We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The effect of preserved stapedial superstructure on hearing improvement.
- Authors
Boroń, Aleksandra; Wiatr, Agnieszka; Składzień, Jacek; Wiatr, Maciej
- Abstract
Backgrounds: Ossiculoplasty can be carried out in a number of ways, depending on the anatomical and functional conditions encountered during otosurgery and the experience of a given centre. The objective: The objective of the study was to analyse treatment effects in terms of postoperative hearing improvement in patients with chronic otitis media, with a particular emphasis on stapedial superstructure preservation. Methods: The records of 294 consecutive patients undergoing their first ENT surgery due to chronic otitis media at the Department of Otolaryngology in Cracow, in 2009-2013 were analysed. In order to assess the role of preserved stapedial superstructure, 96 patients were eligible for further analysis. Results: The analysis points to a significant hearing improvement after ossiculoplasty with the preserved stapedial superstructure as compared with the patients after footplate mobilisation. On the other hand, the research results point to signifi- cantly smaller hearing improvement in those patients, in whom only stapes was preserved, as compared with those, in whom a more extensive reconstruction of the ossicular chain was possible. Conclusion: The air-bone gap measured before otosurgery often fails to reflect the extent of abnormalities and cannot, therefore, be considered as the only prognostic factor for postoperative hearing improvement.
- Subjects
EAR ossicle surgery; HEARING; TREATMENT effectiveness; OTITIS media; TYMPANOPLASTY
- Publication
Polish Otolaryngology / Otolaryngologia Polska, 2020, Vol 74, Issue 1, p17
- ISSN
0030-6657
- Publication type
Article
- DOI
10.5604/01.3001.0013.5954