Management of Far-Advanced Otosclerosis: Stapes Surgery or Cochlear Implant

Autor: Münir Demir Bajin, Onur Ergün, Betül Çiçek Çınar, Levent Sennaroğlu
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Turkish Archives of Otorhinolaryngology, Vol 58, Iss 1, Pp 35-40 (2020)
Druh dokumentu: article
ISSN: 2667-7474
DOI: 10.5152/tao.2020.4600
Popis: Objective: The aim of this report is to share our experience and treatment outcomes with far-advanced otosclerosis (FAO) patients.Methods: Patients that underwent surgery from 2003 through 2014 at a tertiary referral center were retrospectively reviewed. Nineteen FAO patients were included in the study. Audiological results and the ability to communicate face to face and over telephone were considered as the main outcome measures.Results: Six FAO patients benefited well from stapedotomy with an average of 5.9-decibel (dB) air-bone gap and 86% median speech discrimination. Cochlear implantation (CI) was performed in 13 patients; two had disease progression after stapedotomy, five had failed stapes surgeries elsewhere, and six preferred CI as primary treatment. Median speech discrimination score of CI patients was 78.4%. Overall, all patients had satisfactory face-to-face communication and 90% could use telephone.Conclusion: Bilateral stapedotomy and wearing hearing aid is an effective and cost-effective solution for restoring natural binaural hearing and requires no specific training. Should stapedotomy fail, cochlear implantation is always a successful back-up option.
Databáze: Directory of Open Access Journals