关键词: CO2 laser Otosclerosis audiometry interposition quality of life stapedectomy stapedotomy

Mesh : Humans Carbon Dioxide / therapeutic use Lasers, Gas / therapeutic use Ossicular Prosthesis Otosclerosis / complications diagnosis surgery Quality of Life Retrospective Studies Stapes Surgery / methods Treatment Outcome Audiometry / methods Hearing Loss / diagnosis etiology surgery

来  源:   DOI:10.1080/00016489.2023.2186482

Abstract:
UNASSIGNED: The surgical treatment of otosclerosis consists of the replacement of the stapes using a piston.
UNASSIGNED: The objective of this study is to assess the audiometric results and quality of life (QOL) of patients who underwent surgery for otosclerosis by stapedectomy with fascia interposition (STIP) or by stapedotomy using CO2 laser (SLaser) without fascia interposition.
UNASSIGNED: Ninety-one patients operated on for otosclerosis by STIP (40 patients) and by SLaser (51 patients) were included. Audiometric results were graphically displayed using the Amsterdam Hearing Evaluation Plot and were compared to the Common Otology Database (COD) comprising 660 patients. The patients\' QOL was assessed with an otological validated survey. The significance level was p < .05.
UNASSIGNED: There was no significant difference in hearing improvement between SLaser and STIP-operated patients. There was no significant difference between our results and that of COD. QOL was significantly improved (+3.5/10) postoperatively for both STIP and SLaser in both social and professional fields.
UNASSIGNED: By comparing QOL and hearing gain of STIP and SLaser, our results suggest that both surgical techniques are a safe and successful treatment for otosclerotic stapes fixation. Further studies aiming at comparing larger series may confirm and refine these results.
摘要:
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