Early Postoperative Results in Stapedectomy. Issue 6 (9th October 2013)

• Record Type: Journal Article
• Authors: Sperling, Neil M.; Sury, Krishna; Gordon, Jessica; Cox, Shaun
• Is Part Of: Otolaryngology--head and neck surgery. Volume 149:Issue 6(2013)
• Page Start: 918
• Page End: 923
• Publication Date: 2013-10-09
• Subjects: stapedectomy -- stapedotomy -- threshold shifts -- otosclerosis -- stapes surgery; Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599813507232
• Languages: English
• ISSNs: 0194-5998

Abstract

Abstract : Objective: To measure early audiometric changes after primary stapedotomy. Study Design: Case series with chart review. Setting: Academic inner‐city hospitals. Subjects and Methods: Consecutive patients operated on by the first author were included (only 1 ear in cases of bilateral surgery), and their audiometric results were reviewed. Data were analyzed from 45 ears. Air and bone audiometric measures were analyzed from 5 days post operation and 6 months post operation. Threshold shifts were quantified at 5 days and 6 months post operation. Results: Overall results for the group were good, with 91% of patients achieving an air‐bone gap less than or equal to 10 dB by 6 months post operation. Threshold shifts in at least 1 frequency were common at 5 days (62% of patients), but less so at 6 months (36%). Patients with shifts did not have worse overall outcomes at 6 months than those with no shifts. No difference in results was observed for the 2 prostheses used in this series. Conclusion: Early audiometric results after stapedectomy commonly reveal worsened bone conduction (postoperative threshold shifts), which may reflect cochlear trauma, but do not lead to poorer outcomes as measured by conventional methods.