¸ñÀû: The purpose of this study was to examine the surgical findings and
hearing results of stapes surgery for 100 ears by a single surgeon. ¹æ¹ý:We reviewed the medical records and video recordings of 100
consecutive
stapes surgeries between 2011 June and 2021 June. The ages of the
patients ranged from 6 to 80 years. Hearing improvements at pure-
tone
audiometry were defined as successful when air-bone gap (ABG) was
reduced to within 20dB, and as excellent when ABG was reduced to
within
10dB. °á°ú:The causative diseases were otosclerosis in 79 cases, ossicular
anomaly in 15 cases, and otitis media in 6 cases.
Pre-operative BC and AC thresholds were 31.3¡¾14.7 and 59.6¡¾18.8dB,
respectively and ABG were 28.3¡¾11.4dB. On average, hearing tests were
followed up at 6 weeks after surgery, postoperative BC and AC
thresholds were 28.6¡¾14.4 and 39.6¡¾18.5dB, respectively and ABG were
11.0¡¾8.8dB. After surgery, the average ABG improved by 17.3dB.
Postoperative ABG was within 10dB in 59% of cases and within 20dB in
88% of cases. When analyzed by causative disease, the result of
ossicular anomaly cases was statistically significantly worse than
that of other causes.
Among 100 cases, stapedectomy was performed in 7 cases. When comparing
the results of stapedotomy and stapedectomy, stapedotomy showed
statistically better results than stapedectomy.
There was no significant difference in ABG change in primary and
revision cases. However, when only patients with otosclerosis were
analyzed, ABG significantly less improved in the revision cases than
in the primary cases. In the case of otosclerosis, postoperative ABG
was within 10 dB in 66.7% and within 20 dB in 92.3%. In primary cases,
ABG within 10dB was 65.7% and within 20dB was 92.9%, and in revision
cases, within 10dB was 75% and within 20dB was 87.5%.
°á·Ð:Stapes surgery is effective for hearing improvement for the
stapedial
fixation. There was a difference in the degree of hearing
improvement
according to the cause of the disease |