Hearing Outcomes of Stapes Surgery in Children With Stapes Fixation and Ossicular Anomalies

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Byung Chul Kang ◽  
Ja Yoon Ku ◽  
Joong Ho Ahn ◽  
Hong Ju Park ◽  
Jong Woo Chung
Keyword(s):  
Stapes Surgery ◽  
Stapes Fixation ◽  
Hearing Outcomes

Systematic Review and Meta-analysis of Endoscopic vs Microscopic Stapes Surgery for Stapes Fixation

2021 ◽  
pp. 019459982199066
Author(s):  
Sandra Ho ◽  
Prayag Patel ◽  
Daniel Ballard ◽  
Richard Rosenfeld ◽  
Sujana Chandrasekhar
Keyword(s):  
Postoperative Complications ◽  
Meta Analysis ◽  
Stapes Surgery ◽  
Chorda Tympani Nerve ◽  
Stapes Fixation ◽  
Operative Outcomes ◽  
Significant Difference ◽  
The Mean ◽  
Postoperative Vertigo ◽  
Hearing Outcomes

Objective To systematically review the current literature regarding the operative outcomes of stapes surgery for stapes fixation via the endoscopic and microscopic approaches. Data Sources PubMed, Embase, and Web of Science. Review Methods An electronic search was conducted with the keywords “endoscop* or microscop*” and “stapes surgery or stapedectomy or stapedotomy or otosclerosis or stapes fixation.” Studies were included if they compared endoscopy with microscopy for stapes surgery performed for stapes fixation and evaluated hearing outcomes and postoperative complications. Articles focusing on stapes surgery other than for stapes fixation were excluded. Results The database search yielded 1317 studies; 12 remained after dual-investigator screening for quantitative analysis. The mean MINORS score was 18 of 24, indicating a low risk of bias. A meta-analysis demonstrated no statistically significant difference between the groups with regard to operative time, chorda tympani nerve manipulation or sacrifice, or postoperative vertigo. There was a 2.6-dB mean improvement in the change in air-bone gap in favor of endoscopic stapes surgery and a 15.2% increased incidence in postoperative dysgeusia in the microscopic group, but the studies are heterogeneous. Conclusions Endoscopic stapes surgery appears to be a reasonable alternative to microscopic stapes surgery, with similar operative times, complications, and hearing outcomes. Superior visibility with the endoscope was consistently reported in all the studies. Future studies should have standardized methods of reporting visibility, hearing outcomes, and postoperative complications to truly establish if endoscopic stapes surgery is equivalent or superior to microscopic stapes surgery.

Predictors of hearing outcomes after stapes surgery in otosclerosis

2019 ◽  
Vol 139 (12) ◽  
pp. 1058-1062
Author(s):  
Chien-Fu Yeh ◽  
Mao-Che Wang ◽  
Chia-Huei Chu ◽  
An-Suey Shiao
Keyword(s):  
Stapes Surgery ◽  
Hearing Outcomes

A comparison between endoscopic and microscopic approaches for stapes surgery: a systematic review

2020 ◽  
Vol 134 (5) ◽  
pp. 398-403 ◽  
Author(s):  
H F Pauna ◽  
R C Pereira ◽  
R C Monsanto ◽  
M S A Amaral ◽  
M A Hyppolito
Keyword(s):  
Systematic Review ◽  
Surgical Technique ◽  
Web Of Science ◽  
Surgical Techniques ◽  
Stapes Surgery ◽  
Less Invasive Surgery ◽  
Microscopic Approach ◽  
Microscopic Surgery ◽  
Hearing Outcomes ◽  
Microscopic Techniques

AbstractObjectivesTo evaluate the surgical techniques, approaches, audiological outcomes and complications of endoscopic stapes surgery.MethodsSystematic searches of the literature were performed in PubMed, Web of Science and Scopus databases, to identify studies of patients who underwent stapes surgery using endoscopic approaches and studies reporting objective post-operative hearing outcomes. The following information was extracted: surgery duration, complications, surgical technique and audiometric results.ResultsFourteen studies were selected for appraisal, which included a total of 282 ears subjected to endoscopic stapes surgery. Endoscopic stapes surgery seems to provide adequate visualisation of the middle-ear structures, thereby allowing less invasive surgery and potentially equivalent audiological outcomes as compared with a traditional microscopic approach. Other advantages of endoscopic stapes surgery include decreased surgery time, a reduced need for drilling, and auditory results comparable to those of microscopic techniques.ConclusionStudies have shown that endoscopic stapes surgery has similar surgical and functional advantages as compared with microscopic surgery.

Audiological outcome of stapes surgery for far advanced cochlear otosclerosis

2017 ◽  
Vol 131 (11) ◽  
pp. 961-964 ◽  
Author(s):  
C Heining ◽  
R Banga ◽  
R Irving ◽  
C Coulson ◽  
P Monksfield
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Revision Surgery ◽  
Cochlear Implantation ◽  
Stapes Surgery ◽  
Hearing Thresholds ◽  
Suitable Treatment ◽  
Conductive Component ◽  
Clinically Significant ◽  
Hearing Outcomes

AbstractBackground:Patients with advanced otosclerosis can present with hearing thresholds eligible for cochlear implantation. This study sought to address whether stapes surgery in this patient group provides a clinically significant audiological benefit.Objectives:To assess pre- and post-operative hearing outcomes of patients with advanced otosclerosis, and to determine what proportion of these patients required further surgery including cochlear implantation.Methods:Between 2002 and 2015, 252 patients underwent primary stapes surgery at our institution. Twenty-eight ears in 25 patients were deemed to have advanced otosclerosis, as defined by pure audiometry thresholds over 80 dB. The patients’ records were analysed to determine audiological improvement following stapes surgery, and assess whether any further surgery was required.Results:The audiological outcome for most patients who underwent primary stapes surgery was good. A minority of patients (7 per cent) required revision surgery. Patients who underwent cochlear implantation after stapes surgery (10 per cent) also demonstrated a good audiological outcome.Conclusion:Stapes surgery is a suitable treatment option for patients with advanced otosclerosis, and should be considered mandatory, before offering cochlear implantation, for those with a demonstrable conductive component to their hearing loss. A small group of patients get little benefit from surgery and subsequently a cochlear implant should be considered.

Stapedectomy in Congenital Stapes Fixation: Are Hearing Outcomes Poorer?

2006 ◽  
Vol 134 (5) ◽  
pp. 816-818 ◽  
Author(s):  
Becky L. Massey ◽  
Todd A. Hillman ◽  
Clough Shelton
Keyword(s):  
Stapes Fixation ◽  
Hearing Outcomes

Rosen mobilization of the stapes: does it have a place in modern otology?

2006 ◽  
Vol 120 (12) ◽  
pp. 1067-1071 ◽  
Author(s):  
G Thiel ◽  
R Mills
Keyword(s):  
Hearing Loss ◽  
Conductive Hearing Loss ◽  
Stapes Surgery ◽  
Hearing Gain ◽  
Stapes Fixation ◽  
Conductive Hearing

We describe two patients with stapes fixation, in both of whom Rosen mobilization seemed to be the most prudent surgical choice. In both cases, a useful hearing gain was achieved initially. In the patient with otosclerosis, the conductive hearing loss recurred and a stapedectomy was subsequently carried out. In the patient with congenital stapes fixation, the hearing gain was maintained for two years eight months. We believe that this technique still has a place in stapes surgery in rare instances.

scholarly journals Evaluation of Functional Outcomes after Stapes Surgery in Patients with Clinical Otosclerosis in a Teaching Institution

2015 ◽  
Vol 20 (01) ◽  
pp. 039-042 ◽  
Author(s):  
José Souza ◽  
Ricardo Bento ◽  
Larissa Pereira ◽  
Liliane Ikari ◽  
Stephanie Souza ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Functional Outcomes ◽  
Bone Conduction ◽  
Stapes Surgery ◽  
Educational Institutions ◽  
Teaching Institution ◽  
Bilateral Surgery ◽  
Sound Amplification ◽  
Hearing Outcomes ◽  
Residual Air

Introduction Otosclerosis is a primary disease of the temporal bone that leads to stapes ankylosis. Hearing loss is the main symptom. Treatment includes surgery, medical treatment, and sound amplification therapy alone or in combination. Objective To evaluate the functional outcomes of patients with clinical diagnosis of otosclerosis undergoing primary stapes surgery in a teaching institution. Method Retrospective descriptive study. Results A total of 210 ears of 163 patients underwent stapes surgery. Of the 163 patients, 116 (71.2%) underwent unilateral surgery and 47 (28.8%) underwent bilateral surgery. Six of the 210 operated ears had obliterative otosclerosis. The average preoperative and postoperative air–bone gap was 32.06 and 4.39 dB, respectively. The mean preoperative and postoperative bone conduction threshold was 23.17 and 19.82 dB, respectively. A total of 184 (87.6%) ears had a residual air–bone gap <10 dB, and 196 (93.3%) had a residual air–bone gap ≤15 dB. Two patients (0.95%) had severe sensorineural hearing loss. Conclusion Stapes surgery showed excellent functional hearing outcomes in this study. This surgery may be performed in educational institutions with the supervision of experienced surgeons.

Stapedectomy in Congenital Stapes Fixation: Are Hearing Outcomes Poorer?

2004 ◽  
Vol 131 (2) ◽  
pp. P216-P216
Author(s):  
Becky L Massey ◽  
Clough Shelton ◽  
Todd Alan Hillman
Keyword(s):  
Stapes Fixation ◽  
Hearing Outcomes

Association Between the Duration of Hearing Loss and Hearing Outcomes in Surgery for Otosclerosis

2020 ◽  
pp. 019459982096472
Author(s):  
Alexander L. Luryi ◽  
Amy Schettino ◽  
Seilesh C. Babu ◽  
Dennis I. Bojrab ◽  
Elias M. Michaelides ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Revision Surgery ◽  
Retrospective Review ◽  
Primary Outcome ◽  
Outcome Measure ◽  
Primary Outcome Measure ◽  
Stapes Surgery ◽  
Complication Rates ◽  
Long Duration ◽  
Hearing Outcomes

Introduction Hearing loss due to otosclerosis is effectively treated with surgery. The association between duration of hearing loss and surgical outcomes is unknown. Study Design Retrospective review. Setting Large otology referral center. Methods Patients undergoing primary stapes surgery for otosclerosis from 2005 to 2017 were evaluated according to their self-reported duration of hearing loss. Closure of the air-bone gap (ABG) was the primary outcome measure. Results A total of 580 stapes operations were included. Sixteen percent of patients reported hearing loss for ≤1 year; 25%, >1 to ≤5 years; 24%, >5 to ≤10 years; 24%, >10 to ≤20 years; and 12%, >20 years, respectively. Average pre- and postoperative ABGs were 26.1 and 9.6 dB ( P < .0005). Patients with longer duration of hearing loss had worse preoperative ABGs ( P < .0005). After surgery, patients with longer duration of hearing loss had a greater reduction in their ABGs ( P < .0005) such that the remaining ABG was not associated with duration of hearing loss ( P > .05). There were no significant associations between the duration of hearing loss and complication rates or the need for revision surgery. Conclusion Otosclerosis is effectively treated with surgery even after a long duration of hearing loss, provided that sensorineural hearing and word recognition are favorable. Although far-advanced otosclerosis has known poorer hearing outcomes after stapes surgery, a long duration of hearing loss is an unreliable surrogate for this.

scholarly journals Cerebrospinal Fluid Leak during Stapes Surgery: Gushing Leaks and Oozing Leaks, Two Different Phenomena

2017 ◽  
Vol 96 (8) ◽  
pp. 302-308 ◽  
Author(s):  
Juan Luis Quesada ◽  
Giovanni Cammaroto ◽  
Lilla Bonanno ◽  
Francesco Galletti ◽  
Pedro Quesada
Keyword(s):  
Cerebrospinal Fluid ◽  
Statistical Analysis ◽  
Postoperative Complications ◽  
Multicenter Study ◽  
Cerebrospinal Fluid Leak ◽  
Stapes Surgery ◽  
Csf Leak ◽  
Clinical Evaluations ◽  
Hearing Outcomes ◽  
Fluid Leak

Cerebrospinal fluid (CSF) leak is an uncommon event that can occur during stapes surgery. Such leaks can be classified as gushing leaks (stapes gushers) and oozing leaks. A stapes gusher is a massive flow of CSF through the perforated footplate that fills the middle ear suddenly, while an oozing leak is a slower and less profuse flow. We conducted a retrospective, observational, multicenter study of 38 patients—23 men and 15 women, aged 23 to 71 years (mean: 47)—who had experienced a CSF leak during stapes surgery. Patients were divided into various groups according to the type of surgical procedure performed and the type of postoperative complications they experienced. Audiometric and clinical evaluations were carried out pre- and postoperatively. Correlations among surgical variations (total or partial stapedectomy, placement of a prosthesis), hearing outcomes, and the incidence of postoperative complications (postoperative CSF leak and vertigo) were studied. Our statistical analysis revealed that gushing leaks and oozing leaks result in different degrees of hearing impairment and different rates of complications. We recommend that an individual approach be used to manage these complications.

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