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Clinical predictors for satisfaction with incus vibroplasty: a preliminary study
Jae Joon Han1, Jihye Rhee2, Jae-Jin Song1
1Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, 166 Gumi-Ro, Bundang-Gu, Seongnam-si, Gyeonggi-Do, 13620, Republic of Korea.
Summary
Younger age and better preoperative hearing at 250 Hz predict higher satisfaction after incus vibroplasty. Careful patient selection and surgical technique are crucial for optimal outcomes in sensorineural hearing loss.
Area of Science:
- Otolaryngology
- Audiology
- Surgical Innovation
Background:
- Incus vibroplasty is a surgical technique aimed at improving hearing in patients with sensorineural hearing loss.
- Assessing subjective patient satisfaction is crucial for evaluating the success of auditory interventions.
Purpose of the Study:
- To evaluate subjective patient satisfaction following incus vibroplasty.
- To identify predictive factors influencing patient satisfaction after incus vibroplasty for sensorineural hearing loss.
Main Methods:
- Retrospective review of audiological data from 14 patients who underwent incus vibroplasty.
- Post-operative subjective satisfaction assessed using a numeric rating scale compared to conventional hearing aids.
- Patients categorized into highly satisfied (HS) and less satisfied (LS) groups for comparative analysis.
Main Results:
- Subjective satisfaction scores varied widely (0-10) and were negatively correlated with patient age at operation (p < 0.01).
- The highly satisfied group was significantly younger and had better preoperative air conduction thresholds at 250 Hz compared to the less satisfied group.
- The less satisfied group exhibited a greater post-operative air-bone gap change at 250 Hz.
Conclusions:
- Patient age at operation and preoperative air conduction threshold at 250 Hz are significant predictors of subjective satisfaction with incus vibroplasty.
- Conservative candidate selection and meticulous surgical technique are recommended to maximize patient satisfaction and mitigate potential air-bone gap development.
