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Surgical options for advanced otosclerosis
Stefano Berrettini1, Francesco Lazzerini1, Luca Bruschini1
1Otolaryngology, Audiology, and Phoniatrics Unit, University of Pisa, Pisa, Italy.
Summary
Cochlear implants (CI) offer comparable speech perception outcomes to stapes surgery for advanced otosclerosis (AO). This study found similar success rates and complication profiles, supporting personalized treatment decisions for AO patients.
Area of Science:
- Otolaryngology
- Audiology
- Neurosurgery
Background:
- Advanced otosclerosis (AO) management has expanded with cochlear implant (CI) options alongside traditional stapes surgery.
- Current treatment guidelines for AO lack standardization, despite comparable success rates for both surgical approaches.
Purpose of the Study:
- To evaluate the outcomes and complications of cochlear implantation (CI) in patients with advanced otosclerosis (AO).
- To provide a comprehensive literature review on surgical management options for AO.
Main Methods:
- A cohort of 31 adult patients with AO underwent cochlear implantation (CI).
- Outcomes and complications were compared against a control group with sensorineural hearing loss from other causes.
Main Results:
- Both AO and control groups demonstrated similar, satisfactory improvements in speech perception in quiet and noisy environments post-CI.
- The complication rate in the AO group was 15%, aligning with existing literature.
Conclusions:
- Cochlear implantation (CI) is a viable treatment for advanced otosclerosis (AO), yielding comparable results to stapes surgery.
- Treatment decisions for AO should be individualized, weighing patient-specific factors, risks, and benefits of stapes surgery versus CI.
