Reoperacje w otosklerozie

Gierek, T; Klimczak-Gołab, Lucyna; Witkowska, Małgorzata; Majzel, K; Zbrowska-Bielska, Danuta; Paluch, Jarosław; Ślaska-Kaspera, Aleksandra

doi:10.1016/s0030-6657(09)70062-9

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…An incorrect prosthetic length in the first surgery affected 5.8% of all patients subjected to revision surgery. 18 Albera et al described patients with late vertigo after stapes surgery, ranging from 1 month to 7 years after the surgery. During repeat stapedotomy, they found symptoms of perilymph exudation in the oval window of 3 patients, and an additional seal made using fibrin glue resulted in the disappearance of vertigo in all patients.…”

Section: Discussionmentioning

confidence: 99%

Association Between Postoperative Vertigo and Hearing Outcomes After Stapes Surgery for Otosclerosis

Job

Wiatr

2021

Ear Nose Throat J

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Objective: During the postoperative period, most patients with otosclerosis report vertigo and/or nausea caused by interventions within the inner ear. The aim of this study was to evaluate both early and late vertigo associated with hearing improvement after stapes surgery for otosclerosis. Methods: The analysis included 170 patients admitted to the hospital undergoing their first surgery for otosclerosis. Audiological diagnostics, surgical techniques, and symptoms reported by the patients were all analyzed. Results: A statistical correlation and an unfavorable influence of late, undesired symptoms, such as vertigo, nausea/vomiting, and nystagmus, on final hearing improvement after surgical treatment of otosclerosis were found. Prostheses that were too long or placed too deep within the inner ear space were the most frequent cause of both vertigo and lack of hearing improvement observed after stapedotomy. Conclusions: A significant negative influence on bone conduction thresholds, particularly at 2000 Hz, was associated with vestibular symptoms persisting for 7 days after the surgery. Symptoms of impaired bony labyrinth function after stapedotomy, persisting for more than 1 year, were associated with insufficient reduction of the air–bone gap and worse improvement in bone conduction thresholds at 1000 and 2000 Hz. The cause of both problems was related to a prosthesis that was too long or placed too deep in the inner ear during stapedotomy.

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Section: Discussionmentioning

confidence: 99%

Association Between Postoperative Vertigo and Hearing Outcomes After Stapes Surgery for Otosclerosis

Job

Wiatr

2021

Ear Nose Throat J

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“…Cases have also been reported in the mucous membrane of the oral cavity, throat, nose, larynx, trachea, sinuses, and lacrimal gland. Instances of pleomorphic adenomas occurring outside the salivary glands are considered atypical [2,3,8]. In the upper respiratory tract, the nasal cavity is the most privileged site for their occurrence [8].…”

Section: Introductionmentioning

confidence: 99%

“…Microscopically, three main elements are observed: epithelial, myoepithelial, and mesenchymal, characteristic of a mixed tumor. The epithelial component consists of columnar and cuboidal cells, which, along with epithelial-muscular cells, form tubular, tubular-like, and solid field structures.. A mixed tumor located in the nasal cavity is initially asymptomatic, but it can later lead to progressive nasal obstruction, bleeding, pain, the presence of mucous or mucopurulent discharge, and as the tumor grows, deformities in the external nose and disturbances in smell [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Pleomorphic adenoma of the nasal cavity in a 21 – year – old patient – case report

Pomianek,

Ziajor,

Bednarski

et al. 2024

J Educ Health Sport

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Introduction and aim: Adenoma pleomorphum (multiform adenoma) is the most popular bening tumor, that originates from the salivary glands. Neoplasm develops mainly from large salivary glands and its occurrence in the nasal cavity is rare and falls mainly in the 3-6 decade of life. Only 1% of all pleomorphic adenomas develop in the nasal and sinus cavities. Despite being a benign tumor, malignant transformation can occur in 2-10% of cases. Description of the case: We report a case of a 21-year-old female ethnically Polish patient with nasal multiform adenoma with initial diagnosis, which indicated a polyp. The final diagnosis was based on the histopathological examination of the resected lesion. The tumor was removed by an endoscopic method with no tissue margins, which may increase the risk of recurrence. Conclusions: Our case demonstrates that despite pleomorphic adenomas typically occurs in the 3rd to 6th decade of life, clinical symptoms are nondistinctive with a polyp and nasal cavity is a very rare location there should be always be increased vigilance leading to choosing best diagnostic measures to form right diagnosis.

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“…6,7 Thus associated with increased failure rate in high-risk cases. 8,9 Cartilage being a brady trophic tissue allows steady and functionally reliable reconstruction of the ear drum. Due to its low metabolic rate, minimal inflammatory reaction and resistance against pressure variations, it has widely gained popularity in re-perforation and retraction cases, especially in the presence of continuous Eustachian tube dysfunction.…”

Section: Introductionmentioning

confidence: 99%

A comparative evaluation of graft uptake and audiological results of temporalis fascia graft vs reinforced sliced tragal cartilage in type 1 tympanoplasty

Swuro,

Aggarwal,

Bhagat

et al. 2023

Int J Otorhinolaryngol Head Neck Surg

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Background: Numerous grafting materials have been applied for repair of tympanic membrane (TM) in chronic otitis media patients. This study aimed to compare the anatomical and audiological results of temporalis fascia alone versus reinforced sliced cartilage in type 1 tympanoplasty. Methods: A prospective study was conducted on 50 patients of age group 15-55 years. Patients were randomly divided into two groups, each group having 25 patients. In group I patients under went type I tympanoplasty with temporalis muscle fascia alone and group II patients with sliced tragal cartilage reinforced to temporalis fascia. Post operatively all patients were followed on 30th, 60th and 90th day. In the last follow up, assessment of graft uptake was done and pure-tone audiometry was performed to evaluate air-bone gap closure. The data so obtained were collected and analysed using appropriate statistical tests. Results: Overall graft uptake rate in group I (TF alone) was 84%, whereas in group II (TF+ reinforced sliced cartilage) was 92% (p=0.5). The mean post op ABG improved to 16.17±6.26 dB and 16.56±5.25 dB respectively in group I and II. There was significant hearing improvement in each group but no statistical significant difference was observed in post-op ABG between the two groups. Conclusions: Reinforced sliced tragal cartilage technique is a good alternative to temporalis fascia alone in terms of graft uptake and prevention of disease recurrence, especially for large and subtotal perforations but additive effect of cartilage slicing in hearing gain still remains little controversial.

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Reoperacje w otosklerozie

Cited by 3 publications

References 5 publications

Association Between Postoperative Vertigo and Hearing Outcomes After Stapes Surgery for Otosclerosis

Association Between Postoperative Vertigo and Hearing Outcomes After Stapes Surgery for Otosclerosis

Pleomorphic adenoma of the nasal cavity in a 21 – year – old patient – case report

A comparative evaluation of graft uptake and audiological results of temporalis fascia graft vs reinforced sliced tragal cartilage in type 1 tympanoplasty

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