Abstract：
Far-advanced otosclerosis (FAO) refers to severe otosclerosis with scarce auditory functions. The identification of the best method to correctly listen to sound and speech has a large impact on patients\' quality of life. We retrospectively analyzed the auditory function of 15 patients affected by FAO who were treated with stapedectomy plus hearing aids independent of the severity of their auditory deficit before surgery. The combination of surgery and hearing aids allowed excellent recovery of the perception of pure tone sounds and speech. Four patients, because of poor auditory thresholds, needed a cochlear implant after stapedectomy. Despite being based on a small sample of patients, our results suggest that stapedotomy plus hearing aids could improve the auditory capacities of patients with FAO independent of their auditory thresholds at T0. The careful selection of patients is fundamental to obtain the best outcomes.
摘要：
远晚期耳硬化症(FAO)是指听觉功能缺乏的严重耳硬化症。正确聆听声音和语音的最佳方法的确定对患者的生活质量有很大影响。我们回顾性分析了15例受FAO影响的患者的听觉功能，这些患者接受了stapedex切除术加助听器治疗，而与手术前听觉缺陷的严重程度无关。手术和助听器的结合可以很好地恢复纯音和语音的感知。四个病人,因为听觉阈值差，stapedex切除术后需要人工耳蜗.尽管基于一小部分患者样本，我们的结果表明,在T0时,staped切开术加助听器可以改善FAO患者的听觉能力,而与他们的听觉阈值无关.仔细选择患者是获得最佳结果的基础。
