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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2013, Number 3

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Rev Esp Med Quir 2013; 18 (3)

The ideal Presurgical Audiogram in the Patient Programmed to Surgery of the Stirrup Bone Due to Otosclerosis

de la Peña LK, Pineda CF

Language: Spanish
References: 15
Page: 218-222
PDF size: 358.73 Kb.


ABSTRACT

Background: Otosclerosis is one of the most common causes of conductive hearing loss. Of gradual onset and progressive evolution, this disease can turn disabling if treated late. Otosclerosis has many controversies in its etiopathogeny, in decisions about surgical treatment, the type of prosthesis to use and in the results after the surgical process.
Objective: To diagnose the state of pre-surgical hearing as the conditioning factor, evaluated through audiometry, leading to hearing loss recovery after stapes surgery in patients with uni or bilateral otosclerosis.
Material and methods: A retrospective study was performed by reviewing the clinical archives of patients surgically treated via primary stapedectomy or stapedotomy in the Regional Hospital General Ignacio Zaragoza, ISSSTE, from January 2000 to December 2010.
Results: We found 161 Bezold type curve, 83 with Carhart notch, 37 Lermoyes type curve and 4 Manasse type curve. Enhancement of bone component was obtained in 13 cases (6.4%), complete closure of the air-bone GAP in 182 cases (90.1%). Just there were 7 cases (3.4%) without closure of the air-bone GAP, nevertheless in all this cases, the grade was 5 dB to 25 dB.
Conclusion: The opportune diagnose and detection of this pathology in its early stages are crucial in order to increase the opportunities to gain complete closure of the air-bone GAP or even improvement of the bone conduction.


REFERENCES

  1. Paparella MM, Shumrick DA. Otolaryngology. 3rd ed. Philadelphia: WB Saunders, 1994;1746-1774.

  2. Glasscock M, Shambough G. Otosclerosis: Surgery of the ear. Philadelphia: WB Saunders, 1990;371-387.

  3. Cummings CW. Otolaryngology, head and necksurgery. 3rd ed. St Louis: Mosby-Yearbook, 1998;4:3126-3138.

  4. Campos-Navarro LA, Barajas-Santillán M. Deficiencia auditiva en otoesclerosis pre y posestapedectomía. An Orl Mex 2010;55:5-9.

  5. Cosío Salinas D, Hernández Valencia G, Moreno Yáñez M. Otoesclerosis infantil. An Orl Mex 2007;52:14-18.

  6. Isaacson JE, Vora NM. Differential diagnosis and teatment of hearing loss. Am Fam Phys 2003;68:360-378.

  7. Erminy M, Bonfils P, Trotoux J. Encyclopédie Médico- Chirurgicale. E-20-195-A-10.

  8. Arnold J, Bittermann N, Maroeska M, et al. Primary stapes surgery in patients with otosclerosis prediction of postoperative outcome. Arch Otolaryngol Head Neck Surg 2011;137:780-784.

  9. Aedo C, Stott C, Albertz N. Trastornos del gusto posestapedostomías. Rev Orl Cir Cabeza y Cuello 2009;69:7-12.

  10. Kisilevsky V, Bailie NA, Halik JJ. Bilateral hearing results of 751 unilateral stapedotomies evaluated with the Glasgow benefit plot. J Laryngol Otol 2010;124:482-489.

  11. Vincent R, Sperling NM, Oates J, Jindal M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology-neurotology data base. Otol Neurotol 2006;27:25-47.

  12. Stott C, Ojeda A, Muñoz D. Otosclerosis. Histopathological features and stapedectomy hearing results. Rev Orl Cir Cabeza y Cuello 2012;72:125-132.

  13. Mc Alpine D. Creating a sense of auditory space. J Physiol 2005;566:21-28.

  14. Daniels R, Krieger L, Lippy W. The other ear: findings and results in 1,800 bilateral stapedectomies. Otol Neurotol 2001;22:603-607.

  15. Hueb M, Goycoolea M, Paparella M. Otosclerosis: the University of Minnesota temporal bone collection. Otolaryngol Head Neck Surg 1991;105:396-405.




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