Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Preoperative hearing predicts postoperative hearing

B W Blakley1, S Kim, M VanCamp

  • 1Department of Otolaryngology and the Center for Health Care Effectiveness Research, Wayne State University, Detroit, Michigan, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|December 16, 1998
PubMed
Summary

Hearing outcomes after tympanoplasty-mastoidectomy depend more on the disease process than anatomy. Preoperative hearing predicts postoperative hearing, regardless of surgical anatomy, impacting patient counseling and literature interpretation.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Hearing loss in the elderly: an overview.

Canadian family physician Medecin de famille canadien·2011
Same author

Otology's past, present, and future.

The Journal of otolaryngology·2002
Same author

Acoustic basis of tuning fork tests.

The Journal of otolaryngology·2002
Same author

The meaning of the word "vertigo".

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2001
Same author

Local vestibular blood flow and systemic vascular responses to natural vestibular stimulation in the Mongolian gerbil.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2001
Same author

Update on intratympanic gentamicin for Meniere's disease.

The Laryngoscope·2000

Area of Science:

  • Otolaryngology
  • Audiology
  • Surgical Outcomes

Background:

  • Optimal hearing is a primary goal of otologic surgery, particularly tympanoplasty-mastoidectomy.
  • Current understanding presumes postoperative hearing is determined by remaining ear anatomy.
  • The influence of the underlying disease process on hearing outcomes is often underestimated.

Purpose of the Study:

  • To assess the impact of the disease process on hearing thresholds after tympanoplasty-mastoidectomy.
  • To investigate the relationship between preoperative and postoperative hearing in patients undergoing tympanoplasty without ossicular reconstruction.
  • To challenge the presumption that anatomy solely dictates hearing outcomes.

Main Methods:

  • Retrospective analysis of 124 patients undergoing tympanoplasty-mastoidectomy without prosthetic or bone ossicular reconstruction.

Related Experiment Videos

  • Evaluation of the correlation between preoperative and postoperative hearing thresholds.
  • Analysis stratified by different tympanoplasty anatomies and considering both air-bone gap and speech-reception threshold.

    • Main Results:

    • Poor preoperative hearing was significantly associated with poor postoperative hearing.
    • This association persisted irrespective of the specific tympanoplasty anatomy.
    • The disease process itself demonstrated a notable impact on hearing outcomes, independent of anatomical factors.

    Conclusions:

    • The extent of the disease process, not just remaining anatomy, significantly influences hearing outcomes after tympanoplasty-mastoidectomy.
    • Preoperative hearing status is a strong predictor of postoperative hearing.
    • These findings necessitate consideration in preoperative patient counseling and the interpretation of otologic surgical literature.