Stapes Surgery in Far-Advanced Otosclerosis

xlomafota13 shared this article with you from Inoreader Stapes Surgery in Far-Advanced Otosclerosis Via ear nose throat Ear Nose Throat J. 2021 May 11:1455613211013093. doi: 10.1177/01455613211013093. Online ahead of print. ABSTRACT INTRODUCTION: Surgical treatment of patients with far-advanced otosclerosis (FAO) has not yet been standardized. Patients with FAO are the candidates for stapes surgery or cochlear implant (CI). Although many surgeons consider stapes surgery as the first choice, other authors prefer CI because of the excellent hearing results. OBJECTIVE: The authors discuss their experience in the treatment of patients with FAO, potentially candidates for CI, who underwent stapedotomy. MATERIALS AND METHODS: Eleven adult patients with FAO underwent stapedotomy from 2006 to 2016. Pure-tone average (PTA) between 0.5-1-2-3 kHz and speech perception test with hearing aids were determined before and after stapedotomy. RESULTS: The results show a statistically significant improvement in air condition threshold (PTA) and satisfactory results with regard to speech recognition in 9 (81.8%) cases. Postoperative results are not influenced by the type of stapedotomy prosthesis employed and do not change during follow-up (3 years). CONCLUSIONS: The authors suggest first performing stapes surgery in patients with FAO and reserving CI in case of failure. PMID:33971751 | DOI:10.1177/01455613211013093 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.