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Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2021, Number 4

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Acta de Otorrinolaringología CCC 2021; 49 (4)

Characterization of patients with otosclerosis with transcanal and retroauricular stapedotomy in a university hospital

Becerra-Cuervo WA, Caraballo JA

Language: Spanish
References: 28
Page: 291-298
PDF size: 180.14 Kb.


ABSTRACT

Introduction: Otosclerosis managed surgically with stapedotomy has shown improvement in hearing threshold using a transcanal or retroauricular approach. Objective: To characterize the response to surgical treatment with transcanal and retroauricular stapedotomy in patients diagnosed with otosclerosis in a university center. Design: Retrospective descriptive observational study, case series type. Methodology: Patients with a diagnosis of otosclerosis treated at the Hospital Universitario Clínica San Rafael who met the eligibility criteria between 2014 and 2020 were included. Results: 33 patients operated with transcanal approach and 8 with retroauricular approach were included, the average age was 46.6 years. Most patients were female (56.1%). Hearing threshold improvement was evidenced in 89.9% of the total sample. The presence of anatomical variants was described in 26.8%, the most common variant was the prolapse of the chorda tympani nerve (14.5%). The most common intraoperative complication was eardrum cord nerve section (9.8%). The presence of complications and anatomic variants was more prevalent with retroauricular approach. Conclusion: Stapedotomy with retroauricular and transcanal approach showed improvement of hearing threshold comparable to the world literature, the presence of anatomical variants was correlated with postoperative complications.


REFERENCES

  1. Thomson S, Madani G. The Windows of de inner ear. ClinicalRadiology. 2014; 69: 146-52.

  2. Rudic M, Keogh I, Wagner R, Wilkinson E, Kiros N, Ferrary E,et al. The Pathophysiology of Otosclerosis: Review of CurrentResearch. Hearing Research. 2015:1-6.

  3. Cureoglu S, Yildirim M, Paparella M. Cochlear otosclerosis.Curr Opin Otolaryngol Head Neck Surg. 2010; 18(5):357–62.

  4. Karosi T, Sziklai I. Etiopathogenesis of otosclerosis. Eur ArchOtorhinolaryngol. 2010; 267:1337–49.

  5. Tato J, Tato Jr. Otosclerosis and Races. Ann Otol RhinolLaryngol. 1967; 76(5):1018-25.

  6. Master A, Wilkenson E, Wagner R. Management of ChronicSuppurative Otitis Media and Otosclerosis in Developingcountries. Otolaryngol Clin N Am. 2018; 51: 593–05.

  7. Ali H, Khater N. Otosclerosis and complications ofstapedectomy: CT and MRI correlation. Alexandria Journal ofMedicine. 2018; 54: 197–01.

  8. Rask-Andersen H, Schart-Morén N, Strömbäck K, Linthicum F,Li H. Special Anatomic Considerations in Otosclerosis Surgery.Otolaryngol Clin N Am. 2018; 51: 357–74.

  9. Foster M, Backous D. Clinical Evaluation of the Patient withOtosclerosis. Otolaryngol Clin N Am. 2018; 51: 319–26.

  10. Wolfang A. Häusler R. Otosclerosis and Stapes Surgery. En:Fisch U, Linder T, Editores. A Checklist for Surgical Exposurein Stapes Surgery: How to Avoid Misapprehension. Advancesin Oto-Rhino-Laryngology: Karger; 2007. p. 158-63.

  11. Batson L, Rizzolo D. Otosclerosis: An update on diagnosisand treatment. Journal of the American Academy of PhysicianAssistants. 2017; 30:17-22.

  12. Cheng HCS, Agrawal SK, Parnes LS. Stapedectomy VersusStapedotomy. Otolaryngol Clin North Am. 2018 Apr;51(2):375-392.

  13. Cuda D, Murri A, Mochi P, Solenghi T, Tinelli N. Microdrill,CO2-laser, and piezoelectric stapedotomy: a comparative study.Otol Neurotol. 2009 Dec; 30(8):1111-5.

  14. Altamami NM, Huyghues des Etages G, Fieux M, Coudert A,Hermann R, Zaouche S, Truy E, Tringali S. Is one of these twotechniques: CO2 laser versus microdrill assisted stapedotomyresults in better post-operative hearing outcome? Eur ArchOtorhinolaryngol. 2019 Jul;276(7):1907-1913.

  15. Sioshansi PC, Schettino AE, Babu SC, Bojrab DI,Michaelides EM, Luryi AL, Schutt CA. Stapes surgery witha persistent stapedial artery. Am J Otolaryngol. 2020 Nov-Dec;41(6):102684.

  16. Senturk E, Eren SB, Aksoy F, Dagistanli N, Yenigun A,Degirmenci N, Dogan R, Ozturan O. Stapedectomy in patientswith dehiscent and prolapsed facial nerve. Am J Otolaryngol.2020 Sep-Oct;41(5):102580.

  17. Park HY, Han DH, Lee JB, Han NS, Choung YH, Park K.Congenital stapes anomalies with normal eardrum. Clin ExpOtorhinolaryngol. 2009 Mar;2(1):33-8.

  18. Pauli N, Strömbäck K, Lundman L, Dahlin-Redfors Y. Surgicaltechnique in stapedotomy hearing outcome and complications.Laryngoscope. 2020 Mar;130(3):790-796.

  19. Antonelli PJ. Prevention and Management of Complicationsin Otosclerosis Surgery. Otolaryngol Clin North Am. 2018Apr;51(2):453-62.

  20. An-Suey S, Chin-Lung K, Mao-Che W, Chia-Huei C. Minimallytraumatic stapes surgery for otosclerosis: Risk reduction of postoperativevertigo. Journal of the Chinese Medical Association.2017 Aug:1-6.

  21. Adedeji TO, Indorewala S, Indorewala A, Nemade G.Stapedotomy and its effect on hearing - our experience with 54cases. Afr Health Sci. 2016;16(1):276–81.

  22. Bartel R, Huguet G, Cruellas F, Hamdan M, Gonzalez-ComptaX, Cisa E. Laser vs drill for footplate fenestration duringstapedotomy: a systematic review and meta-analysis of hearingresults. Eur Arch Otorhinolaryngol. 2021 Jan;278(1):9-14.

  23. Singh PP, Goyal A. Our experience with the titanium soft clippiston stapedotomy. Indian J Otolaryngol Head Neck Surg.2013;65(3):280-2.

  24. Khorsandi A MT, Jalali MM, Shoshi D V. Predictive factors in995 stapes surgeries for primary otosclerosis. Laryngoscope.2018 Oct;128(10):2403-7.

  25. Alharbi F. Stapedotomy performed with microdrill techniquefor otosclerosis: Hearing results and complications. EgyptianJournal of Ear, Nose, Throat and Allied Sciences. 2013 (14):23-6.

  26. Salvador P, Costa R, Silva F, Fonseca R. Primary stapedotomy:Influence of prosthesis diameter on hearing outcome. ActaOtorrinolaringol Esp. 2020 Sep 1:(20)30150-3.

  27. Boonchoo R, Puapermpoonsiri P. Results of CO2 laserstapedotomy with Teflon piston prosthesis and autologousblood seal. J Med Assoc Thai. 2007 Oct;90(10):2097-103.

  28. Kuhn JJ, Lassen LF. Congenital incudostapedial anomalies inadult stapes surgery: a case-series review. Am J Otolaryngol.2011 Nov-Dec;32(6):477-84.




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