Clinical efficacy and influencing factors of stapedotomy combined with artificial stapes implantation for tinnitus in patients with otosclerosis

Autor: Tian Jiawang, Li Yongqi
Jazyk: čínština
Rok vydání: 2024
Předmět:
Zdroj: Xin yixue, Vol 55, Iss 3, Pp 233-237 (2024)
Druh dokumentu: article
ISSN: 0253-9802
DOI: 10.3969/j.issn.0253-9802.2024.03.015
Popis: Objective To analyze the changes in tinnitus after stapedotomy combined with artificial stapes implantation, and further explore the factors influencing the efficacy of postoperative tinnitus in patients with otosclerosis. Methods A total of 54 patients (65 ears) with otosclerosis complicated with tinnitus symptoms who underwent stapedotomy combined with artificial stapes implantation were enrolled. The hearing test results of all patients before surgery, 1 and 6 months after surgery were recorded. The scores of Tinnitus Handicap Inventory (THI) and Clinical Global Impression Scale (CGI-S) before surgery, 1 and 6 months after surgery were compared. Results Before surgery, low-frequency (P < 0.001 and P = 0.013). At postoperative 1 month, the changes in subjective tinnitus, such as the average air conduction and bone conduction thresholds significantly differed from those before surgery (all P < 0.001), whereas there was no statistical significance in air-bone gap (P > 0.05). Conclusions Stapedotomy combined with artificial stapes implantation can not only restore the hearing of patients with otosclerosis, but also mitigate the tinnitus symptoms in most patients. Patients with low- and medium-frequency tinnitus before surgery can obtain more significant improvements in tinnitus after surgery than those with high-frequency tinnitus.
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