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Intraoperative Audiometry in Primary Stapes Surgery.

Carla Cantaffa1, Maurizio Negri2, Costanza Galloni1

  • 1Department of Otolaryngology - Head and Neck Surgery, Azienda Ospedaliero Universitaria di Modena, Modena.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|March 25, 2026
PubMed
Summary
This summary is machine-generated.

Intraoperative pure tone audiometry (PTA) accurately predicts postoperative hearing outcomes in stapes surgery. This simple test offers immediate functional assessment for patients undergoing otosclerosis treatment.

Keywords:
AudiometryStapedoplastyStapedotomyStapes surgery

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Area of Science:

  • Otolaryngology
  • Audiology
  • Surgical Innovation

Background:

  • Stapes surgery for otosclerosis aims to restore hearing.
  • Assessing hearing outcomes during surgery is crucial for patient management.
  • Current methods for intraoperative assessment may be limited.

Purpose of the Study:

  • To evaluate the feasibility and predictive value of intraoperative pure tone audiometry (PTA) in primary stapes surgery.
  • To explore the influence of preoperative hearing status (air conduction thresholds and air-bone gap) on surgical outcomes.

Main Methods:

  • Retrospective case series of 28 patients undergoing primary stapes surgery for otosclerosis.
  • Intraoperative and postoperative air conduction (AC) PTA were compared.
  • Correlation analysis assessed the predictive value of intraoperative PTA and the influence of preoperative AC thresholds and air-bone gap (ABG).

Main Results:

  • Significant hearing improvements were observed intraoperatively and postoperatively.
  • A strong positive correlation (r = 0.76) was found between intraoperative and postoperative AC PTA, confirming predictive value.
  • Preoperative air-bone gap, but not AC thresholds, showed an association with outcomes.

Conclusions:

  • Intraoperative AC PTA is a feasible, simple, rapid, and cost-effective method for immediate functional assessment.
  • Intraoperative AC PTA accurately predicts postoperative audiometric outcomes in primary stapedoplasty.
  • Preoperative air-bone gap influences surgical results in stapes surgery.