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Occasional stapes surgery--a Norwegian experience.
1Department of Otorhinolaryngology, Ulleväl Hospital, Oslo, Norway.
The Journal of Laryngology and Otology
|March 1, 1989
Summary
Stapes surgery outcomes are often poorer than expected. Improved patient selection and centralizing surgery could enhance results, with hearing aids offering an alternative for some.
Area of Science:
- Otolaryngology
- Neurosurgery
- Surgical Innovation
Background:
- Stapes surgery, a common procedure for hearing loss, has evolved significantly.
- Historical outcomes and current trends require re-evaluation.
- Patient expectations and surgical results necessitate a review.
Purpose of the Study:
- To review the history and current trends in stapes surgery.
- To present personal experience with 128 stapes procedures over 18 years.
- To assess the efficacy and outcomes of stapes surgery.
Main Methods:
- Retrospective review of stapes surgery history and trends.
- Analysis of a personal series of 128 stapes surgical procedures.
- Evaluation of pre-operative case selection and surgical centralization.
Main Results:
- Stapes surgery results are frequently below surgeon and patient expectations.
- More stringent pre-operative case selection is indicated.
- Centralization of stapes surgery may improve outcomes.
- Hearing amplification is a viable alternative for specific patient groups.
Conclusions:
- Stapes surgery outcomes necessitate careful patient selection.
- Centralizing surgical expertise could lead to better results.
- Hearing aids represent an increasingly acceptable management option for certain patients.