OBJECTIVE: Otosclerosis can severely impact quality of life, but no questionnaire is available in French. The present study aimed to adapt and validate a French version of the SPOT-25.
METHODS: A controlled prospective study was conducted between September 2021 and April 2022. The translation used the \"forward-backward\" technique and statistical validation was performed in non-operated adult otosclerosis patients (cases) and a control group. Assessment Internal consistency, discrimination performance and test-retest reliability were assessed on global score, subscores and items.
RESULTS: Fifty-one cases and 58 control subjects filled out the test questionnaire and 35 of the 51 cases, also filled out the retest. Internal consistency on Cronbach alpha was 0.95 for the cases. Median total SPOT-25 score was 44 (range, 10-78) for cases and 2 (range, 0-33) for controls (p= P<0.0001). Test-retest reliability on intraclass correlation coefficient was excellent (ICC=0.92; [95% CI, 0.84-0.96]). Individual items all showed satisfactory performance.
CONCLUSIONS: The French version of SPOT-25 was short and easy to use, with satisfactory performance in assessing quality of life in otosclerosis patients.

OBJECTIVE: This paper highlights the importance of reporting air-bone gap closure in stapes surgery according to the American Academy of Otolaryngology - Head and Neck Surgery guidelines and reviews compliance in recent years.
METHODS: A retrospective case series was conducted and the outcomes were reviewed. Closure of the air-bone gap was calculated in 204 adult patients using the aforementioned guidelines. Results were recalculated ignoring the Carhart phenomenon to determine any significant difference. Adherence to guidelines was also reported as a secondary outcome.
RESULTS: Ignoring the Carhart phenomenon resulted in 75 per cent over-reporting of successful air-bone gap closure (p < 0.001). Over-reporting occurred in 5.9 per cent of papers, and in 11.8 per cent it was difficult to determine how the results were reached.
CONCLUSIONS: Despite the existence of clear guidelines, stapes surgery outcomes are still being over-reported as successful. This can lead to incorrect information being provided to patients during the consent process and makes comparative studies difficult.

OBJECTIVE: For surgery of otosclerosis, broughting to the fore interest of crossing informations achieved by using AAO-HNS guidelines for conductive hearing loss and Glasgow Benefit Plot (GBP). Secondary aim: compare stapedotomy with and without veinous interposition. INSTITUTIONS: Referential otologic center in semi-country-side general hospital and private institution in urban zone.
METHODS: retrospective bi-centric study comparing 129 cases of primary surgery for otosclerosis between 1998 and 2004. 3 groups: stapedotomy without veinous interposition (92 cases), stapedotomy with veinous interposition (27 cases), stapedectomy (10 cases). Results given following AAO-HNS guidelines and GBP.
METHODS: variance analysis test and t-Student test (p < 0,05), graphic analysis of inter-aural difference before and after surgery.
RESULTS: Main benefit in air conduction (AC) threshold is 23 to 25 dB, no statistical difference between both techniques of stapedotomy. Stapedotomy gives better results than stapedectomy in this serie. Stereophony is achieved in 75% of overall cases with stapedotomy but normal hearing is achieved in only 53% of unilateral pre operative hearing loss.
CONCLUSIONS: Stapedotomy is a more effective technique in this serie. Crossing informations achieved using AAO-HNS guidelines and GBP leads to give a more realistic and comprehensive understanding to patients who will undergo surgery for otosclerosis.

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A state-of-the-art symposium on otosclerosis convened in Santa Barbara, California on Jan 6, 1984. The panel included some of the most distinguished and experienced otosclerosis surgeons in the world, with a collective experience of over 100,000 stapes operations. The purpose of the symposium was to develop guidelines for safe management of otosclerosis and to identify the at-risk patient for surgery. Topics included techniques developed by these surgeons through avoidance, recognition, and correction of technical problems; complications; and errors that lead to poor results. Discussed in order were patient evaluation, performance of surgery, and postoperative care.