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Surgery in elderly patients with otosclerosis
1Department of Otolaryngology, University of Kuopio, Finland.
The American Journal of Otology
|July 1, 1995
Summary
Elderly patients over 60 with otosclerosis experience comparable hearing outcomes and surgical complication rates after stapedectomy to younger patients. Stapes surgery is recommended for older individuals with the same indications.
Area of Science:
- Otolaryngology
- Otopathology
- Surgical Innovation
Background:
- Otosclerosis affects hearing, often requiring surgical intervention.
- Stapes surgery is a common treatment for otosclerosis.
Purpose of the Study:
- To evaluate hearing outcomes and surgical complications of stapedectomy in elderly patients (over 60).
- To compare results in elderly patients with those in younger patients.
Main Methods:
- A retrospective study of 42 patients over 60 and 275 patients under 60 undergoing stapedectomy.
- Large fenestra stapedectomy with fascia seal was performed on all patients.
- Hearing results were assessed using postoperative air-bone gaps.
- Follow-up averaged 8 years.
Main Results:
- Hearing results were similar between the elderly and younger patient groups.
- Postoperative sensorineural hearing loss complications were not more frequent in the elderly.
- No significant difference in surgical complication rates was observed between age groups.
Conclusions:
- Stapedectomy is a safe and effective procedure for elderly patients with otosclerosis.
- Elderly patients should be considered for stapes surgery with the same indications as younger patients.