Audiologic Outcomes of Footplate Drillout for Obliterative Otosclerosis.
Journal
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
ISSN: 1537-4505
Titre abrégé: Otol Neurotol
Pays: United States
ID NLM: 100961504
Informations de publication
Date de publication:
01 01 2022
01 01 2022
Historique:
pubmed:
8
10
2021
medline:
12
4
2022
entrez:
7
10
2021
Statut:
ppublish
Résumé
To evaluate the audiologic outcomes of microdrill fenestration for obliterative otosclerosis compared to traditional stapedotomy technique. Retrospective chart review. Tertiary referral center. Adult patients undergoing stapedotomy for otosclerosis. Patients were separated into groups that underwent either microdrill or laser fenestration based on intraoperative severity of disease. Audiologic outcomes and complications were compared between the two groups. There were 588 ears in 519 patients that were evaluated. There was a significant postoperative improvement in pure tone average, air-bone gap, and mean bone conduction thresholds for both the obliterative and nonobliterative group (p < 0.001). There was no significant difference in the pre- or postoperative hearing status between the two groups. There was no significant difference in complications between the two groups, including no cases of postoperative profound hearing loss in the drill fenestration group. Audiologic outcomes are similar between microdrill fenestration and laser fenestration for otosclerosis. Pure tone average, air-bone gap, and mean bone conduction thresholds all improved postoperatively and were similar between groups.
Identifiants
pubmed: 34619729
doi: 10.1097/MAO.0000000000003361
pii: 00129492-202201000-00006
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
29-35Informations de copyright
Copyright © 2021, Otology & Neurotology, Inc.
Déclaration de conflit d'intérêts
The authors disclose no conflicts of interest.
Références
Quesnel AM, Ishai R, McKenna MJ. Otosclerosis: temporal bone pathology. Otolaryngol Clin North Am 2018; 51:291–303. DOI 10.1016/j.otc.2017.11.001.
doi: 10.1016/j.otc.2017.11.001
Vincent R, Sperling NM, Oates J, Jindal M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology–neurotology database. Otol Neurotol 2006; 27: (Suppl 2): S25–S47. DOI 10.1097/01.mao.0000235311.80066.df.
doi: 10.1097/01.mao.0000235311.80066.df
Quaranta N, Piccininni K, Romanello M, Lucidi D, Sergi B. The impact of intra-operative factors in otosclerosis outcomes: retrospective study in a tertiary centre. Acta Otorhinolaryngol Ital 2019; 39:197–204. DOI 10.14639/0392-100X-2004.
doi: 10.14639/0392-100X-2004
Daniels RL, Krieger LW, Lippy WH. The other ear: findings and results in 1,800 bilateral stapedectomies. Otol Neurotol 2001; 22:603–607. DOI 10.1097/00129492-200109000-00007.
doi: 10.1097/00129492-200109000-00007
Wegner I, Kamalski DMA, Tange RA, et al. Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review. Laryngoscope 2014; 124:1687–1693. DOI 10.1002/lary.24514.
doi: 10.1002/lary.24514
Ayache D, Sleiman J, Plouin-Gaudon I, Klap P, Elbaz P. Obliterative otosclerosis. J Laryngol Otol 1999; 113:512–514. DOI 10.1017/s0022215100144378.
doi: 10.1017/s0022215100144378
Gristwood RE, Venables WN. Otosclerotic obliteration of oval window niche: an analysis of the results of surgery. J Laryngol Otol 1975; 89:1185–1217. DOI 10.1017/s0022215100081573.
doi: 10.1017/s0022215100081573
Raman R, Mathew J, Idikula J. Obliterative otosclerosis. J Laryngol Otol 1991; 105:899–900. DOI 10.1017/s0022215100117773.
doi: 10.1017/s0022215100117773
Amedee RG, Lewis ML. Obliterative otosclerosis. Laryngoscope 1987; 97 (Pt 1):922–924.
Sooy FA, Owens E, Theurer D. Stapedectomy in obliterative otosclerosis. Ann Otol Rhinol Laryngol 1964; 73:678–694.
Souza J, Bento R, Pereira L, et al. Evaluation of functional outcomes after stapes surgery in patients with clinical otosclerosis in a teaching institution. Int Arch Otorhinolaryngol 2016; 20:039–042. DOI 10.1055/s-0035-1563540.
doi: 10.1055/s-0035-1563540
Laske RD, Röösli C, Chatzimichalis MV, Sim JH, Huber AM. The influence of prosthesis diameter in stapes surgery: a meta-analysis and systematic review of the literature. Otol Neurotol 2011; 32:520–528. DOI 10.1097/MAO.0b013e318216795b.
doi: 10.1097/MAO.0b013e318216795b
Ataide AL, de Bichinho GL, Patruni TM. Audiometric evaluation after stapedotomy with Fisch titanium prosthesis. Braz J Otorhinolaryngol 2013; 79:325–335. DOI 10.5935/1808-8694.20130058.
doi: 10.5935/1808-8694.20130058
Oeken J. Results of stapedotomies performed under general anesthesia. HNO 2013; 61:504–509. DOI 10.1007/s00106-012-2646-3.
doi: 10.1007/s00106-012-2646-3
Elsevier, Betka J, Plzák J, Zábrodský M, Kastner J, Bouček J. Lasers in otorhinolaryngology (ORL) and head and neck surgery. Lasers for Medical Applications 2013; 556–572. DOI 10.1533/9780857097545.4.556.
Bartel R, Huguet G, Cruellas F, Hamdan M, Gonzalez-Compta X, Cisa E. Laser vs drill for footplate fenestration during stapedotomy: a systematic review and meta-analysis of hearing results. Eur Arch Otorhinolaryngol 2020; 278:9–14. DOI 10.1007/s00405-020-06117-1.
doi: 10.1007/s00405-020-06117-1
Moscillo L, Imperiali M, Carra P, Catapano F, Motta G. Bone conduction variation poststapedotomy. Am J Otolaryngol 2006; 27:330–333. DOI 10.1016/j.amjoto.2006.03.002.
doi: 10.1016/j.amjoto.2006.03.002
Pauli N, Strömbäck K, Lundman L, Dahlin-Redfors Y. Surgical technique in stapedotomy hearing outcome and complications. Laryngoscope 2020; 130:790–796. DOI 10.1002/lary.28072.
doi: 10.1002/lary.28072
Genç A, Sennaroğlu L. Is it possible to predict diffuse obliterative otosclerosis preoperatively by audiologic examination: Es posible predecir preoperatoriamente la otoesclerosis obliterativa difusa con examenes audiologicos. Int J Audiol 2007; 46:203–207. DOI 10.1080/14992020601145302.
doi: 10.1080/14992020601145302
Quesnel AM, Moonis G, Appel J, et al. Correlation of computed tomography with histopathology in otosclerosis. Otol Neurotol 2013; 34:22–28. DOI 10.1097/MAO.0b013e318277a1f7.
doi: 10.1097/MAO.0b013e318277a1f7
Maraghy AEL, Aboelwafa W, Abdel Monem M, Abdul Ghany A, Sheref H, Mahmoud A. Role of high resolution multislice CT scan in otosclerosis. Egypt J Ear Nose Throat Allied Sci 2015; 16:247–254. DOI 10.1016/j.ejenta.2015.07.008.
doi: 10.1016/j.ejenta.2015.07.008