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https://www.readbyqxmd.com/read/29773417/stapes-surgery-preserving-the-superstructure-of-stapes-takagi-s-stapedotomy-in-otosclerosis-a-retrospective-study-of-24-consecutive-cases
#1
Shin-Ichi Sato, Akira Takagi, Takashi Fujiwara
OBJECTIVE: The aim of this study was to evaluate the hearing outcomes and complications of stapedotomy in which the stapes superstructure was preserved (Takagi's stapedotomy). In this surgical approach, the lenticular process of the incus rather is removed, than the superstructure of the stapes. METHODS: A single-center retrospective observational study was performed. We included all patients having Takagi's stapedotomy for otosclerosis between January 2005 and April 2016...
May 14, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29698956/long-term-hearing-outcomes-following-stapedotomy-in-patients-with-otosclerosis-and-preoperative-small-air-bone-gap
#2
Anna Alberti, Enric Figuerola, Guillermo Romero, Miquel Quer, Francisco Larrosa
OBJECTIVES: To assess the long-term effectiveness of stapedotomies performed on patients with otosclerosis and preoperative small air-bone gaps (ABGs). METHODS: Retrospective study comparing the 10-year postoperative hearing outcomes after primary stapedotomies in patients with small (≤20 dB) and large ABGs (> 20 dB). Ninety out of 175 stapedotomies (22 and 68 in the small and large ABG groups, respectively) were monitored with long-term follow-ups. RESULTS: Ten years after the operation, hearing measurements were similar for both groups, although a significant decline of bone conduction thresholds was evident (p = 0...
April 26, 2018: Audiology & Neuro-otology
https://www.readbyqxmd.com/read/29649044/oval-window-size-and-shape-a-micro-ct-anatomical-study-with-considerations-for-stapes-surgery
#3
Matthew J Zdilla, Janusz Skrzat, Magdalena Kozerska, Bartosz Leszczyński, Jacek Tarasiuk, Sebastian Wroński
BACKGROUND: The oval window is an important structure with regard to stapes surgeries, including stapedotomy for the treatment of otosclerosis. Recent study of perioperative imaging of the oval window has revealed that oval window niche height can indicate both operative difficulty and subjective discomfort during otosclerosis surgery. With regard to shape, structures incorporated into the oval window niche, such as cartilage grafts, must be compatible with the shape of the oval window...
April 11, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29619098/short-term-audiological-results-of-diode-laser-in-comparison-with-manual-perforation-in-stapes-surgery
#4
Rogerio Hamerschmidt, Stephanie Sbizera Saab, Bettina Carvalho, Carolina do Carmo
Introduction  Diode laser is a new alternative in stapes surgery for otosclerosis. The present study is the first to compare the short-term results of the surgery performed using diode laser to those obtained through the conventional fenestration technique. Objective  To use audiometry to establish a comparative analysis between the functional results obtained through surgery for otosclerosis using diode laser and the conventional technique. Method  Audiometric evaluation of 12 patients submitted to stapes surgery for otosclerosis, using diode laser or conventional fenestration by needle and drills, between 2014 and 2015...
April 2018: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29602585/trend-in-otolaryngological-surgeries-in-an-era-of-super-aging-descriptive-statistics-using-a-japanese-inpatient-database
#5
Sayaka Suzuki, Hideo Yasunaga, Hiroki Matsui, Kiyohide Fushimi, Tatsuya Yamasoba
OBJECTIVE: To reveal the age distribution and capture the longitudinal trend in otolaryngological surgeries performed in Japan, where society is rapidly aging. METHODS: Using the Diagnosis Procedure Combination database, we extracted data on patients who were hospitalized and underwent any type of otolaryngological surgery in departments of otolaryngology or head and neck surgery from fiscal year 2007 to fiscal year 2013. Type of surgery, patient's age, and fiscal year were compared...
March 27, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29570801/predictive-factors-in-995-stapes-surgeries-for-primary-otosclerosis
#6
Mohammad T Khorsandi A, Mir M Jalali, Vahideh Shoshi D
OBJECTIVES/HYPOTHESIS: This study sought to identify the predictors of outcome in patients with otosclerosis undergoing primary stapes surgery. STUDY DESIGN: Retrospective analysis of medical records. METHODS: A total of 995 patients with otosclerosis who underwent primary stapes surgery by a single surgeon between January 2006 and December 2016 were included. Logistic regression analysis was performed to examine factors affecting postoperative hearing thresholds at individual frequencies...
March 23, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29549428/correction-to-long-term-hearing-results-of-stapedotomy-analysis-of-factors-affecting-outcome
#7
Ingeborg Dhooge, Stéphanie Desmedt, Thomas Maly, David Loose, Helen Van Hoecke
The given and family names of all the co-authors are incorrect in the published article. The correct names should read as follows.
May 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29533330/picosecond-infrared-laser-pirl-application-in-stapes-surgery-first-experience-in-human-temporal-bones
#8
Hannes Petersen, Alexandra Gliese, Yannick Stober, Stephanie Maier, Nils-Owe Hansen, Sebastian Kruber, Dennis Eggert, Miklós Tóth, Tobias Gosau, Hartmut Schlüter, Klaus Püschel, Udo Schumacher, Robert John Dwayne Miller, Adrian Münscher, Carsten Dalchow
OBJECTIVE: Using a contact-free laser technique for stapedotomy reduces the risk of mechanical damage of the stapes footplate. However, the risk of inner ear dysfunction due to thermal, acoustic, or direct damage has still not been solved. The objective of this study was to describe the first experiences in footplate perforation in cadaver tissue performed by the novel Picosecond-Infrared-Laser (PIRL), allowing a tissue preserving ablation. PATIENTS AND INTERVENTION: Three human cadaver stapes were perforated using a fiber-coupled PIRL...
April 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29502731/controversies-in-the-evaluation-and-management-of-otosclerosis
#9
REVIEW
John T McElveen, J Walter Kutz
Controversies have been associated with the etiology, diagnosis, evaluation, and management of otosclerosis since Valsalva first described stapes fixation as a cause of hearing loss. Although the exact mechanism of the bone remodeling associated with otosclerosis remains uncertain, stapedotomy has been accepted as the surgical treatment of most patients with stapedial otosclerosis. There remains a disparity of opinion, however, regarding the role of preoperative imaging, surgical technique, implant selection, and medical therapy for cochlear otosclerosis...
April 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29502725/the-stapes-prosthesis-past-present-and-future
#10
REVIEW
Alexander Sevy, Moises Arriaga
Since the original carved Teflon stapes over vein graft, stapedectomy prostheses have undergone evolution. Prostheses shapes, materials, and surgical techniques for placement have reflected advances in biomaterials and surgical tools. The variability in prostheses has reflected alternative techniques of stapedectomy and stapedotomy and differing strategies for attachment to the incus. Although many iterations of stapes prostheses have been proposed, excellent results can be achieved with various prostheses designed to rest on tissue grafts in stapedectomy techniques or pass through the footplate in stapedotomy techniques when used by surgeons experienced with technique details specific to the selected prosthesis...
April 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29453620/long-term-hearing-results-of-stapedotomy-analysis-of-factors-affecting-outcome
#11
Ingeborg Dhooge, Stéphanie Desmedt, Thomas Maly, David Loose, Helen Van Hoecke
OBJECTIVE: To evaluate long-term hearing results of stapedotomy and analyze the influence of patient-, disease-, and procedure-related variables. STUDY DESIGN: Retrospective case series. SETTING: Tertiary referral center. PATIENTS: 230 ears (202 patients, 10-74 years) underwent stapedotomy for otosclerosis between January 2008 and August 2014. All cases had early postoperative follow-up (4 weeks post-surgery) and 181 cases had late postoperative follow-up (≥ 1 year, average 32...
May 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29397948/stapedectomy-versus-stapedotomy
#12
REVIEW
Horace C S Cheng, Sumit K Agrawal, Lorne S Parnes
Stapedectomy and stapedotomy represent the state-of-the-art surgical procedures in addressing the conductive hearing loss caused by otosclerosis. Their high rates of success and long-term stability have been demonstrated repeatedly in many studies. In comparing the short- and long-term results of the 2 procedures, it is evident that stapedotomy confers better hearing gain at high frequencies and lower complication rates. Modified stapes mobilization procedures may represent the next major development in stapes surgery in a selected patient population...
April 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29360086/surgical-results-and-complications-of-cochlear-implantation-in-far-advanced-otosclerosis
#13
Niels West, Markus Brand, Søren Foghsgaard, Per Cayé-Thomasen
OBJECTIVE: To report surgical results and complications of cochlear implantation in patients with far-advanced otosclerosis (FAO). MATERIALS AND METHODS: This was a retrospective chart review of surgical results in terms of electrode insertion as well as peri- and postoperative complications. Ten cochlear implantations (CIs) were performed in eight patients with FAO. A prior stapedotomy had been performed in all cases. RESULTS: Full electrode insertion was achieved in nine of the 10 operations (90%) and partial insertion in one operation...
December 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/29298506/a-new-reversal-steps-stapedotomy
#14
Giuseppe Malafronte
OBJECTIVE: To evaluate whether removal of the stapes head and not the entire stapes superstructure prevents footplate complications. STUDY DESIGN: Prospective study. PATIENTS: One hundred and forty-five patients with otosclerosis were included. Patients were divided into 2 groups as follows: Individuals in group 1 (n = 75) underwent removal of the entire stapes superstructure; individuals in group 2 (n = 70) underwent removal of the stapes head only...
March 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29171673/does-the-diameter-of-the-stapes-prosthesis-really-matter-a-prospective-clinical-study
#15
Daniele Bernardeschi, Daniele De Seta, Giuseppina Canu, Francesca Yoshie Russo, Evelyne Ferrary, Ghizlene Lahlou, Olivier Sterkers
OBJECTIVES/HYPOTHESIS: To evaluate the influence of the diameter of stapes prosthesis on functional outcomes in stapes surgery. STUDY DESIGN: Prospective cohort study. METHODS: Fifty consecutive small fenestra stapedotomies performed using a 0.4-mm-diameter prosthesis were compared with 50 consecutive small fenestra stapedotomies carried out using a 0.6-mm-diameter piston. Audiological assessment following the recommendations of the Committee on Hearing and Equilibrium was performed 1 month after surgery...
November 24, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29065085/resolution-of-persistent-post-stapedotomy-vertigo-with-migraine-prophylactic-medication
#16
Omid Moshtaghi, Hossein Mahboubi, Yarah M Haidar, Ronald Sahyouni, Harrison W Lin, Hamid R Djalilian
OBJECTIVE: To describe persistent post-stapedotomy vertigo (PSV) and its treatment using migraine prophylaxis. PATIENTS: A retrospective review of all patients with persistent PSV spanning 10 years at a tertiary academic hospital was performed. Patients who experienced persistent vertigo for a minimum of 3 months after surgery were included. Those with possible perilymph fistula, long prosthesis, and benign paroxysmal positional vertigo were excluded. INTERVENTIONS: All patients received instructions on migraine dietary and lifestyle changes and Vitamin B2 and magnesium...
December 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29022079/co-2-laser-stapedotomy-safety-influence-of-laser-energy-and-time-on-bone-conduction-hearing-levels
#17
Uwe Schönfeld, Hu Weiming, Veit M Hofmann, Sergije Jovanovic, Andreas E Albers
Total laser energy in CO2 stapedotomy depends on the laser settings and the amount of applications. It is unclear if the amount of total laser energy affects bone-conduction hearing thresholds and if possible effects are temporary or permanent. Alterations of bone-conduction hearing thresholds after single or multiple-shot CO2 laser stapedotomy were analyzed between 1 and 3 weeks and 1.5-6 months after primary (n = 501) or revision surgeries (n = 153) and correlated to time, laser energy, frequency, surgical technique, and pathology encountered in revision stapedotomy...
December 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28920722/-comparative-evaluation-of-vertigo-in-patients-after-stapedotomy-and-stapedectomy
#18
Kinga Harmat, Gergely Thurén, László Simon, Nelli Nepp, Adrienn Németh, Imre Gerlinger, Péter Bakó
INTRODUCTION AND AIM: The reason of gradually developing conductive hearing loss in otosclerotic patients is the ossification of the stapes footplate to the surrounding bony structures and the therapy of stapes fixation is mainly surgical. In stapedotomy the footplate of the stapes is fenestrated with laser and microdrill in a diameter of 0.8 mm, whereas in stapedectomy there is complete removal of the footplate followed by the reconstruction of the ossicular chain. In the early postoperative period, temporary vertigo is frequently recorded which significantly influences the recovery...
September 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28891873/hearing-outcome-with-the-use-of-glass-ionomer-cement-as-an-alternative-to-crimping-in-stapedotomy
#19
Saad Elzayat, Ahmed Younes, Ayman Fouad, Fatthe Erfan, Ali Mahrous
OBJECTIVE: To evaluate early hearing outcomes using glass ionomer cement to fix the Teflon piston prosthesis onto the long process of incus to minimize residual conductive hearing loss after stapedotomy. STUDY DESIGN: Original report of prospective randomized control study. SETTING: Tertiary referral center. PATIENTS: A total of 80 consecutive patients with otosclerosis were randomized into two groups. Group A is a control group in which 40 patients underwent small fenestra stapedotomy using the classic technique...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28816687/hearing-and-otoacoustic-emissions-outcome-of-stapedotomy-does-the-prosthesis-diameter-matter
#20
RANDOMIZED CONTROLLED TRIAL
Nabil Faranesh, Ebrahim Magamseh, Suliman Zaaroura, Reem Zeidan, Avi Shupak
OBJECTIVE: To compare the hearing and otoacoustic emissions (OAE) outcome of stapedotomy employing 0.4 and 0.6 mm diameter prostheses. MATERIALS AND METHODS: In total, 18 patients with otosclerosis participated in a prospective, double-armed, randomized cohort study. All the patients underwent small fenestra drill stapedotomy employing the Causse fluroplastic large loop piston prostheses. The patients were randomly assigned to groups of 0.4 mm (n=9) and 0.6 mm (n=9) diameter prostheses...
August 2017: Journal of International Advanced Otology
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