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- Title
Surgical technique in stapedotomy hearing outcome and complications.
- Authors
Pauli, Nina; Strömbäck, Karin; Lundman, Lars; Dahlin‐Redfors, Ylva; Dahlin-Redfors, Ylva
- Abstract
<bold>Objectives/hypothesis: </bold>The aim of this study was to investigate different stapes surgery techniques in relation to hearing outcome and risk for complications such as tinnitus, hearing deterioration, dizziness, and taste disturbance.<bold>Study Design: </bold>Retrospective database review.<bold>Methods: </bold>The study was based on data from the Swedish Quality Register for Otosclerosis Surgery (SQOS). Two study protocols were completed by the surgeon, and a questionnaire was distributed to each patient 1 year after surgery. A total of 832 patients operated on during 2013 to 2016 were included. Pure-tone audiometry was performed preoperatively and 1 year after surgery.<bold>Results: </bold>There was no significant difference in postoperative high-frequency hearing thresholds among the subgroups at the 1-year follow-up. The CO2 + drill laser group had the best hearing outcome according to the following criteria: air-bone gap closure ≤10 dB, air-conduction improvement >20 dB, and bone conduction not worsened >5 dB. The overall complication rate was low in all analyzed groups. The most commonly reported symptom after surgery was newly developed or worsened tinnitus (6%). Subjective hearing 1 year after surgery was reported to be better or much better in 91% of the patients.<bold>Conclusions: </bold>The combination of a drill and CO2 laser or a drill and potassium-titanyl-phosphate laser resulted in the best hearing outcome in this study from the SQOS. There were no major differences in high-frequency hearing outcome when comparing the different surgical techniques. Complications from surgery were rare, and patient satisfaction was very high 1 year after the operation.<bold>Level Of Evidence: </bold>NA Laryngoscope, 130:790-796, 2020.
- Subjects
OPERATIVE surgery; BONE conduction; TYMPANOPLASTY; LASER drilling; SURGICAL complications; PATIENT satisfaction; HEARING; EAR surgery; AUDITORY perception testing; RESEARCH; CONVALESCENCE; RESEARCH methodology; RETROSPECTIVE studies; EVALUATION research; MEDICAL cooperation; TREATMENT effectiveness; RISK assessment; COMPARATIVE studies; OTOSCLEROSIS; RESEARCH funding
- Publication
Laryngoscope, 2020, Vol 130, Issue 3, p790
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.28072