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Published on: March 5, 2022
Simultaneous bilateral stapes surgery.
Juuso Kujala1, Heikki Aalto, Hans Ramsay
1Department of Otorhinolaryngology, Seinäjoki Central Hospital, Seinäjoki, Finland. juuso.kujala@pp.inet.fi
Acta Oto-Laryngologica
|March 28, 2008
Summary
Simultaneous bilateral stapes surgery safely improved hearing and quality of life in selected patients with bilateral otosclerosis. This procedure offers good subjective and objective hearing gains, comparable to unilateral surgery.
Area of Science:
- Otolaryngology
- Neurosurgery
- Audiology
Background:
- Otosclerosis frequently affects both ears, necessitating bilateral treatment strategies.
- Evaluating simultaneous bilateral stapes surgery is crucial for managing bilateral conductive hearing loss.
Purpose of the Study:
- To assess the safety and efficacy of simultaneous bilateral stapes surgery.
- To evaluate hearing improvement, vestibular function, and quality of life after the procedure.
Main Methods:
- Prospective study of 18 patients with bilateral otosclerosis or osteogenesis imperfecta.
- Postoperative assessment included audiometry, visual feedback posturography (VFP), and patient questionnaires.
- Follow-up duration was 1 year, evaluating hearing gain, vestibular symptoms, and quality of life.
Main Results:
- Significant hearing improvement: mean pure-tone average air conduction improved by 18 dB.
- Air-bone gap reduced from 22 dB to 7 dB bilaterally.
- Quality of life scores improved significantly (p<0.001), with mild, temporary vestibular symptoms.
Conclusions:
- Simultaneous bilateral stapes surgery is a safe and effective option for selected patients.
- The procedure yields good subjective and objective hearing improvement.
- Enhanced quality of life was observed post-surgery, similar to unilateral procedures.
