Short-term audiological outcomes according to stapedotomy technique: microdrill at low revolutions versus manual perforator to perform the small fenestra of the footplate. An observational prospective study.

2020 ◽  
Vol 74 (4) ◽  
pp. 1-5 ◽  
Author(s):  
Jose Palacios-Garcia ◽  
Francisco Ropero-Romero ◽  
Francisco Aguilar-Vera ◽  
Serafin Sanchez-Gomez
Keyword(s):  
Surgical Technique ◽  
Prospective Study ◽  
Hearing Threshold ◽  
Short Term ◽  
Hearing Gain ◽  
Observational Prospective Study ◽  
Safe Technique ◽  
Hearing Outcomes ◽  
Conductive Hearing ◽  
The Way

Introduction: Stapedotomy is currently the surgical technique of choice for treating otosclerosis. Despite this, there is not an agreement about the best technique to perform the small fenestra on the footplate, therefore multiple procedures have been proposed. The aim of this study was to investigate the hearing outcomes of microdrill and manual perforator. Material and Methods: Observational prospective study was carried out on patients that underwent stapedotomy. We analyzed the hearing threshold in two groups of patients according to the way the fenestra footplate was realized by microdrill or manual perforator. Results: A total of 113 patients were evaluated. Postoperative hearing gain of the microdrill group was 23.29 (18.58) dB HL 95% CI (18.40-28.18). In the manual perforator group, it was 22.67 (12.91) dB HL 95% CI (19.07-26.26). Both groups were statistically significant. Postoperative bone conductive hearing threshold at the frequencies of 0.5, 1 and 2 KHz and postoperative air conductive hearing threshold at the frequencies of 2 and 4 KHz showed statistically significant differences in the manual perforator group. The closure of air-bone gap was higher in the microdrill group with statistically significant differences. Conclusion: Both, manual perforator and microdrill, have good hearing outcomes at six months after surgery. Manual perforator has better audiological outcomes than microdrill. Hence, manual perforator is a safe technique and can be used in center that do not have other methods to do the small fenestra.

scholarly journals A comparative study of hearing outcomes in myringostapediopexy and myringoplatinopexy in our experience

2019 ◽  
Vol 5 (2) ◽  
pp. 400
Author(s):  
K. Santhanakrishnan ◽  
G. Gandhi ◽  
K. Pradheep
Keyword(s):  
Hearing Loss ◽  
Conductive Hearing Loss ◽  
History Taking ◽  
Hearing Improvement ◽  
Detailed History ◽  
Hearing Gain ◽  
Considerable Morbidity ◽  
Hearing Outcomes ◽  
Conductive Hearing

<p class="abstract"><strong>Background:</strong> COM causes considerable morbidity with ear discharge, conductive hearing loss and complications. Myringostapediopexy and myringoplationpexyis a surgical procedure which intends improve the hearing and quality of the life.</p><p class="abstract"><strong>Methods:</strong> The  study was conducted in the department of ENT, SMVMCH, Puducherry from April 2017 to April 2018. A detailed history taking thorough clinical examination done for these patients. PTA was done before the procedure, post operatively at 3<sup>rd</sup> month. Hearing improvement analysed using different parameters like type of graft used, hearing gain and graft uptake. The data collected was tabulated and subjected to statistical analysis.  </p><p class="abstract"><strong>Results:</strong> Myringostapediopexy better hearing gain than myingoplatinopexy. Myringostapediopexy mean hearing gain 19.53 dB, myringoplatinopexy 12.59 dB.</p><p class="abstract"><strong>Conclusions:</strong> This study compared the hearing outcomes of Myringostapediopexy and myringoplatinopexy with respect to hearing gain. Myringostapediopexy better hearing gain than myringoplatinopexy due to presence of stapes supra-structure.</p>

An Observational Prospective Study of Maternal Genital Tract Injuries during

2011 ◽  
Vol 2 (3) ◽  
pp. 157-158
Author(s):  
Dr Lovedeep Kaur ◽  
◽  
Dr Suchita Dabhadkar ◽  
Dr Vaishali Taralekar ◽  
Dr Girija Wagh
Keyword(s):  
Prospective Study ◽  
Genital Tract ◽  
Observational Prospective Study

scholarly journals Endoscopically controlled surgery with open hemilaminectomy for the treatment of intradural extramedullary tumors: an operative technique and short-term outcomes of 20 consecutive cases

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Xiaorong Yan ◽  
Huiqing Wang ◽  
Cai Li ◽  
Yuanxiang Lin ◽  
Lin Lin ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Spinal Deformity ◽  
Tumor Recurrence ◽  
Clinical Symptoms ◽  
Short Term ◽  
Before And After ◽  
Intradural Extramedullary ◽  
Controlled Surgery

Abstract Background To present a surgical technique for the treatment of intradural extramedullary (IDEM) tumors by using endoscopically controlled surgery with open hemilaminectomy technique. Methods In this study, 20 patients with 22 IDEM tumors were enrolled. An endoscopically controlled surgery with open hemilaminectomy was employed to remove the tumors. Data related to clinical symptoms and medical images before and after surgery were collected for perioperative evaluation and follow-up analysis. Results All the tumors in 20 patients were well removed. The clinical symptoms were significantly reduced in all the patients as well. The short-term follow-up data showed that there was no tumor recurrence or spinal deformity. Conclusion The endoscopically controlled surgery with open hemilaminectomy technique provided favorable exposure and satisfactory resection to the IDEM tumors. It may be an effective surgical method for treating IDEM tumors. Larger samples and longer follow-up data are needed to verify its long-term effectiveness.

Relationship between short-term and mid-term hearing outcomes after stapedotomy in patients with otosclerosis: an investigation

2021 ◽  
pp. 1-5
Author(s):  
Yanqing Fang ◽  
Ke-guang Chen ◽  
Yu Zhao ◽  
Nikita A. Menon ◽  
Austin J. Scholp ◽  
...  
Keyword(s):  
Short Term ◽  
Hearing Outcomes

scholarly journals 310 A new proposal for the clinical classification of vulvar lichen sclerosus: an observational prospective study

2020 ◽  
Author(s):  
Veronica Boero ◽  
Carlo A Liverani ◽  
Massimiliano Brambilla ◽  
Ermelinda Monti ◽  
Filippo Murina ◽  
...  
Keyword(s):  
Prospective Study ◽  
Lichen Sclerosus ◽  
Clinical Classification ◽  
Observational Prospective Study ◽  
Vulvar Lichen Sclerosus

Economic valuation and the commodification of ecosystem services

2011 ◽  
Vol 35 (5) ◽  
pp. 613-628 ◽  
Author(s):  
Erik Gómez-Baggethun ◽  
Manuel Ruiz-Pérez
Keyword(s):  
Ecosystem Services ◽  
Environmental Policy ◽  
Biodiversity Conservation ◽  
Economic Valuation ◽  
Short Term ◽  
Valuation Of Ecosystem Services ◽  
Equity Of Access ◽  
The Way

In the last decade a growing number of environmental scientists have advocated economic valuation of ecosystem services as a pragmatic short-term strategy to communicate the value of biodiversity in a language that reflects dominant political and economic views. This paper revisits the controversy on economic valuation of ecosystem services in the light of two aspects that are often neglected in ongoing debates. First, the role of the particular institutional setup in which environmental policy and governance is currently embedded in shaping valuation outcomes. Second, the broader economic and sociopolitical processes that have governed the expansion of pricing into previously non-marketed areas of the environment. Our analysis suggests that within the institutional setup and broader sociopolitical processes that have become prominent since the late 1980s economic valuation is likely to pave the way for the commodification of ecosystem services with potentially counterproductive effects in the long term for biodiversity conservation and equity of access to ecosystem services benefits.

Committed to Caring: Family-Based Short-Break Carers' Views of Their Role

2003 ◽  
Vol 27 (1) ◽  
pp. 36-46 ◽  
Author(s):  
Beth Tarleton
Keyword(s):  
Support Needs ◽  
Disabled Children ◽  
Staff Time ◽  
Short Term ◽  
Regular Care ◽  
Family Based ◽  
High Support ◽  
The Way

Short-break carers are short-term foster carers who provide regular care, often one weekend a month, for disabled children. Beth Tarleton reports on a study of 53 short-break carers offering short breaks for children with high support needs. The research found that short-break carers provided short breaks because they enjoyed it and developed real relationships with the children, but that the way in which they were recruited, assessed, trained, paid and supported was often influenced by a lack of staff time and resources, and a lack of clarity regarding their role.

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