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https://www.readbyqxmd.com/read/28319495/endoscopic-stapes-surgery-a-comparison-with-microscopic-surgery
#1
Rhona Sproat, Constantina Yiannakis, Arunachalam Iyer
OBJECTIVE: To investigate postoperative audiological outcomes and complication rates for fully endoscopic and microscopic stapes surgery carried out by a single surgeon in one center. PATIENTS: All patients having undergone endoscopic and non-endoscopic stapes surgery for otosclerosis from September 2009 to August 2016 under a single surgeon. INTERVENTION(S): Stapedotomy using either an operating microscope or endoscope for visualization. Stapedotomy was carried out using a standard approach...
March 17, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28285827/our-auditory-results-using-the-vibrant-soundbridge-on-the-long-process-of-the-incus-20-years-of-data
#2
Anaïs Grégoire, Jean-Philippe Van Damme, Chantal Gilain, Benoit Bihin, Pierre Garin
OBJECTIVE: After 20 years of experience with different types of middle ear implants, we analyzed our database about the Vibrant Soundbridge (VSB) to know the rate of complications, the effect on the residual hearing and the audiometric gain in our center. METHOD: The study was retrospective and included all VSB implants bound to the long process of the incus in our tertiary medical center between january 1999 and february 2015. We observed the effect of surgery on residual hearing by comparing bone and air conduction thresholds before and after implantation...
March 9, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28285424/stapes-surgery-in-sweden-evaluation-of-a-national-based-register
#3
Karin Strömbäck, Lars Lundman, Andreas Bjorsne, Joakim Grendin, Anna Stjernquist-Desatnik, Ylva Dahlin-Redfors
The aim of the National Quality Registries is to monitor the outcome of healthcare given to patients. The Swedish Quality register for otosclerosis surgery is one of the nine official national registers for ear, nose and throat diseases in Sweden. Since 2004, surgical and audiological results and patient satisfaction scores have been systematically collected from a majority of the ear, nose and throat clinics performing stapes surgery in Sweden. The results of 1688 patients who underwent primary operations for otosclerosis were evaluated for 24 out of totally 26 clinics performing stapes surgery, between 2004 and 2010...
March 11, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28229059/comparison-of-fluoroplastic-causse-loop-piston-and-titanium-soft-clip-in-stapedotomy
#4
Mohammad Faramarzi, Nafiseh Gilanifar, Sareh Roosta
INTRODUCTION: Different types of prosthesis are available for stapes replacement. Because there has been no published report on the efficacy of the titanium soft-clip vs the fluoroplastic Causse loop Teflon piston, we compared short-term hearing results of both types of prosthesis in patients who underwent stapedotomy due to otosclerosis. MATERIALS AND METHODS: A total of 57 ears were included in the soft-clip group and 63 ears were included in the Teflon-piston group...
January 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28151457/effectiveness-of-stapedotomy-in-improving-hearing-sensitivity-for-53-otosclerotic-patients-retrospective-review
#5
Farid Alzhrani, Mohammad M Mokhatrish, Murad O Al-Momani, Hassan Alshehri, Abdulrahman Hagr, Soha N Garadat
BACKGROUND: Otosclerosis is a common cause of progressive hearing impairment that causes fixation of the stapes. Surgical intervention is the preferred treatment approach to ameliorate the conductive hearing loss associated with stapedial otosclerosis. However, given that it is a difficult and delicate procedure, the surgery may fail for a number of reasons. Therefore, it is very important to evaluate the success rate of the surgical approach used in each regional center. OBJECTIVE: To examine the effectiveness of stapedotomy in improving hearing sensitivity for otosclerotic patients at King Abdul Aziz University Hospital in Riyadh...
January 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/27725835/flexible-fiber-optic-carbon-dioxide-laser-assisted-stapedotomy-in-otosclerosis
#6
Sertac Yetiser
Objective. The aim of this study is to analyze the hearing and vestibular outcome of patients with otosclerosis who have been operated on by fiber optic flexible CO2 laser. Study Design. A preliminary and retrospective study was conducted in 30 patients with otosclerosis. Results. Comparative analysis of average air conduction thresholds (53.41 ± 11.81 dB versus 26.37 ± 11.04 dB) and air-bone gaps (34 ± 9.92 dB versus 12.03 ± 6.02 dB) before and after the surgery were statistically significant (<0...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27716600/comparison-of-videonystagmography-and-audiological-findings-after-stapedotomy-co2-laser-vs-perforator
#7
Sait Karaca, Oğuz Basut, Uygar Levent Demir, Ömer Afşın Özmen, Fikret Kasapoğlu, Hakan Coşkun
OBJECTIVE: Various types of laser, microdrill, and perforator are effectively used in the surgical treatment of otosclerosis. However, they have certain disadvantages along with advantages. The aim of this study was to evaluate the effects of carbon dioxide (CO2) laser and perforator stapedotomy techniques on audiological outcomes and postoperative vestibular functions via videonystagmography (VNG). MATERIALS AND METHODS: This prospective and randomized clinical study was conducted in an academic tertiary medical center...
August 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27642666/the-effect-of-piston-diameter-in-stapedotomy-for-otosclerosis-a-temporal-bone-model
#8
Inge Wegner, Mostafa M A S Eldaebes, Thomas G Landry, Wilko Grolman, Manohar L Bance
HYPOTHESIS: The use of larger-diameter pistons in stapedotomy leads to better hearing outcomes compared with the use of smaller-diameter pistons. There is an interaction between stapes piston diameter and fenestration diameter. BACKGROUND: Otosclerosis can be treated surgically by removing part of the stapes and bypassing the stapes footplate with a prosthesis. Available piston shaft diameters range between 0.3 and 0.8 mm. There has been a tendency toward the use of smaller-diameter pistons, because of a suspected decreased risk of cochlear trauma and subsequent sensorineural hearing loss (SNHL) with smaller pistons...
December 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27579838/endoscopic-versus-microscopic-approach-in-stapes-surgery-are-operative-times-and-learning-curve-important-for-making-the-choice
#9
Giannicola Iannella, Giuseppe Magliulo
OBJECTIVE: Analyze the surgical outcomes of endoscopic stapes surgery, comparing the results with a conventional stapes surgery under microscopic approach. Estimate the operation type of each surgical approach and show a learning curve of endoscopic stapes surgery. STUDY DESIGN: Retrospective study. SETTING: Tertiary referral center. PATIENTS: Twenty patients who underwent endoscopic stapedotomy for otosclerosis and 20 patients who underwent microscopic stapedotomy for otosclerosis...
October 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27553985/does-stapes-surgery-improve-tinnitus-in-patients-with-otosclerosis
#10
Onur Ismi, Osman Erdogan, Mesut Yesilova, Cengiz Ozcan, Didem Ovla, Kemal Gorur
INTRODUCTION: Otosclerosis (OS) is the primary disease of the human temporal bone characterized by conductive hearing loss and tinnitus. The exact pathogenesis of tinnitus in otosclerosis patients is not known and factors affecting the tinnitus outcome in otosclerosis patients are still controversial. OBJECTIVES: To find the effect of stapedotomy on tinnitus for otosclerosis patients. METHODS: Fifty-six otosclerosis patients with preoperative tinnitus were enrolled to the study...
August 2, 2016: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27540683/taste-disturbance-after-stapes-surgery-an-evaluation-of-frequency-severity-duration-and-quality-of-life
#11
Katarina Berling Holm, Johan Knutsson, Karin Strömbäck, Niklas Danckwardt Lillieström, Georgios Papatziamos, Andreas Rosenblad, Magnus Von Unge
CONCLUSION: The incidence of taste disturbance after stapes surgery is high (61.9%), whereas the majority (94.8%) recovers within 1 year. More severe surgical nerve trauma caused more disturbance, implying that the nerve should be handled carefully during surgery. OBJECTIVES: Patients operated on for otosclerosis seem more often to complain about post-operative taste disturbance than those operated on for chronic otitis media, although the chorda tympani nerve more seldom becomes maltreated in stapedotomy...
January 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27534272/wideband-acoustic-immittance-measurements-in-assessing-crimping-status-following-stapedotomy-a-temporal-bone-study
#12
Inge Wegner, Navid Shahnaz, Wilko Grolman, Manohar L Bance
OBJECTIVE: To ascertain if wideband acoustic immitance (WAI) measurements are useful in assessing crimping status following stapedotomy. DESIGN: WAI measurements were obtained using the Mimosa Acoustics HearID system. Wideband chirp sound stimuli and a set of tone stimuli for nine frequencies between 0.2 and 6 kHz were used at 60 dB SPL. Five sets of measurements were performed on each temporal bone: mobile stapes, stapes fixation and stapedotomy followed by insertion of a tightly crimped, a loosely crimped and an uncrimped prosthesis...
January 2017: International Journal of Audiology
https://www.readbyqxmd.com/read/27500399/direct-acoustic-stimulation-at-the-lateral-canal-an-alternative-route-to-the-inner-ear
#13
Nicolas Verhaert, Joris Walraevens, Christian Desloovere, Jan Wouters, Jean-Marc Gérard
Severe to profound mixed hearing loss is associated with hearing rehabilitation difficulties. Recently, promising results for speech understanding were obtained with a direct acoustic cochlear implant (DACI). The surgical implantation of a DACI with standard coupling through a stapedotomy can however be regarded as challenging. Therefore, in this experimental study, the feasibility of direct acoustic stimulation was investigated at an anatomically and surgically more accessible inner ear site. DACI stimulation of the intact, blue-lined and opened lateral semicircular canal (LC) was investigated and compared with standard oval window (OW) coupling...
2016: PloS One
https://www.readbyqxmd.com/read/27461175/endoscopic-versus-microscopic-stapes-surgery
#14
Ozgur Surmelioglu, Suleyman Ozdemir, Ozgur Tarkan, Ulku Tuncer, Muhammed Dagkiran, Fikret Cetik
OBJECTIVE: The aim of this study to compare the outcomes and complications of endoscopic stapes surgery versus microscopic stapes surgery. METHODS: This study involved patients who underwent stapedotomy at the Department of Otorhinolaryngology, Faculty of Medicine, Cukurova University between January 2012 and July 2014. The patients were divided into two groups. Patients in group I were operated with endoscope and patients in group II were operated with microscope...
July 22, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27387215/biocompatible-membrane-of-pdms-for-the-new-chamber-prosthesis-stapes
#15
Katarzyna Banasik, Monika Kwacz
Stapes protheses are designed for patients with otosclerosis resulting immobilization or significant reduction of the stapes mobility. All currently used prostheses are called - piston prosthesis. However, its use to stimulate the cochlea is still imperfect. New chamber stapes prosthesis allows the perilymph excitation more effective than the piston prothesis. Moreover, the chamber prosthesis eliminates the common causes of piston-stapedotomy failures. The most important element of the new prosthesis is a flexible membrane...
June 30, 2016: Otolaryngologia Polska. the Polish Otolaryngology
https://www.readbyqxmd.com/read/27382673/-the-treatment-of-otosclerosis-using-laser-assisted-stapedotomy-with-mini-incision-in-external-auditory-meatus
#16
Xinping Hao, Shubin Chen, Zilong Yu, Fenghe Liang, Yongxin Li
OBJECTIVE: To investigate the feasibility of the treatment of otosclerosis using laser stapedotomy with mini incision in the external auditory meatus. METHOD: Thirteen patients(15 ears) with otosclerosis evidence on clinic history. They were all operated using the laser assisted stapedotomy by mini incision in external auditory meatus because of the wide straight canal. Laser resection the tendo musculistapedius and anterior and postrior arch, breaking the articulatioincudostapedia, removing the stapes superstructure, making a hole of 6mm diameter in the rear of stapes footplate by laser drilling, implanting the corresponding length Piston artificial ossicle...
March 2016: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/27358642/stapedotomy-and-its-effect-on-hearing-our-experience-with-54-cases
#17
Taiwo Olugbemiga Adedeji, Shabbir Indorewala, Abuzar Indorewala, Gaurav Nemade
INTRODUCTION: This study reviews the cases of stapedotomy and evaluates its effectiveness at improving hearing loss in patients with otosclerosis. MATERIALS AND METHODS: Retrospective review of patients' records who had clinical and audiometric diagnosis of otosclerosis from January to December 2012. RESULTS: A total of 54 stapedotomy surgeries (52 unilateral and 1 bilateral surgeries) were received. Average post-operative ABG for 0.5, 1, 2 and 4 KHz showed that 61...
March 2016: African Health Sciences
https://www.readbyqxmd.com/read/27346704/active-middle-ear-implant-coupled-bilaterally-to-the-round-window-despite-bilateral-implanted-stapes-prostheses
#18
Annekatrin Coordes, Linda Jahreiss, Uwe Schönfeld, Minoo Lenarz
After stapes surgery, patients with mixed or moderate hearing loss have limited possibilities for hearing improvement. We are reporting on a patient who underwent stapedotomy bilaterally 20 years ago and had sensorineural and mixed hearing loss. Recurrent otitis externa prevented the use of hearing aids. This patient was treated bilaterally with the Vibrant Soundbridge (Med-El, Innsbruck, Austria) successively. The Schuknecht piston stapes prostheses remained in situ. The Floating Mass Transducer (FMT; Med-El) was coupled to the round window (RW) and provided good acoustic reinforcement bilaterally...
February 2017: Laryngoscope
https://www.readbyqxmd.com/read/27329418/stapedotomy-vs-cochlear-implantation-for-advanced-otosclerosis-systematic-review-and-meta-analysis
#19
REVIEW
Yasin Abdurehim, Alexandre Lehmann, Anthony G Zeitouni
OBJECTIVES: To compare the hearing outcomes of stapedotomy vs cochlear implantation in patients with advanced otosclerosis. DATA SOURCES: PubMed, EMBASE, and The Cochrane Library were searched for the terms otosclerosis, stapedotomy, and cochlear implantation and their synonyms with no language restrictions up to March 10, 2015. METHODS: Studies comparing the hearing outcomes of stapedotomy with cochlear implantation and studies comparing the hearing outcomes of primary cochlear implantation with salvage cochlear implantation after an unsuccessful stapedotomy in patients with advanced otosclerosis were included...
November 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27309714/stapedotomy-with-adipose-tissue-seal-hearing-outcomes-incidence-of-sensorineural-hearing-loss-and-comparison-to-alternative-techniques
#20
Kenny F Lin, Samuel Selesnick
OBJECTIVE: To evaluate hearing outcomes and incidence of sensorineural hearing loss (SNHL) after stapedotomy with adipose tissue seal, and to compare adipose tissue sealing with alternative techniques. STUDY DESIGN: Retrospective chart review. SETTING: Tertiary referral center. PATIENTS: Primary stapedotomy was performed in 179 patients using a KTP laser, microdrill, piston prosthesis, and adipose tissue seal of the oval window fenestra between 1991 and 2015...
August 2016: Otology & Neurotology
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