Do high‐frequency air‐bone gaps persist after ossiculoplasty?
| Autor: | Aaron K. Remenschneider, Elliott D. Kozin, Marc D. Polanik, Danielle R. Trakimas, Melissa Castillo-Bustamante, Jeffrey Cheng |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
high‐frequency hearing loss Otologic surgery lcsh:Surgery Hydroxyapatite cement Tertiary care Medicine ossiculoplasty middle ear reconstruction Original Research hearing loss Retrospective review High frequency hearing loss business.industry Mean age lcsh:RD1-811 General Medicine Audiogram lcsh:Otorhinolaryngology medicine.disease lcsh:RF1-547 Surgery Conductive hearing loss Otology Neurotology and Neuroscience business conductive hearing loss |
| Zdroj: | Laryngoscope Investigative Otolaryngology Laryngoscope Investigative Otolaryngology, Vol 5, Iss 4, Pp 734-742 (2020) |
| ISSN: | 2378-8038 |
| Popis: | Objectives Conventional reporting of postoperative hearing outcomes utilizes a pure‐tone averaged air‐bone gap (ABG) that is biased toward low frequencies. Consequently, a high‐frequency ABG after otologic surgery may go unnoticed. In this study, we evaluate changes in low‐ and high‐frequency ABG following ossiculoplasty. Study design Retrospective review. Subjects and setting Consecutive series of patients who underwent ossiculoplasty at a single tertiary care center. Patients with pre‐ and postoperative audiograms were included. Methods Low‐frequency ABG was calculated as the mean ABG at 250, 500, and 1000 Hz. High‐frequency ABG was calculated at 4 kHz. Pre‐ and postoperative ABGs were compared. Results Thirty‐seven consecutive patients were included. Mean age at surgery was 38 years (range, 7‐77 years). Reconstruction materials included: cartilage (N = 4), hydroxyapatite cement (N = 5), and partial or total ossicular replacement prostheses (N = 20 and N = 8, respectively). Postoperatively, the mean low‐frequency ABG improved by 11.9 ± 15.1 dB (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |