PDF(Pubmed)
Abstract：
To assess the post-operative cases of stapes surgery. To determine correction in hearing loss post surgery and changing trends over 50 years. In a retrospective observational study, 234 cases otosclerosis who underwent surgical management between 1973 and 2023 were assessed. A total of 234 cases were seen. Male:female ratio was 0.8:1. Most patients were in the age group 21-30. Left > right ear involvement was seen. Stapedotomy > stapedectomy was the surgical procedure done. More than 50% patients had around 30db improvement in audiometric evaluation post surgery. Most common complications were vertigo and nystagmus which were seen more post stapedectomy as compared to stapedotomy. Sensorineural hearing loss is a rare complication and was seen exclusively post stapedectomy. We conclude that stapes surgery is beneficial in improving hearing capabilities with no difference as per change in surgical approach. Stapedectomy being more radical has more predisposition to vertigo and nystagmus post surgery. Post-operative complications has reduced with course of time due to improvement in surgical equipments and pre-op investigations.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s12070-024-04499-w.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s12070-024-04499-w.
摘要：
目的评估stapes骨手术的术后病例。确定手术后听力损失的纠正和50年的变化趋势。在一项回顾性观察研究中，对1973年至2023年间接受手术治疗的234例耳硬化症进行了评估。共有234例。男性：女性比例为0.8：1。大多数患者在21-30岁年龄段。看到左>右耳受累。stapedsometry>stapedometration是外科手术。超过50％的患者在手术后的听力评估中改善了约30db。最常见的并发症是眩晕和眼球震颤，与stapedan切开术相比，stapedex切开术后更多。感音神经性听力损失是一种罕见的并发症，仅在stapedex切除术后出现。我们得出的结论是，stapes骨手术有利于提高听力能力，而手术方法的改变没有差异。stapedomeds切除术更彻底，术后更容易发生眩晕和眼球震颤。由于手术设备和术前检查的改进，术后并发症随着时间的推移而减少。
■在线版本包含补充材料，可在10.1007/s12070-024-04499-w获得。
■在线版本包含补充材料，可在10.1007/s12070-024-04499-w获得。
