High-resolution computed tomography and pure-tone audiometry in patients with otosclerosis in the spongiotic phase.

Autor: Zanini OPL; Department of Otolaryngology - Head and Neck Surgery, Federal University of Paraná Curitiba, Paraná, Brazil., Coelho LO; Center for Advanced Diagnostic Imaging - DAPI, Paraná, Brazil., Hamerschmidt R; Department of Otolaryngology - Head and Neck Surgery, Federal University of Paraná Curitiba, Paraná, Brazil., Buschle M; Department of Otolaryngology - Head and Neck Surgery, Federal University of Paraná Curitiba, Paraná, Brazil., Matias JEF; Department of Surgery, Federal University of Paraná Curitiba, Paraná, Brazil.
Jazyk: angličtina
Zdroj: The Journal of laryngology and otology [J Laryngol Otol] 2023 May; Vol. 137 (5), pp. 490-495. Date of Electronic Publication: 2022 Jul 04.
DOI: 10.1017/S0022215122001608
Abstrakt: Objective: There is no consensus in the literature regarding the relationship between high-resolution computed tomography findings and hearing thresholds in pure-tone audiometry in otosclerosis. This study evaluated the association between high-resolution computed tomography findings and pure-tone audiometry in otosclerosis in the spongiotic phase.
Methods: A cross-sectional study was conducted of 57 ears with surgically confirmed stapes fixation and tomographic findings. Air conduction and bone conduction thresholds on audiometry, and air-bone gap, were analysed.
Results: There were no correlations between sites affected by otospongiosis and air conduction threshold, bone conduction threshold or air-bone gap in the analysed tomographic images, but the diameter of the otospongiotic focus was greater in the presence of extension of the otospongiotic foci to the cochlear endosteum.
Conclusion: There were no relevant associations between high-resolution computed tomography findings and pure-tone audiometric measurements. However, the diameter of the otospongiotic focus was greater in the presence of extension of the otospongiotic foci to the cochlear endosteum.
Databáze: MEDLINE