The effect of stapes mobility on hearing outcome and which procedure to choose in fixed stapes in children tympanosclerosis

Kızılkaya, Zeynep; Emir, Hatice; Ceylan, Kürşat; Göçmen, Hakan; Samim, Erdal

doi:10.1016/j.ijporl.2008.02.014

Cited by 9 publications

(3 citation statements)

References 22 publications

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“…The success rate of the surgical treatment was reported with a rate between 25% and 72%. The success rate 20,21,23,26,27 . In our patients using a staged stapedectomy procedure was 81.8%.…”

Section: Discussionmentioning

confidence: 56%

“…Stapedectomy can be performed as one or two‐staged surgery. In the literature, several authors preferred stapedectomy/stapedotomy rather than mobilization as it is more effective and associated with better long‐standing stable results 22,26,27 . While some authors conclude that both techniques provide similar hearing improvement results 20,23 .…”

Section: Discussionmentioning

confidence: 99%

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Reliability of high‐resolution CT scan in diagnosis of ossicular tympanosclerosis

Larem

Altamimi

Aljariri

et al. 2021

Laryngoscope Investig Oto

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Objectives To evaluate the reliability of high‐resolution CT scans (HRCT scans) in the diagnosis of tympanosclerosis and to determine its benefit to predict the post‐surgical hearing outcome based on comparing radiological and surgical findings. Methods A retrospective study at a tertiary institute included 940 ears that underwent tyampanoplasty for chronic suppurative otitis media (CSOM) between January 2013 and March 2017. Preoperative temporal bone HRCT scans were analyzed to check for the prediction of tympanosclerosis and ossicular fixation. Intraoperatively, ossicular chain integrity was checked. Preoperative and postoperative audiometric evaluations using air‐bone gap (ABG) were compared. A postoperative pure‐tone ABG of 20 dB or less was considered as a successful hearing result. Results are compared with historical control groups, the study has been reviewed and approved by the IRB at the medical research center in Hamad Medical Corporation; however, it is a retrospective study so no informed consent was obtained from the patients. Results The study included 940 ears that underwent tympanoplasties due to CSOM, where 238 out of 940 (25.3%) of ears showed tympanosclerosis during tympanoplasty, intraoperatively, tympanosclerosis was localized to the eardrum in 174 of the 238 involved ears (73.1%), A 64 out of 238 (26.9%) of the ears with tympanosclerosis showed ossicular fixation, divided as 45 ears with Incudo‐malleal fixation, 14 ears with stapes fixation, and 5 ears with triple ossicular fixation. HRCT scan of the temporal bone was suggestive of ossicular chain fixation in 79 cases distributed as 55 incudo‐malleal fixations, 19 stapes fixation, and 5 complete ossicular fixations, with a sensitivity of 96.8%, and specificity of 98%. The audiological results were analyzed, with a patient follow‐up after 6 months. Conclusions Our study showed that CT scans when combined with the clinical findings can be an informative guide to otolaryngologists for preoperative evaluation and counseling of tympanosclerosis surgeries.

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“…The success rate of the surgical treatment was reported with a rate between 25% and 72%. The success rate 20,21,23,26,27 . In our patients using a staged stapedectomy procedure was 81.8%.…”

Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Reliability of high‐resolution CT scan in diagnosis of ossicular tympanosclerosis

Larem

Altamimi

Aljariri

et al. 2021

Laryngoscope Investig Oto

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“…В последнее десятилетие повышение порогов КП по-сле операций на стремени у больных ТСК встречается в 4-10,6% наблюдений и чаще при стапедопластике, чем при мобилизации стремени (14,3% против 8% соответственно) [2,5,7,25]. В то же время негативную реакцию со стороны внутреннего уха у больных ТСК при стапедопластике не отмечали многие авторы при соблюдении этапности, осторожности и тщательном отборе пациентов [2,7,23,24,[26][27][28]. Именно поэтому стапедопластику в условиях ТСК рекомендуют выполнять только через 1 год после успешной тимпанопластики, когда формируется замкнутая барабанная полость, нормальная слизистая оболочка и восстанавливаются функции слуховой трубы [1,2,5,6,17,[29][30][31][32][33].…”

Section: Discussionunclassified

The role of stapedoplasty in the treatment of hearing impairment in the patients presenting with tympanosclerosis

Kryukov

Garov

Zelenkova

et al. 2019

Vestn. otorinolaringol.

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Хирургия стремени при его тимпаносклеротической фиксации остается спорной вследствие высокого риска развития сенсоневральных нарушений и рефиксации протезов из-за незаконченного воспаления и недостаточного кровоснабжения [1-7]. Стапедопластику у больных хроническим гнойным средним отитом (ХГСО) проводят в 0,3% случаев при тимпаносклеротической фиксации стремени и неэффективно-сти его мобилизации, массивном тимпаносклерозе (ТСК) и, как правило, вторым этапом у 89% пациентов после восстановления тимпанальной мембраны [5, 7-9]. Ранее наличие ТСК считали противопоказанием к операции на стремени [10]. Некоторые рекомендуют эту методику только в случаях тяжелой двусторонней кондуктивной тугоухости у больных, отказывающихся от слухового протезирования при сообщении о риске операции [6].

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The effect of stapes fixation on hearing results in tympanosclerosis treated by mobilization

Sakalli

Celikyurt

Guler

et al. 2014

Eur Arch Otorhinolaryngol

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We aimed to investigate the effect of stapes fixation on hearing results in patients who underwent mobilization surgery due to tympanosclerosis (TS). Seventy-nine patients were retrospectively analyzed and divided into two groups. Forty-four (55.7%) patients with mobile stapes were classified as group 1, and 35 (44.3%) patients with fixed stapes were classified as group 2. Improvement of the air-bone gap (ABG) to become less than 20 dB and the pure-tone average (PTA) by at least 10 dB postoperatively were accepted as success criteria. The PTA and ABG levels were significantly improved in both groups. The pre- and post-operative PTAs were 46.57 ± 15.55 and 25.84 ± 15.47 dB, respectively, in group 1 (p = 0.001). The pre- and post-operative PTAs were 55.64 ± 12.69 and 36.20 ± 14.47 dB, respectively, in group 2 (p = 0.001). The pre- and post-operative ABG levels were 35.36 ± 10.53 and 16.91 ± 8.54 dB, respectively, in group 1 (p = 0.001). The pre- and post-operative ABG levels were 41.68 ± 8.78 and 22.20 ± 10.03 dB, respectively, in group 2 (p = 0.001). A gain ≥10-dB in the PTA in groups 1 and 2 was found in 34 (77.2 %) and 23 (65.7%) patients, respectively, and the difference between the groups was not significant (p = 0.684). The post-operative AGB in groups 1 and 2 was less than 20 dB in 32 (72.7%) and 21 (60%) patients, respectively, and the difference between the groups was not significant (p = 0.733). No significant negative effect of stapes fixation on post-operative hearing results in TS was detected. Successful results can be obtained with a mobilization procedure, even if the stapes is fixed.

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The effect of stapes mobility on hearing outcome and which procedure to choose in fixed stapes in children tympanosclerosis

Cited by 9 publications

References 22 publications

Reliability of high‐resolution CT scan in diagnosis of ossicular tympanosclerosis

Reliability of high‐resolution CT scan in diagnosis of ossicular tympanosclerosis

The role of stapedoplasty in the treatment of hearing impairment in the patients presenting with tympanosclerosis

The effect of stapes fixation on hearing results in tympanosclerosis treated by mobilization

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