cases.The sensorineural loss occurred in 11.3 per cent or first revisions and in 16.6 per cent of second revisions, as compared to 1.3 per cent after primary surgery. “Dead ears” were encountered in 2.2 per cent of first revisions, as compared to nil in the primary group.

show abstract

Section: Comparison Of Results Of Revision and Primary Stapes Surgerymentioning

confidence: 99%

Revision stapes surgery

Bhardwaj¹,

Kacker²

1988

J. Laryngol. Otol.

View full text Add to dashboard Cite

show abstract

“…Causse et al, in their several studies, have shown that vein grafting of the oval window helps to create an effective continuation of the sound conduction system, including a reduced risk of fistulas and of intracochlear damage. 13 14 15 It was also observed that the application of a vein graft in otosclerosis surgery is an ideal method to perform a stapedotomy, which leads to better postoperative hearing outcomes in terms of the postoperative ABG. 16 Bittermann et al studied the hearing outcome of patients who underwent primary stapedotomy surgery without a vein graft ( n = 939) with that of those who underwent primary stapedotomy surgery with a vein graft ( n = 3691).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Short-Term Hearing Outcome in Stapedotomy Using either Vein or Fat (Adipose Tissue) as Sealing Material

Velusamy

Kavithadevi

Hameed

et al. 2023

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction Otosclerosis is a common cause of conductive hearing loss in the adult population that is caused by fixation of the stapes footplate. Cochlear otosclerosis may also present with sensorineural or mixed hearing loss. Surgery is the definitive treatment of choice and, during the procedure, sealing of the oval window with autologous tissue graft around the stapes prosthesis has been routinely done to improve hearing outcome and to mitigate postoperative complications. Objective To evaluate the efficacy of two different types of autologous tissue (vein or fat) grafts as oval window sealing materials in stapedotomy in improving short-term hearing outcomes. Methods In our study, 70 patients with otosclerosis who underwent primary stapedotomy were included. They were divided into group 1 (vein graft) and group 2 (fat graft) based on the type of sealing material used. All patients were followed-up at the end of 3 months, undergoing an audiometric examination to assess the hearing outcome. Results A total of 80% (n = 28) of the patients in group1 had an air-bone gap (ABG) closure < 10dB, and, in group 2, 85.7% had an ABG closure < 10 dB; this difference was found to be statistically insignificant. A total of 42.9% (n = 15) of the patients in group 1 and of 31.4% (n = 11) in group 2 had a significant improvement in bone conduction, while 14.3% (n = 5) of the patients in group 1 and 17.1% (n = 6) in group 2 had worsening of average bone conduction postoperatively, which was found to be statistically insignificant. Conclusion Both vein and fat grafts had comparable effects on hearing outcomes when used as sealing materials in stapedotomy.

show abstract

“…stapedectomy or more recently stapeclotomy, involves direct contact and subsequently movement of the stapes footplate and consequently of the inner ear fluids. It is a well documented fact that excess instrumentation in the area is fraught with danger and complications especially in the hands of the occasional or inexperienced stapes surgeon is common (1). The use of lasers in Stapes surgery has emerged as the best technique as it minimizes the movement and gives excellent results in the hand of the experienced and inexperienced alike.…”

mentioning

confidence: 99%

CO2 Laser Stapedotomy-Our Experience-A Preliminary Report

Ramalingarm

Ramalingam

1998

IJO & HNS

View full text Add to dashboard Cite

Laser Stapedotomy is now the routine surgical procedure performed for otosclerosis in numerous centres in the world. The authors describe their preliminary experiences with the use of the CO2 laser for stapedotomy. 10 patients operated in a period of 3 months in 1996 have been included in this study. The surgical technique is simple and easy to perform. Preliminary results seem to indicate lesser post op morbidity, and better hearing results in these patients as compared to those cases operated by conventional techniques.

show abstract

Present Problems in the Surgery of Otosclerosis

Cited by 19 publications

References 14 publications

Revision stapes surgery

Revision stapes surgery

Comparison of Short-Term Hearing Outcome in Stapedotomy Using either Vein or Fat (Adipose Tissue) as Sealing Material

CO2 Laser Stapedotomy-Our Experience-A Preliminary Report

Contact Info

Product

Resources

About