Hearing Outcomes after Revision Stapedectomy Managed with Total Ossicular Reconstruction Prostheses

Autor: Brian M. Strickland, John W. House, J. Eric Lupo
Rok vydání: 2014
Předmět:
Zdroj: Otolaryngology–Head and Neck Surgery. 151
ISSN: 1097-6817
0194-5998
Popis: Objectives:(1) Describe the use of total ossicular reconstruction prostheses (TORP) during revision stapedectomy in the setting of advanced incus erosion. (2) Analyze the short- and medium-term audiometric results of TORP for revision stapedectomy.Methods:A retrospective case review at a tertiary neurotological referral center was conducted of nineteen cases of revision stapedectomy where TORP reconstruction was performed due to advanced incus erosion. Pre- and postoperative bone conduction (BC-PTA) and air conduction (AC-PTA) pure tone averages (0.5, 1, 2, 3 kHz) including high tone bone conduction (1, 2, 3 kHz), air-bone gap (ABG), and speech discrimination scores (SDS) were measured. Short-term (3 weeks) and medium-term (median, 12 months) hearing outcomes were measured.Results:Among 19 ears undergoing revision stapedectomy managed with TORP reconstruction, the average number of previous revision attempts was 1.2 (SD, 2; range, 1-6). The preoperative BC-PTA was 32.1 dB preoperatively while the preopera...
Databáze: OpenAIRE