Stapedectomy in Patients With Small Air‐Bone Gaps

Abstract

Controversy exists concerning stapedectomy for patients with small air-bone gaps. The purpose of this study was to examine the results for patients who had a stapedectomy to correct a small (10 dB or less) air-bone gap. One hundred fifty-four patients with suspected otosclerosis were explored and a stapedectomy was performed in 136 (88.3%) of these cases. The mean pure-tone average (PTA) improved 16.7 dB and overdosed the preoperative bone conduction PTA by 8.1 dB. The majority of the stapedectomy patients (89.7%) had a PTA closure greater than or equal to 0 dB. These results showed that stapedectomy can be an effective procedure for eliminating and overdosing even small air-bone gaps due to otosclerosis.

Audiometric Results after Stapedotomy Operations in Patients with Otosclerosis and Preoperative Small Air-Bone Gaps

“…It is clear that the laser allows for a more gentle surgery than other mechanical techniques. Furthermore, our data are consistent with the observations reported by Lippy et al [1997] in a retrospective study of 136 patients who underwent a stapedectomy to correct an sABG (10 dB or less). The majority of patients (89.7%) had a puretone average closure greater than or equal to 0 dB.…”

Long-Term Hearing Outcomes following Stapedotomy in Patients with Otosclerosis and Preoperative Small Air-Bone Gap

“…The current literature on the impact of the preoperative ABG gap at the time of surgery is limited [Lippy et al, 1997;Salmon et al, 2015], and to the best of our knowledge, this is the first study reporting long-term hearing results after stapedotomy in patients with otosclerosis and small ABGs. Performing or delaying stapes surgery remains a controversial topic involving 3 issues: incidence of complications, effectiveness in improving hearing, and stability of long-term results in hearing improvement.…”

“…ABGs within the range of 10-25 dB are considered small ABGs [Wiet et al, 1986;Lippy et al, 1997;Salvinelli et al, 2003;Salmon et al, 2015]. It has been suggested that surgery performed in patients with otosclerosis and preoperative small ABGs could result in better postoperative hearing outcomes [Hüttenbrink, 2003;Marx et al, 2011] and improved quality of life [Subramaniam et al, 2006].…”

“…It has been suggested that surgery performed in patients with otosclerosis and preoperative small ABGs could result in better postoperative hearing outcomes [Hüttenbrink, 2003;Marx et al, 2011] and improved quality of life [Subramaniam et al, 2006]. Lippy et al [1997] and, more recently, Salmon et al [2015] reported encouraging early postoperative results, with a low risk of hearing deterioration after stapedotomies performed in patients with preoperative small ABGs. However, postoperative success following stapes procedures should not be based on short-term evaluations of hearing, and no data are available for longer follow-up periods.…”

Evaluación del cambio en el umbral de la vía ósea en pacientes operados de estapedectomía

“…El objetivo de la cirugía de la otosclerosis (estapedectomía/estapedotomía) es conseguir el cierre del umbral diferencial auditivo (UDA) mediante la eliminación de los focos de osificación anómalos en la platina y reinstaurar la correcta transmisión del sonido, con una alta tasa de éxito 10,11 .…”