[Otosclerosis].

Z Arztl Fortbild (Jena)

Published: November 1959

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Degree of Preoperative Bilateral Hearing Affects Patient-Reported Outcome in Primary Stapedotomy.

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Department of Otorhinolaryngology, Head, and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

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  • The study examines how unilateral versus bilateral hearing impairments affect patient satisfaction and hearing outcomes after stapedotomy surgery.
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Objective: To compare the safety and efficacy of endoscopic versus microscopic stapedotomy in patients with otosclerosis.

Data Sources: PubMed, Embase, Web of Science, Scopus, Google Scholar, and CENTRAL.

Review Methods: Eligible randomized controlled trials (RCTs) were assessed for bias using Cochrane's instrument.

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Otosclerosis is a well-known disease which mainly affects middle-aged female patients, causing conductive or mixed hearing loss. Diagnosis is essentially made through a complete audiometric battery testing, while treatment substantially relies on stapes surgery. In this study, we analyzed audiometric and Quality-of-Life data from 33 patients in order to refine the surgical indications (unilateral versus bilateral stapes surgery) and assess the best technique (stapedotomy versus partial stapedectomy) and timing of treatment.

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Stapes surgery is the gold standard for managing otosclerosis. It has become increasingly appreciated to perform endoscopic ear surgery worldwide as the field of endoscopy expands. In basic terms, a stapes surgery intends to restore ossicular mobility and therefore improve sound energy transduction into the inner ear, thereby improving communication and sound amplification and bringing hearing levels back to acceptable levels.

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