Öz
OBJECTIVE: Otosclerosis surgery is one of the otologic surgeries producing the fastest results. It offers crucial advantages such as short operation time, high level of satisfaction during the postoperative hearing recovery and short hospital stay. The purpose of otosclerosis surgery is to relieve the immobility in the ossicular chain due to the disease and to provide the voice transmission again. This study aims to evaluate the postoperative hearing gain rates and complications of patients who underwent stapes surgery for otosclerosis in a tertiary clinic in light of the current literature.
MATERIAL AND METHODS: 49 patients who were operated on for conductive hearing loss due to otosclerosis were evaluated retrospectively. Preoperative and postoperative audiological evaluations and intraoperative and postoperative complications were examined. Six of the patients were operated on both ears. A total of 36 patients, six of whom were bilateral, were included in the study (42 cases).
RESULTS: As a result of our study, in 37 (88%) of 42 ears of 36 patients operated for otosclerosis,( with the success criterion of air-bone gap limits below 20 dB) functional success incompatible with the literature was obtained. Air bone gap above 30 dB, which is considered to be a failure in the literature, was not detected in any of our patients. All cases were assessed in terms of hearing thresholds preoperatively and postoperatively, resulting in a mean bone conduction gain of 4. 8 dB.
CONCLUSIONS: For stapes surgery, in rare cases, surgery can be unsuccessful and it should be kept in mind that serious complications may also be encountered during stapes surger
Anahtar Kelimeler
Kaynakça
- 1. Guild SR. Histologic otosclerosis. Ann Otol Rhinol Laryngol.1944;53:246-66.
- 2. Causse JR, Causse JB. Otospongiosis as a genetic disease. Early detection, medical management, and prevention. Am J Otol. 1984;5:211-23.
- 3. Pauw RJ, De Leenheer EM, Van Den Bogaert K, et al. The phenotype of the first otosclerosis family linked to OTSC5. Otol Neurotol. 2006; 27(3):308-15.
- 4. Gros A, Vatovec J, Sereg-Bahar M. Histologic changes on stapedial footplate in otosclerosis. Correlations between histologic activity and clinical findings. Otol Neurotol. 2003; 24: 43-7.
- 5. Güneri A, Kırkım G. History and Physical Examination in Otosclerosis [Article in Turkish]. Türkiye Klinikleri Journal of Ear Nose Throat- Special Topics. 2009; 2(3):9-11.
- 6. Moscillo L, Imperiali M, Carra P, et al. Bone conduction variation poststapedotomy. Am J Otolaryngol. 2006; 27: 330-3.
- 7. Bittermann AJ, Rovers MM, Tange RA, et al. Primary stapes surgery in patients with otosclerosis: prediction of postoperative outcome. Arch Otolaryngol Head Neck Surg. 2011;137:780-4.
- 8. Topdağ DO, Topdağ M, Aydın O, et al. Evaluation of efficacy of otosclerosis surgery on hearing outcomes [Article in Turkish]. Kulak Burun Bogaz Ihtisas Der .2014;24:137-47.
- 9. Koopmann M, Weiss D, Savvas E, et al. Outcome measures in stapes surgery: postoperative results are independent from preoperative parameters. Eur Arch Otorhinolaryngol. 2015;272:2175-81.
- 10. Berliner KI, Doyle KJ, Goldenberg RA. Reporting operative hearing results in stapes surgery: does choice of outcome measure make a difference? Am J Otol. 1996;17:521-8.
- 11. Pere R, Almeida J, Nedzelski JM, et al. Variations in the “Charhart Notch” and overclosure after laser-assisted stapedectomy in otosclerosis. Otology and Neurotology. 2008; 25:118-21.
- 12. Motta G. Ruosi M, Motta S. The small fenestra vs large stapedectomy: comparative evaluation of failures and complications. Acta Otorhinolaryngol Ital. 1996;16(2): 28-35.
Öz
AMAÇ: Otoskleroz cerrahisi, otolojik cerrahi ameliyatlarının en hızlı sonuç verenlerinden biridir. Operasyon süresinin kısa olması, operasyon sonrası hastayı tatmin eden bir işitme iyileşmesi ve hastanede kalış süresinin kısa olması önemli avantajlarıdır. Otoskleroz ameliyatının amacı, hastalığa bağlı kemikçik zincirindeki hareketsizliği gidermek ve tekrar ses iletimini sağlamaktır. Bu çalışma, üçüncü basamak bir klinikte otoskleroz nedeniyle stapes ameliyatı geçiren hastaların postoperatif işitme kazanım oranlarını ve komplikasyonlarını güncel literatür ışığında değerlendirmeyi amaçlamaktadır.
GEREÇ VE YÖNTEM: Otoskleroza bağlı iletim tipi işitme kaybı nedeniyle opere edilen 49 hasta retrospektif olarak değerlendirildi. Preoperatif ve postoperatif odyolojik değerlendirmeler ve ameliyat esnasında olan ve postoperatif komplikasyonlar incelendi. Hastaların 6'sı her iki kulağından ameliyat edildi. Çalışmaya 6'sı bilateral olmak üzere toplam 36 hasta dahil edildi (42 kulak).
BULGULAR: Çalışmamız sonucunda otoskleroz nedeniyle opere edilen 36 hastanın 42 kulağının 37'sinde (% 88), (hava-kemik aralığı sınırlarının 20 dB'nin altında olması başarı kriteri ile) literatürle uyumlu olmayan fonksiyonel başarı elde edildi. Literatürde başarısız olduğu düşünülen 30 dB'nin üzerinde hava kemik aralığı hiçbir hastamızda tespit edilmemiştir. Tüm vakalar ameliyat öncesi ve sonrası işitme eşikleri açısından değerlendirildi ve ortalama kemik iletim kazancı 4. 8 dB olarak izlendi.
SONUÇ: Stapes ameliyatı ,nadir durumlarda başarısızdır ve stapes ameliyatı sırasında da ciddi komplikasyonlarla karşılaşılabileceği unutulmamalıdır.
Anahtar Kelimeler
Kaynakça
- 1. Guild SR. Histologic otosclerosis. Ann Otol Rhinol Laryngol.1944;53:246-66.
- 2. Causse JR, Causse JB. Otospongiosis as a genetic disease. Early detection, medical management, and prevention. Am J Otol. 1984;5:211-23.
- 3. Pauw RJ, De Leenheer EM, Van Den Bogaert K, et al. The phenotype of the first otosclerosis family linked to OTSC5. Otol Neurotol. 2006; 27(3):308-15.
- 4. Gros A, Vatovec J, Sereg-Bahar M. Histologic changes on stapedial footplate in otosclerosis. Correlations between histologic activity and clinical findings. Otol Neurotol. 2003; 24: 43-7.
- 5. Güneri A, Kırkım G. History and Physical Examination in Otosclerosis [Article in Turkish]. Türkiye Klinikleri Journal of Ear Nose Throat- Special Topics. 2009; 2(3):9-11.
- 6. Moscillo L, Imperiali M, Carra P, et al. Bone conduction variation poststapedotomy. Am J Otolaryngol. 2006; 27: 330-3.
- 7. Bittermann AJ, Rovers MM, Tange RA, et al. Primary stapes surgery in patients with otosclerosis: prediction of postoperative outcome. Arch Otolaryngol Head Neck Surg. 2011;137:780-4.
- 8. Topdağ DO, Topdağ M, Aydın O, et al. Evaluation of efficacy of otosclerosis surgery on hearing outcomes [Article in Turkish]. Kulak Burun Bogaz Ihtisas Der .2014;24:137-47.
- 9. Koopmann M, Weiss D, Savvas E, et al. Outcome measures in stapes surgery: postoperative results are independent from preoperative parameters. Eur Arch Otorhinolaryngol. 2015;272:2175-81.
- 10. Berliner KI, Doyle KJ, Goldenberg RA. Reporting operative hearing results in stapes surgery: does choice of outcome measure make a difference? Am J Otol. 1996;17:521-8.
- 11. Pere R, Almeida J, Nedzelski JM, et al. Variations in the “Charhart Notch” and overclosure after laser-assisted stapedectomy in otosclerosis. Otology and Neurotology. 2008; 25:118-21.
- 12. Motta G. Ruosi M, Motta S. The small fenestra vs large stapedectomy: comparative evaluation of failures and complications. Acta Otorhinolaryngol Ital. 1996;16(2): 28-35.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Makaleler-Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 17 Ocak 2022 |
| Kabul Tarihi | 6 Nisan 2021 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 23 Sayı: 1 |
Kaynak Göster
