Differences in Postoperative Hearing Outcomes and Vertigo in Patients with Otosclerosis Treated with Laser-Assisted Stapedotomy versus Stapedectomy

ORL; Journal for Oto-rhino-laryngology and Its Related Specialties
Takashi SakamotoTatsuya Yamasoba

Abstract

Otosclerosis is an abnormal bone growth in the otic capsule that can result in hearing loss. In this study, we compared postoperative hearing outcomes and vestibular symptoms between patients treated with laser-assisted stapedotomy versus stapedectomy. The medical charts of 99 ears treated with stapes surgery were retrospectively reviewed. A stapedotomy, partial stapedectomy, or total stapedectomy was conducted in 77, 16, and 56 ears, respectively. The ears treated with partial- and total stapedectomies were unified into one stapedectomy group. The postoperative changes in the air-bone gap after stapedotomies were significantly larger than those after stapedectomies at 1, 2, and 4 kHz. The postoperative changes in the air conduction threshold after stapedotomies were significantly larger than those after stapedectomies at 1, 2, 4, and 8 kHz. The postoperative changes in the bone conduction threshold at 0.5, 1, 2, and 4 kHz did not differ between the groups. The postoperative vertigo duration after stapedotomies was significantly shorter than that after stapedectomies. Surgery-induced sensorineural hearing losses were similar for stapedotomies and stapedectomies. However, stapedotomies were more effective and atraumatic than sta...Continue Reading

Citations

Jun 19, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Inge WegnerHenricus G X M Thomeer
Feb 13, 2018·Journal of the Chinese Medical Association : JCMA·An-Suey ShiaoChia-Huei Chu
May 28, 2019·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·N QuarantaB Sergi
May 21, 2019·The Laryngoscope·Nina PauliYlva Dahlin-Redfors
Jun 29, 2021·Ear, Nose, & Throat Journal·Katarzyna JobMaciej Wiatr

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