gms | German Medical Science

84th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

08.05. - 12.05.2013, Nürnberg

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Technical and functional hearing results after unilateral stapes surgery for otosclerosis at Cluj-Napoca University Hospital

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  • corresponding author Alma Aurelia Maniu - E.N.T Clinic Cluj-Napoca, Cluj-Napoca, Romania
  • Marcel Cosgarea - University of Medicine, Cluj-Napoca, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 84. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Nürnberg, 08.-12.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13hnod460

doi: 10.3205/13hnod460, urn:nbn:de:0183-13hnod4606

Published: April 15, 2013

© 2013 Maniu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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Intoduction: The aim of this study was to assess the hearing results after stapes surgery for otosclerosis at Cluj-Napoca University Hospital, and to evaluate surgical trauma to the inner ear in these patients.

Methods: The medical records of 387 consecutive patients who underwent unilateral stapes surgery were reviewed. Hearing results were evaluated according to the 1995 American Academy of Otolaryngology-Head and Neck Surgery Committee on Hearing and Equilibrium guidelines and the Glasgow benefit plot. In adition we used Amsterdam plot to give an overview on air conduction gain and bone conduction differences on an individual level.

Results: Despite good technical hearing results after surgery (closure of the air-bone gap to ≤20 dB in 92% of patients, air conduction gain of 24±10.00 dB), only 37% of patients achieved functionally normal, symmetrical hearing.

Conclusions: Our results indicated that the pattern of preoperative hearing impairment in patients with otosclerosis can predict postoperative functional hearing results. The type of pre-operative hearing impairment had no influence on negative results regarding postoperative bone conduction.

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