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09:20
Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
Published on: March 5, 2022
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Outcomes in paediatric patients undergoing stapedotomy.
David Lehmann1, Ewen Chao1, Robert Saadi2
1Stony Brook University Hospital, New York, USA.
The Journal of Laryngology and Otology
|October 21, 2024
Summary
Paediatric stapedotomy surgery is effective for improving hearing in children. Higher body mass index in children may predict better post-operative hearing outcomes.
Area of Science:
- Otolaryngology
- Pediatric Otology
- Hearing Restoration Surgery
Background:
- Stapes surgery, or stapedotomy, is a common procedure for hearing loss.
- Outcomes in pediatric patients are less documented than in adults.
Purpose of the Study:
- To evaluate the outcomes of stapedotomy in patients under 21 years old.
- To identify factors influencing surgical success in pediatric stapes surgery.
Main Methods:
- Retrospective review of electronic medical records.
- Analysis of patients younger than 21 who underwent stapedotomy between 2013 and 2020.
- Assessment of pre- and post-operative air-bone gap measurements.
Main Results:
- 17 pediatric patients (20 ears) underwent stapedotomy.
- Mean air-bone gap improved from 34.5 dB to 20.6 dB (17 dB average improvement).
- 64% of patients achieved an air-bone gap of 20 dB or less.
- A negative correlation was found between pre-operative BMI and post-operative air-bone gap (p=0.03).
Conclusions:
- Pediatric stapedotomy is a safe and effective procedure for hearing improvement.
- Age did not correlate with hearing improvement.
- Pre-operative body mass index is a significant predictor of post-operative air-bone gap in pediatric patients.
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