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- Title
Tinnitus severity change after stapes surgery.
- Authors
Skarżyński H.; Dziendziel B.; Gos E.; Świerniak W.; Skarżyński P. H.
- Abstract
Objectives: From a clinical point of view, it is important to measure how many patients suffer tinnitus before the operation, as well as its severity, and then, postoperatively, assess how well stapes surgery affected the tinnitus level. The aim of the current study was to determine how stapes surgery affects tinnitus severity. In addition, the relationship between reduction in tinnitus severity and hearing improvement after stapes surgery was analyzed. Material: This study included patients who qualified between April and October 2017 for surgical treatment of otosclerosis at a tertiary referral center. The main eligibility criteria were: age more than or equal to 18 years; preoperative audiological diagnosis indicative of otosclerosis; preoperative diagnosis of chronic tinnitus; no previous stapes surgery in the ear eligible for surgery; and no contraindication for taking part in a questionnaire study. Finally, a group of 168 otosclerosis adult patients diagnosed with chronic tinnitus were enrolled to the study. Methods: At the preoperative period and after 6 month's follow-up, puretone audiometry was conducted. The mean hearing thresholds for air conduction and bone conduction were determined at 500, 1000, 2000, and 4000 Hz. Tinnitus was diagnosed as clinically significant if it occurred at least once a week and lasted at least 5 minutes. Patients who were diagnosed with tinnitus were asked to fill in the Tinnitus Functional Index (TFI): 1 day before surgery (during the preoperative visit to the clinic) and after 3 and 6 months postoperatively. Stapedotomy procedure was performed in all cases. Results: The TFI Total score before the operation was M=34.5 (standard deviation, SD=1.6) points, and decreased 3 months after stapedotomy to M=17.5 (SD=1.7), a statistically significant change (T=--8.200; p<0.001). A weak correlation was found between the pre- and postoperative difference of TFI Total score and air-conduction thresholds (r=0.21; p=0.013) as well as between the TFI Total score and the size of the air-bone gap (r=0.21; p=0.013). Preoperatively, 86 patients tinnitus was a not or small problem, and for 82 it was moderate to very big. After stapedotomy, 93 (55%) of patients experienced a significant reduction in tinnitus severity. Of the whole group, 62 patients (37%) reported complete disappearance of their tinnitus. No change in tinnitus severity was reported by 63 patients (38%), and an increase was observed by 12 patients (7%). Conclusions: Stapedotomy not only improves hearing but also reduces tinnitus severity. The current results extend knowledge of postoperative results in terms of tinnitus severity, and might benefit patients undergoing tinnitus counseling. It might also be useful to otolaryngologists when making decisions regarding qualification criteria.
- Subjects
POLAND; EAR ossicle surgery; EAR surgery; TINNITUS; CONFERENCES &; conventions; SEVERITY of illness index; TREATMENT effectiveness; OTOSCLEROSIS; EVALUATION
- Publication
Journal of Hearing Science, 2022, Vol 12, Issue 1, p202
- ISSN
2083-389X
- Publication type
Article