Kageyama-Escobar AM, Tornero-Villegas KI, Vivar-Acevedo E, Ceballos-Lizarraga R, Torres-Valenzuela A, Vargas-Aguayo A

Language: Spanish
References: 31
Page: 286-290
PDF size: 56.61 Kb.

ABSTRACT

Introduction: Otosclerosis is the primary focal spongifying disease of the labyrinthine capsule. Possible etiologies include: autoimmune disorders and hereditary, local, hormonal and general factors. A history of progressive conductive hearing loss, tinnitus and vestibular symptoms are common. Diagnosis usually is made easily often the history and examination. The key objective measurement remains the audiometric test. Stapes surgery remains the mainstay of treatment for most patients. Criteria for patient selection and improved surgical techniques are important to increase the success rate. Material and method: A retrospective analysis of the charts of all patients who underwent primary stapedectomy at the Department of Otolaryngology HE of the CMN SXXI from January 1996 to February 2000 was performed. This study evaluated the average hearing result. Results: Air conduction pure-tone threshold averages improved in 95.8% of cases and deteriorated in 4.2%. Air-bone gap was closed in 85.6% and not closed 14.4% to 10 db. Air-bone gap was closed within 5 db in 97.1% and 10 db in 2.9% of cases. We found statistical significant differences among preoperative and postoperative hearing thresholds by standard (t) test (p± 0.0001). Discussion: This study confirms that surgical technique performed in our service for stapedectomy is successful in the majority of cases.

REFERENCES

1. Glasscock EM, Shambaugh EG. Diagnosis, indications for surgery, and medical therapy of otospongiosis (otosclerosis). In: Glasscock EM, Shambaugh EG editors. Surgery of the ear. Philadelphia, PA, USA: W.B. Saunders; 1990.p.371-387.

2. Glasscock EM, Shambaugh EG. Operations for otospongiosis (otosclerosis). In: Glasscock EM, Shambaugh EG editors. Surgery of the ear. Philadelphia PA, USA: W.B. Saunders. 1990.p.371-387.

3. Guild SR. Histologic otoesclerosis. Ann Otol Rhinol Laryngol 1944; 53: 246.

4. Schuknecht HF. Histopathology of otoesclerosis and surgical technique. In: Schuknecht HF editor. Stapedectomy. Boston, MA, USA: Little Brown and Company; 1971.p.5-82.

5. Mouse WJ. Otoesclerosis. In: Cummings WC editor. Otolaryngology head and neck surgery. Baltimore, MD, USA: Mosby, 1993.p.2997-3016.

6. Yanagisama E, Lee KJ. Non infectious diseases of the ear. In: Lee KJ. Essential Otolaryngology. Norwalk: Appleton and Lange. 1995: 705-717.

7. Glasscock EM, Storper SI, Haynes SD, Bohrer SP. Twenty-five years of experience with stapedectomy. Laryngoscope 1995;105:899-904.

8. Meyerhoff LW. Otosclerosis. In: Bailey JB. Head and neck surgery otolaryngology. Philadelphia, PA, USA: Lippincott Company. 1993.p. 1688-1701.

9. Shea JJ. Thirty years of stapes surgery. J Laryngol Otol 1988;102:14-19.

10. Shea JJ. Forty years of stapes surgery. Am J Otol 1998;19:52-55.

11. Ramsay H, Palva T. Success in surgery for otosclerosis: hearing improvement and other indicators. Am J Otol 1997;18:23-28.

12. Meyer S. The effect of stapes surgery on high frequency hearing in patients with otosclerosis. Am J Otol 1999;20:36-40.

13. Cremers JR, Beusen MH, Huygen ML. Hearing gain after stapedectomy, partial platinectomy, or total stapedectomy for otoesclerosis. Ann Otol Rhinol Laryngol 1991;100:959-961.

14. Pedersen GB, Elbrond O. Large versus small fenestration technique in stapedectomy. A comparative investigation of house and fisch prostheses in stapedectomy. Clin Otolaryngol 1983;8:21-4.

15. Bailey HAT, Pappas JJ, Graham SS. Small fenestra stapedectomy technique: reducing risk and improving hearing. Otolaryngol Head Neck Surg 1983;91:516-20.

16. Monsell EM, Balkany TA, Gates AG, Goldenberg AR, Meyerhoff LW, House WJ. Committee on Hearing and Equilibrium Guidelines for the Evaluation of Results of Treatment of Conductive Hearing Loss. Otolaryngol Head Neck Surg 1995;113:186-188.

17. Ueda H, Miyazawa T, Asahi K, Yanagita N. Factors affecting hearing results after stapes surgery. J Laryngol Otol 1999;113:417-421.

18. Meyer ES, Megerian AC. Patients’ perceived outcomes after stapedectomy for otoesclerosis. ENT 2000;79:846-856.

19. House HP. Surgery for otoesclerosis. Minn Med 1967;50:817-822.

20. Shambaugh GE Jr. Long term studies for different techniques. Arch Otolaryngol 1969;89:404-407.

21. Monn CN Jr. Stapedectomy connective tissue graft and stainless steel prosthesis. Laryngoscope 1968;78:798-807.

22. House HP, Greenfield EC. Five years study of wide-loop absorbable gelfoam sponge technique. Arch Otolaryngol Head Neck Surg 1969; 89:420-421.

23. Smyth GP, Hassard TH. Eighteen years experience in stapedectomy The case of the small fenestra operation. Ann Otol Rhinol Laryngol 1978;87(Suppl 49):3-36.

24. McGee TM. Comparison of small fenestra and total stapedectomy. Ann Otol Rhinol Laryngol 1981;90:630-632.

25. Bailey HAT, Pappas JJ, Graham SS. Small fenestra stapedectomy technique: reducing risk and improving hearing. Otolaryngol Head Neck Surg 1983;91:516-522.

26. Monn CN Jr, Hanh MJ. Partial vs total footplate removal in stapedectomy: A comparative study. Laryngoscope 1984;94:912-915.

27. Fisch U. Stapedotomy vs. stapedectomy. Am J Otol 1982;4:112-117.

28. Shea JJ. Stapedectomy- a long-term report. Ann Otol Rhinol Laryngol 1982;91:516-520.

29. Kauffman RS, Schuknecht HF. Reparative granuloma following stapedectomy: a clinical entity. Ann Otol Rhinol Laryngol 1967;76: 1008-1017.

30. Birch L, Elbrond O, Pedersen U. Hearing improvement after stapedectomy: Up to 19 years follow-up period. J Laryngol Otol 1986; 100:1-7.

31. Somers T, Marquet T, Govaerts P, Offeciers E. Statistical analysis of otoesclerosis surgery performed by Juan Marquet. Ann Otol Rhinol Laryngol 1994;103:945-951.