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Otosclerosis: Experience With Stapes Surgery.

Muhammad Shaheryar Ahmed Rajput1,2,3, Asif Ali Arain4, Arsalan A Rajput5

  • 1Otolaryngology, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.

Cureus
|June 6, 2020
PubMed
Summary

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Stapes surgery for otosclerosis significantly improves hearing outcomes, reducing the air-bone gap and speech reception threshold. This study shows excellent success rates, comparable to existing literature, for patients undergoing otosclerosis treatment.

Area of Science:

  • Otolaryngology
  • Audiology
  • Surgical Outcomes

Background:

  • Otosclerosis is a bone disorder affecting the stapes footplate, impeding sound transmission.
  • Stapes surgery aims to restore normal sound conduction and reduce hearing aid dependency.

Purpose of the Study:

  • To review surgical outcomes for otosclerosis patients at Aga Khan University Hospital.
  • To determine the success rate of stapedotomy based on hearing outcomes.

Main Methods:

  • Retrospective review of 46 otosclerosis patients operated between 2000-2010.
  • Analysis of pre- and post-operative Speech Reception Threshold (SRT) and Air-Bone Gap (AB-gap).
  • Statistical comparison using t-tests and descriptive frequencies (SPSS software).
Keywords:
hearing lossotosclerosisstapedectomystapedotomystapes

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Main Results:

  • Mean AB-gap reduced from 39 dB to 11 dB (p<0.05).
  • Mean SRT improved from 56.25 dB to 24.27 dB (p<0.05).
  • Postoperative AB-gap ≤10 dB achieved in 70.8% of ears.

Conclusions:

  • Stapedotomy demonstrates excellent success rates for otosclerosis, aligning with current literature.
  • Significant hearing improvement observed, reducing the need for hearing aids.
  • Wider initial AB-gaps may indicate delayed diagnosis and presentation.