Hearing Results, Quality of Life, Patient Satisfaction, and Postoperative Complications of Day-case Versus Inpatient Stapes Surgery for Otosclerosis in Adults: A Randomized Controlled Trial.

Objective: To investigate the effect of day-case stapes surgery on hearing results, quality of life, patient satisfaction, and complications rates, compared with inpatient stapes surgery.

Study Design: A single-center, nonblinded, randomized controlled trial in a tertiary referral center.

Methods: One hundred twelve adult patients planned for primary or revision stapes surgery were randomly assigned to either the day-case or inpatient treatment group.

Revision Stapes Surgery in a Tertiary Referral Center: Surgical and Audiometric Outcomes.

Objectives: To evaluate pure-tone audiometric results in otosclerosis patients undergoing revision stapes surgery following previous middle ear interventions.

Methods: A retrospective cohort study was performed in a tertiary referral center. Consecutive otosclerosis patients who underwent revision stapes surgeries, following previous middle ear interventions, for persistent conductive hearing loss, recurrent conductive hearing loss, or vertigo and had available postoperative pure-tone audiometry were included.

Lucae's Springy Pressure Probe to Mobilize the Ossicular Chain: Rise and Fall of an Ingenious Instrument.

Objectives/hypotheses: In 1884, Johann Constantin August Lucae (1835-1911), a German otologist from Berlin, introduced a new "method to mechanically treat chronic troubles of the mobility of the hearing organ transmission apparatus." It consisted in the use of a springy pressure probe to directly mobilize the handle of the malleus. The aim of this study is to trace the invention, clinical use, technological modifications, and ultimate extinction of this instrument.

Stable benefits of bilateral over unilateral cochlear implantation after two years: A randomized controlled trial.

Objectives/hypothesis: To investigate hearing capabilities and self-reported benefits of simultaneous bilateral cochlear implantation (BiCI) compared with unilateral cochlear implantation (UCI) after a 2-year follow-up and to evaluate the learning effect of cochlear implantees over time.

Study Design: Multicenter randomized controlled trial.

Methods: Thirty-eight postlingually deafened adults were included in this study and randomly allocated to either UCI or simultaneous BiCI.

Day-case stapes surgery: Day-case versus inpatient stapes surgery for otosclerosis: a randomized controlled trial.

Background: Otosclerosis is characterized by bony deposits in the otic capsule, resulting in stapes fixation and progressive hearing loss. It can be treated effectively by surgically removing (part of) the stapes and replacing it with a prosthesis. Increasingly, stapes surgery is performed as a day-case procedure.

Comparison of Bilateral and Unilateral Cochlear Implantation in Adults: A Randomized Clinical Trial.

Importance: The cost of bilateral cochlear implantation (BCI) is usually not reimbursed by insurance companies because of a lack of well-designed studies reporting the benefits of a second cochlear implant.

Objective: To determine the benefits of simultaneous BCI compared with unilateral cochlear implantation (UCI) in adults with postlingual deafness.

Design, Setting, And Participants: A multicenter randomized clinical trial was performed.

Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study.

Objectives/hypothesis: To determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation.

Study Design: Prospective study.

Methods: Thirty-eight adult patients were included in this prospective study, as part of a multicenter randomized controlled trial investigating the benefits of bilateral cochlear implantation versus unilateral cochlear implantation.

Outcomes of different laser types in laser-assisted stapedotomy: a systematic review.

Objective: To assess hearing results and complications following primary stapedotomy in otosclerosis patients, comparing different laser types.

Data Sources: Pubmed, Embase, The Cochrane Library, CINAHL, and Scopus.

Study Selection: A systematic bibliographic search was conducted to identify all original articles, comparing hearing outcome between different lasers used for fenestration in stapedotomy.

Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review.

Objectives/hypothesis: To assess hearing results and complications following primary stapedotomy in otosclerosis patients comparing the use of laser and conventional techniques for fenestration.

Study Design: Systematic literature review.

Methods: A systematic bibliographic search was conducted in PubMed, Embase, the Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, and Scopus.

A nonrandomized comparison of stapes surgery with and without a vein graft in patients with otosclerosis.

Objective: To evaluate the effectiveness of primary stapes surgery with and without a vein graft in patients with otosclerosis and to determine the differences in the postoperative gain in air-bone gap (ABG) and air-conduction (AC).

Study Design: A nonrandomized multicenter clinical evaluation.

Setting: Two tertiary referral centers in The Netherlands and France.

Hearing preservation surgery: cochleostomy or round window approach? A systematic review.

Objectives/hypothesis: An increasing number of patients with low-frequency residual hearing are fitted with a cochlear implant. The challenge is to optimize cochlear implant device properties and develop atraumatic surgical techniques to preserve residual hearing. In view of the ongoing debate about the optimal procedure for opening the cochlea during cochlear implantation, we reviewed the evidence on the round window and the cochleostomy insertion techniques and compared their effects on postoperative residual hearing.

Perioperative bone-conducted ocular vestibular-evoked myogenic potentials in otosclerosis patients.

Objective: Vestibular symptoms are seen variably in patients with otosclerosis, both in patients with the disease and in patients after treatment with stapes surgery. The goal of this study was to objectify any changes of the bone-conducted (BC) ocular vestibular evoked myogenic potentials (oVEMPs) in patients with otosclerosis before and after stapes surgery.

Study Design: Twenty-six healthy subjects and 27 patients with otosclerosis were tested in a tertiary care center, and 11 of the patients were tested preoperatively and postoperatively.

An evaluation of preservation of residual hearing using the suprameatal approach for cochlear implantation: can this implantation technique be used for preservation of residual hearing?

Objectives/hypothesis: The preservation of residual hearing has become a high priority in cochlear implant surgery. This study was designed to substantiate whether conservation of residual hearing can be preserved after cochlear implantation using the suprameatal approach.

Study Design: Retrospective chart review.

Primary stapes surgery in patients with otosclerosis: prediction of postoperative outcome.

Objectives: To evaluate the audiometric results of primary stapes surgery in patients with otosclerosis and to determine predictors of a postoperative air-bone gap (ABG) of 10 dB or less and a postoperative gain in air conduction (AC) exceeding 20 dB.

Design: Retrospective cohort study.

Setting: Tertiary referral center in Utrecht, the Netherlands.

The suprameatal approach: a safe alternative surgical technique for cochlear implantation.

Objective: To report on surgical complications arising postoperatively in 104 patients undergoing cochlear implantation surgery using the suprameatal approach (SMA). Second, to examine the advantages and disadvantages of the SMA technique compared with the classic mastoidectomy using the posterior tympanotomy approach.

Study Design: Retrospective study assessing surgical complications in deaf adults and children undergoing cochlear implantation.

The vascularization of the human cochlea: its historical background.

The history of vascularization of the human cochlea began with the first anatomical description of the cochlea in the 16th century. Three different periods are recognizable in the development of knowledge concerning this subject: the macroscopic period, with the description of the structure of the cochlea from the 16th to the 19th century; the microscopic period, with the description of the part of the organ of Corti in the 19th century; and the injection period, with the description of the fine vascularization of the cochlea in the 20th century. Various techniques were used during these three periods, which will be presented here, using only original references.

Comparison of two approaches to the surgical management of cochlear implantation.

Objectives/hypothesis: Our study was designed to compare two surgical approaches that are currently employed in cochlear implantation.

Methods: There were 315 patients who were divided into two groups according to the surgical technique used for implantation. The suprameatal approach (SMA) was followed for 104 patients (107 implantations) in Amsterdam, whereas the mastoidectomy with posterior tympanotomy approach (MPTA) was adhered to for 211 (214 implantations) in Maastricht.

Spread of excitation measurements for the detection of electrode array foldovers: a prospective study comparing 3-dimensional rotational x-ray and intraoperative spread of excitation measurements.

Objective: The optimal positioning of electrode arrays in the cochlea is extremely important. Our standard approach is to use a 3-dimensional rotational x-ray for the intraoperative determination of the position of the electrode array. We wanted to see if spread of excitation (SOE) is useful for determining the electrode array position within the cochlea.

An analysis of the air-bone gap closure obtained by a crimping and a non-crimping titanium stapes prosthesis in otosclerosis.

Objective: To evaluate the hearing results of stapes surgery with two different titanium stapes prostheses. A crimping and a non-crimping prosthesis.

Methods: Retrospective analyses were carried out on the pre- and postoperative hearing results obtained after 126 primary stapedotomies with two different prostheses in patients with otosclerosis.

Vocal efficiency in tracheoesophageal phonation.

Objective: Voice rehabilitation after total laryngectomy is challenging. In order to investigate and understand the function of the neoglottis sophisticated measurements need to be made. During voice production, aerodynamic energy is transformed into sound energy.

Quality of perceived sound after stapedotomy.

Objective: To evaluate the quality of perceived sound in relation to the audiometric result after stapedotomy.

Study Design: Ninety-eight patients with otosclerosis, who underwent stapedotomy between 2004 and 2005, participated in this retrospective study. Audiometric data were obtained before and after stapedotomy.