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Surgical treatment of otosclerosis in elderly patients
Denis Ayache1, Alain Corre, Sandrine Van Prooyen
1Department of Otolaryngology, Fondation Adolphe de Rothschild, Paris, France. dayache@fo-rothschild.fr
Objective:
The aim of this study was to analyze hearing results of stapes surgery in otosclerotic patients older than 65 years.
Study Design:
Among 473 primary stapedectomies, 16 were performed in patients over 65 years old and were retrospectively reviewed. Hearing results were compared with those of a randomly selected group of 16 patients younger than 65 years old.
Results:
Improvement in hearing (closure of the air-bone gap to <20 dB) was achieved in all of the cases, and closure of the air-bone gap to less than 10 dB occurred in 87.5% at 1 month and in 81.8% at the last evaluation (mean follow-up, 19.5 months). Hearing results were similar in elderly and younger patients.
Conclusion And Significance:
Stapes surgery is an effective procedure in elderly patients with otosclerosis to avoid hearing aid use or to facilitate hearing aid fitting.
