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Hearing loss associated with maxillectomy.

N C Hyde1, B M Bailey

  • 1The Maxillofacial Unit, University College Hospital, London, UK.

The British Journal of Oral & Maxillofacial Surgery
|August 2, 2000
PubMed
Summary
This summary is machine-generated.

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See all related articles

Maxillary surgery can cause hearing loss. Soft palate resection often leads to auditory tube dysfunction and conductive hearing loss, while radiotherapy can cause sensorineural hearing loss.

Area of Science:

  • Otolaryngology
  • Oncology
  • Audiology

Background:

  • Maxillary neoplasms require ablative surgery, but effects on auditory tube function are poorly understood.
  • Soft palate surgery can impair auditory tube opening, leading to middle ear effusion and conductive hearing loss.
  • Adjuvant radiotherapy for maxillary tumors may result in sensorineural hearing loss.

Purpose of the Study:

  • To assess hearing status in patients post-maxillary surgery for neoplastic disease.
  • To evaluate the impact of soft palate resection and radiotherapy on auditory function.

Main Methods:

  • Retrospective study of 38 patients treated between 1987 and 1997.
  • Audiological assessment including tympanometry and pure tone audiometry.
  • Analysis of surgical site, lesion size, treatment, and histology.

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Main Results:

  • 11 of 17 patients with soft palate resection showed an air-bone gap > 10 dB.
  • All 17 patients with soft palate resection exhibited auditory tube insufficiency on tympanometry.
  • 7 of 9 patients receiving radiotherapy had significant sensorineural hearing loss.

Conclusions:

  • Conductive hearing loss after maxillary surgery is site-dependent.
  • Tympanometry is a sensitive indicator of middle ear function.
  • Audiological evaluation is crucial before and after maxillary surgery, especially with radiotherapy.