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Titolo:
The other ear: Findings and results in 1,800 bilateral stapedectomies
Autore:
Daniels, RL; Krieger, LW; Lippy, WH;
Indirizzi:
Adv ENT Phys & Surg Cent New York, Syracuse, NY USA Adv ENT Phys & Surg Cent New York Syracuse NY USA York, Syracuse, NY USA Ohio State Univ, Div Otol Neurotol, Columbus, OH 43210 USA Ohio State Univ Columbus OH USA 43210 ol Neurotol, Columbus, OH 43210 USA
Titolo Testata:
OTOLOGY & NEUROTOLOGY
fascicolo: 5, volume: 22, anno: 2001,
pagine: 603 - 607
SICI:
1531-7129(200109)22:5<603:TOEFAR>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
OTOSCLEROSIS; BENEFIT; SURGERY;
Keywords:
middle ear; stapedectomy; bilateral otosclerosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Lippy, WH Warren Oncol Grp, 3893 E Market St, Warren, OH 44484 USA Warren Oncol Grp 3893 E Market St Warren OH USA 44484 44484 USA
Citazione:
R.L. Daniels et al., "The other ear: Findings and results in 1,800 bilateral stapedectomies", OTOL NEURO, 22(5), 2001, pp. 603-607

Abstract

Objectives: To determine the incidence of middle ear abnormalities in patients with bilateral otosclerosis, which could potentially affect successfulstapedectomy, and the rates of success in these patients, including the chance of overclosure in the second car. Study Design: Retrospective case review of operative and audiologic records. Setting: Private otology practice. Patients: One thousand eight hundred patients underwent 3,600 primary stapedectomies for bilateral otosclerosis. Intervention: Analysis of perioperative and follow-up audiograms with associated operative findings, including obliterative otosclerosis and solid footplates, dehiscent or overhanging facial nerve, narrow oval window niche, promontory overhang, and ossicular fixation or malformation. Main Outcome Measures: Audiologic stapedectomy success was determined as overclosure or closure of preoperative airbone gap to less than 10 dB at I year or more of follow-up. Results: The rate of finding any abnormality was 25%. Abnormalities present bilaterally were found in 135 patients (7%), with otosclerosis requiring an oval window drillout as the most common finding (41%), followed by dehiscent or overhanging facial nerves (25%). Success in patients with abnormalities was 78% overall, with bilateral overclosure in 40%. Conclusions: Abnormal middle ear findings during stapedectomy occur in a significant percentage of patients. Reasonable rates of success and overclosure can still be expected, but this is somewhat finding-specific. The predictive value of these findings, the associated rates of success with potential impact on surgical counseling, and planning for the "other ear" are discussed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/02/20 alle ore 04:56:46