Surgical Findings and Long-Term Hearing Results in 3,050 Stapedotomies for Primary Otosclerosis

Abstract

Using a new otologic database, our series confirms that stapedotomy with vein graft interposition for otosclerotic stapes fixation is a safe and successful treatment for long-term hearing improvement. The deterioration in hearing with time after stapedotomy did not exceed the rate of hearing loss because of presbyacusis. Therefore, argon laser stapedotomy with vein graft interposition is our preferred surgical technique in the treatment of otosclerosis. Obliterative otosclerosis and simultaneous malleus ankylosis may be encountered during stapedotomy. Our study shows that reasonable success rates can still be expected in these situations. Stapedotomy results in the elderly and in children are comparable to those obtained in patients of other groups of age undergoing surgery for otosclerosis without an increased risk for complications.

Treatment of Otosclerosis with a Superelastic Nitinol Piston: First Results

“…The technique developed by Shea continues to be valid to the present day; however, the less invasive stapedotomy has its benefits [4]. With this method, micro-drills or various lasers are used to perforate the stapes footplate [5][6][7]. Not only the surgery technique but also the prostheses available to the surgeon have continued to evolve since the Teflon prosthesis developed by Treace.…”

Investigation of the effect of Carhart notch existence on postoperative hearing in otosclerosis surgery

“…Biz de çalışmamızda ameliyat sonrası hava kemik aralığının 20 dB olmasını başarı kriteri olarak kabul ettik. Topdağ ve ark.nın [13] [5] 3050 olguluk çalışmalarında %94, Quaranata ve ark. [14] 2134 olguda %85, Kisilevsky ve ark.…”

“…Bununla birlikte ameliyat nedeniyle %0.5-3 oranlarında işitmeyi tam kaybetme olasılığı bulunmaktadır. [5][6][7] Bu çalışmada Carhart çentiğinin otoskleroz cerrahisinde ameliyat sonrası işitme kazançlarına etkisi olup olmadığını araştırmayı amaçladık. Her iki grupta da ameliyat sonrası 500 Hz'teki hava yolu eşik ortalamaları ameliyat öncesi 500 Hz'deki hava yolu eşik ortalamalarından düşük bulundu ve bu istatistiksel olarak anlamlı idi (p=0.0001).…”

Comparative study between microscopic and endoscopic stapes surgery

“…11 In 2006, Vincent et al performed a prospective study in which the results of 3050 stapedotomies were analyzed over a period of 14 years. 12 The mean preoperative and postoperative airbone gap was 25.6 and 1.7 dB, respectively, and the gap was 10 dB in 94.2% of cases. Therefore, the audiometric results obtained in the present study are consistent with those in the literature.…”