scholarly journals Hearing status before and after Stapes surgery in otosclerotic patients

2019 ◽  
Vol 24 (2) ◽  
pp. 137-142
Author(s):  
Md Nazmul Haque ◽  
Md Abul Hossain ◽  
KM Nurul Alam ◽  
Muhammad Rafiqul Islam ◽  
Mohammad Abdullah
Keyword(s):  
Hearing Loss ◽  
Bone Conduction ◽  
Neck Surgery ◽  
Stapes Surgery ◽  
Common Symptom ◽  
Hearing Level ◽  
Age Group ◽  
Bony Tissue ◽  
Hearing Status ◽  
Before And After

Background: Otosclerosis is a disease of the otic capsule that is characterized by resorption and redeposition of bony tissue. Stapes surgery has established its position as the primary treament of conductive hearing loss in otosclerosis. It is anticipated that the hearing level of approximately 90% of patients should improve after surgery. Objective: To evaluate the hearing status of an otosclerotic patient and compare their preoperative and postoperative hearing status. Methods: In this prospective study, 34 patients with otosclerosis from head-Neck Surgery department of Sir Salimullah Medical College & Mitford Hospital, Bangladesh ENT Hospital, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Period from January 2008 to December 2008. The patients were examined and hearing assessment after admission into the hospital pre-operatively and in the post-operative period. Results: In this study most of the cases were age group 21-30 years (50%), male (64-71%), middle socio economic condition (67-71%), rural (58-82%), primary educated (35-29%). It was observed that most common symptom was progressive deafness; duration of hearing loss was 2-5 years, pre-operative conductive type of hearing loss (50-55 dB). It was also observed that after surgery, hearing status were improved in 82.35% cases, the most of the patients were within 21-30 years age group. Conclusion: Stapedotomy obtaining closure of the air-bone gap to within 10dB of the preoperative bone conduction level in 90% of their patients. So, it is supperior to other procedures  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 137-142

Stapes Surgery for Otosclerosis in Patients Presenting with Mixed Hearing Loss

2018 ◽  
Vol 23 (2) ◽  
pp. 82-88 ◽  
Author(s):  
Caroline Salmon ◽  
Sébastien Barriat ◽  
Philippe P. Lefebvre
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Word Recognition ◽  
Bone Conduction ◽  
Stapes Surgery ◽  
Auditory Function ◽  
Mixed Hearing Loss ◽  
Before And After ◽  
Air Conduction

Objectives: To evaluate the efficacy of stapes surgery in patients presenting with a preoperative mixed hearing loss (bone conduction thresholds ≥40 dB; 40 < air conduction thresholds (AC) < 85 dB). Patients and Methods: A total of 30 patients (32 ears) with mixed hearing loss who underwent primary stapedotomy were evaluated. Audiometric parameters were assessed before and after surgery. Contralateral thresholds were also reported. The need for a hearing aid (HA) after surgery and its impact on quality of life were also measured. Results: AC and word recognition at 40, 55 and 70 dB were significantly improved after stapes surgery. Only 16.6% of the patients needed an HA after surgery and reported being satisfied with the aid. Conclusion: Stapes surgery improved auditory function in patients with mixed hearing loss, allowing most patients to delay the need for an HA without worsening their quality of life.

scholarly journals Hearing Rehabilitation through Bone-Conducted Sound Stimulation: Preliminary Results

2018 ◽  
Vol 23 (01) ◽  
pp. 012-017 ◽  
Author(s):  
Fayez Bahmad Jr ◽  
Carolina Cardoso ◽  
Fernanda Caldas ◽  
Monique Barreto ◽  
Anacléia Hilgenberg ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Hearing Aids ◽  
Subcutaneous Tissue ◽  
Bone Conduction ◽  
Free Field ◽  
Pure Tone Audiometry ◽  
Skin Impedance ◽  
Significant Difference ◽  
Before And After

Introduction The bone-anchored hearing aid (BAHA) is a bone conduction system that transmits the sound directly to the inner ear by surpassing the skin impedance and the subcutaneous tissue. It is indicated for patients with mixed, conductive and unilateral sensorineural hearing loss who did not benefit from conventional hearing aids (HAs). Although the benefits from BAHA are well demonstrated internationally, this field still lacks studies in Brazil. Objective To assess the auditory rehabilitation process in BAHA users through audiological, speech perception and tinnitus aspects. Methods Individuals with hearing loss were assessed before and after the implantation. The participants were subjected to pure tone audiometry in free field, functional gain audiometry, speech perception tests, tinnitus handicap inventory (THI) in open format, and to the visual analog scale (VAS). Results It was found that the participants benefited from the use of BAHA. The difference in the performance of the participants before and after the BAHA surgery was significant in terms of hearing acuity. There was no statistically significant difference in the speech perception tests. The tinnitus assessment showed that 80% of the participants scored slight tinnitus severity in THI after using a BAHA. Eighty percent of the participants classified their tinnitus as absent to mild in the VAS after the surgery. Conclusion Based on the results of the current study, we can conclude that the participants improved both the auditory perception and the tinnitus handicap.

scholarly journals Hearing Status after Stapedotomy in Otosclerotic Patients

2020 ◽  
Vol 25 (2) ◽  
pp. 85-93
Author(s):  
Ahmed Tariq ◽  
Mostafizur Rahman ◽  
Delwar Hossain ◽  
Sheikh Hasanur Rahman
Keyword(s):  
Hearing Loss ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Surgical Techniques ◽  
Neck Surgery ◽  
Speech Discrimination ◽  
College Hospital ◽  
Medical College ◽  
Medical University ◽  
Conductive Hearing

Otosclerosis is the most frequent cause of conductive hearing loss in patients with intact tympanic membrane. It can be treated by surgery with various techniques. Because of limited manipulation and comparably similar results, stapedotomy at present is preferred over other surgical techniques by most surgeons. Here we present the operative results of 35 otosclerotic patients who underwent stapedotomy between January 2009 - October 2010 in the department of Otolaryngology- Head & Neck Surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital and Shahid Suhrawardhy medical college & hospital, Dhaka. The aim of this study was to evaluate the hearing results following stapedotomy in otosclerosis surgery. The average air-bone gap of patients improved significantly to 21.74 dB after operation. Other hearing parameters of patients (including air conduction, bone conduction, speech discrimination score, and tinnitus) also improved. No patient experienced persistent vertigo after the operation and pre operative tinnitus resolved in 12 out of 22 patients. Stapedotomy is a safe and effective modality for improving conductive hearing loss in otosclerotic patients. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 85-93

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.

scholarly journals Results of Tympanomastoid surgery in CSOM with Cholesteatoma (Attico-Antral Variety) - A study of 30 cases

2015 ◽  
Vol 20 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Md Abul Hossain ◽  
Md Zakaria Sarker ◽  
Md Ashequr Rahman Bhuiyan ◽  
KM Nurul Alam ◽  
Md Abdullah Al Harun ◽  
...  
Keyword(s):  
Economic Condition ◽  
Disease Recurrence ◽  
Hearing Level ◽  
Age Group ◽  
Radical Mastoidectomy ◽  
Hearing Status ◽  
Younger Age ◽  
Modified Radical Mastoidectomy ◽  
The Mean

In this prospective study 30 case of CSOM with cholesteotoma, admitted in 3 tertiary level hospitals, where modified radical mastoidectomy with type III tympanoplasty were done, then results of operation were assessed in follow up. The objectives of study to assess the clearance of disease, recurrence of disease and the cavity problem and to find the take rates of graft and improvement of hearing level after surgery. In this study most of the cases were younger age group (40%), male (60%), poorsocio- economic condition (73:33%), Illiterate (46.67%), day laborer (26.67%) & rural peoples (80%). It was observed that hearing status was improved 46.67%, unchanged 33.33% and deteriorated 20% cases. The mean, hearing gain was 10.79 dB. Also post mastoidectomy discharging ear was 20%, facial palsy 3.33%, recurrence of cholesteatoma 13.33%, dead ear 0%. Early detection and management of CSOM with cholesteatoma should be our goal to prevent complications. If good tympanomastoid surgery is done meticulously there will be improvement of hearing and less complications. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22013 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 20-26

Bilateral hearing results of 751 unilateral stapedotomies evaluated with the Glasgow benefit plot

2010 ◽  
Vol 124 (5) ◽  
pp. 482-489 ◽  
Author(s):  
V Kisilevsky ◽  
N A Bailie ◽  
J J Halik
Keyword(s):  
Hearing Loss ◽  
American Academy ◽  
Head And Neck ◽  
Hearing Impairment ◽  
Bone Conduction ◽  
Neck Surgery ◽  
Senior Author ◽  
Head And Neck Surgery ◽  
Hearing Results ◽  
Hearing Function

AbstractAims:We aimed to evaluate bilateral hearing function in patients undergoing primary unilateral stapedotomy, according to the 1995 American Academy of Otolaryngology, Head and Neck Surgery guidelines and the Glasgow benefit plot. We also aimed to analyse the effect of pre-operative hearing impairment type on post-stapedotomy hearing.Study design:Retrospective chart review.Methods:Medical records relating to 1369 stapedotomies performed by the senior author (JJH) from 1991 to 2006 were reviewed. Seven hundred and fifty-one patients undergoing primary unilateral stapedotomy were included. Hearing results for these patients were evaluated according to the criteria of the 1995 American Academy of Otolaryngology, Head and Neck Surgery Committee on Hearing and Equilibrium guidelines, and the Glasgow benefit plot. Subgroups of patients with pre-operative unilateral, bilateral symmetrical and bilateral asymmetrical hearing loss were separately analysed.Results:The most successful results, as regards the achievement of bilateral, socially serviceable hearing, were demonstrated in patients with unilateral hearing loss; 78 per cent of these patients had normal hearing post-operatively. Overall, patients' achievement of bilateral, socially serviceable hearing correlated highly with their type of pre-operative hearing impairment (r = 0.74). Normal post-operative hearing levels also correlated with pre-operative bone conduction (r = 0.61).Conclusion:This study represents the largest reported series of primary stapedotomy cases evaluated with the Glasgow benefit plot. Patients' bilateral post-operative hearing function depended on their type of pre-operative hearing impairment. Pre-operative bone conduction thresholds, corrected for Carhart's effect, were useful in predicting achievable post-operative air conduction.

scholarly journals Hearing Status of the Traffic Police with or without Use of Sound Protector in Dhaka Metropolitan City

2018 ◽  
Vol 4 (1) ◽  
pp. 13-16
Author(s):  
Ahmed Sharif ◽  
Rashida Akter Khanam ◽  
Mohammad Mashudur Rahman ◽  
Sheikh Hasanur Rahman ◽  
Md Kamaruzzaman ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Pure Tone Audiometry ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Entire Study ◽  
Traffic Police ◽  
Metropolitan City ◽  
Hearing Status ◽  
Study Population

Background: Sound protector is an essential tool to protect hearing.Objective: The purpose of the present study was to see the hearing status of traffic police with or without sound protector.Methodology: The cross-sectional study was conducted in the Department of Otolaryngology and Head Neck Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2003 to June 2004 for a period of one and half year. Traffic police who were working in the Dhaka metropolitan city at any age were included as study population. Hearing status was measured to all subjects. The traffic police at any age working in the Dhaka metropolitan city with the duration of service more than 5 years were included as study population. Otoscopic examination, tuning fork test and pure tone audiometry were performed by clinical audiometer (AC 33) with two channels, with TDH39 earphones among the entire study subject.Result: A total number of 100 traffic polices working in Dhaka metropolitan city were examined. Highest (56%) number of the respondents was in between 30 to 40 years of age group. The mean age with SD was 36.15 ±5.5. In this study 53.0% respondents found to have exposure of 6 to 10 years and 16.0% found to have exposure between 16 to 20 years. It was found that 26 traffic police used ear protector occasionally. Among them 7(26.9%) subjects had different degree of hearing loss. Nonusers had higher rate (23%) of hearing loss (p=0.685).Conclusion: In conclusion use of sound protector by traffic police is not significantly related with the hearing loss though this is clinically significant.Journal of Current and Advance Medical Research 2017;4(1):13-16

scholarly journals Evaluation of hearing level in patients on long term aspirin therapy

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 445
Author(s):  
Apar Pokharel ◽  
Sangita Bhandary
Keyword(s):  
Hearing Loss ◽  
Aspirin Therapy ◽  
Hearing Level ◽  
Healthy Controls ◽  
Confounding Factors ◽  
Cross Sectional ◽  
Hearing Status ◽  
Study Population ◽  
One Year

Introduction: Aspirin is a routinely prescribed drug, most notably for cardiovascular diseases, such as myocardial ischemia. This cross sectional, comparative study study aims to explore differences in hearing status between the cardiovascular disease patients on aspirin therapy and age matched healthy controls.Methods: The study population consisted of 182 patients with heart disease taking long term aspirin (i.e., for more than one year). The control population consisted of 221 age matched healthy controls who were not taking aspirin.Results: Not aspirin, but the age of the patient was found to be the important risk factor for hearing loss. Conclusions: When confounding factors like age of the patient, hypertension and diabetes were taken into account, aspirin in its antiplatelet dose was not found to be the cause of any audiological problems like tinnitus and hearing loss.

scholarly journals Study of Hearing Status After Canal Wall Down Mastoidectomy with Type-III Tympanoplasty

2020 ◽  
Vol 23 (1) ◽  
pp. 52-58
Author(s):  
Utpal Kumar Dutta ◽  
Md Monjurul Alam ◽  
Nasima Akhter ◽  
Kanu Lal Saha ◽  
Md Abul Hossain ◽  
...  
Keyword(s):  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Neck Surgery ◽  
Hearing Level ◽  
Canal Wall ◽  
Cross Sectional ◽  
Type Iii ◽  
Hearing Status ◽  
Canal Wall Down ◽  
Canal Wall Down Mastoidectomy

Objective: To observe hearing status in case of canal wall down mastoidectomy with type III tympanoplasty. Methods: This was a cross sectional study which was carried out in the departments of Otolaryngology and Head-Neck surgery of Bangabondhu Sheikh Mujib Medical University during the period of July’ 2011 to March’ 2012.A Total 38 patients having cholesteatoma underwent canal down mastoidectomy with type III tympanoplasty,were included in this study. Patients were divided into two groups according to their age. Age belonged to 18 years and more than 18 years were considered as child and adult respectively. Patients were examined thoroughly and preoperative hearing level was assessed by pure tone audiometry one one week before operation. Post operative patients were followed up at regular intervals. Pure tone audiogram (PTA) was done after 8 weeks and hearing assessment was compared by closure of air bone gap. Results: In this study majority of patients were within 13-17 years in child group and 18- 35years in adult group. Most of patients were male.Closure of air-bone gap was significantly higher in adults. Improvement of hearing status was more in adults. Conclusion: CWD mastoidectomy with tympanoplasty not only lowers recurrence rate but also improves hearing status although less likely in child and younger age group than adults. Bangladesh J Otorhinolaryngol; April 2017; 23(1): 52-58

Revision Stapes Surgery: Hearing Symptoms and Associations With Intraoperative Findings and Outcomes

2021 ◽  
pp. 019459982110620
Author(s):  
Alexander L. Luryi ◽  
Amy Schettino ◽  
Elias M. Michaelides ◽  
Seilesh Babu ◽  
Dennis I. Bojrab ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Bone Conduction ◽  
Scar Tissue ◽  
Primary Outcome Measure ◽  
Stapes Surgery ◽  
Initial Surgery ◽  
The Mean ◽  
Revision Stapes Surgery ◽  
Hearing Outcomes ◽  
Conductive Hearing

Objective Stapes surgery for otosclerosis occasionally requires revision due to recurrent or persistent conductive hearing loss (CHL). This study examines outcomes after revision stapes surgery. Study Design Retrospective review. Setting Single tertiary neurotology center. Methods Patients undergoing revision stapes surgery for otosclerosis from 2008 to 2017 were reviewed. Postoperative air-bone gaps (ABGs) were the primary outcome measure. Results During the study period, 150 patients underwent revision stapes surgery. One hundred patients (67%) had gradually progressive recurrent CHL; 16 (11%), sudden recurrent CHL; 13 (9%), persistent CHL; and 21 (14%), no CHL. For 129 patients with CHL, the mean ABG improved from 23.7 to 9.3 dB ( P < .0005). The most common intraoperative findings for these patients were prosthesis displacement with incus necrosis (38%) or without it (43%), normal anatomy with seemingly good prosthesis placement (6%), and abundant scar tissue (6%). Patients with recurrent hearing loss achieved lower mean ABGs than patients with persistent hearing loss (8.8 vs 13.2 dB, P = .02). There were no associations between onset pattern of CHL or intraoperative findings and hearing outcomes ( P > .05). Four patients (2.7%) developed sensorineural hearing loss after revision, defined as an increase in bone conduction pure tone average ≥15 dB, all of whom had previous replacement of a malpositioned prosthesis. Conclusions Revision stapes surgery confers significant improvement in hearing for patients with persistent and recurrent CHL, although patients with persistent CHL after initial surgery see less improvement with revision.

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