目的:耳硬化症是一种相对罕见的疾病,可导致儿童传导性听力损失。成人的首选治疗方法是stapedsometry,而对于18岁以下的人来说,关于最佳治疗方法的讨论正在进行中。因此,儿科患者骨的外科手术仍然是一个争论的话题。这项研究旨在评估儿童stapes骨手术的结果,试图理解,根据我们的结果,这实际上是否是最合适的选择。
方法:该研究包括2013年1月至2023年12月期间接受手术的18例患者。患者年龄从11岁到18岁不等,平均年龄为14.7岁。在总共21次手术中,3例患者选择双侧手术.术前、术后资料进行比较,重点关注频率为0.5、1、2和4kHz的平均空气传导(AC)和骨传导(BC)阈值。此外,检查术前阈值和术后气骨间隙(ABG).
结果:一年后,在21例中,94%的病例中,空气-骨间隙有效降低到10dB或更低,在98%的情况下达到20dB或更低。
结论:我们在该领域的结果和研究一致表明,由熟练的耳外科医生进行时,是一个可靠和成功的程序为相当多的患者。它产生的结果与成年期间通过该程序获得的结果相似。
OBJECTIVE: Otosclerosis is a relatively uncommon condition that causes conductive hearing loss in children. The preferred treatment for adults is stapedotomy, while for individuals under 18 years old, there is an ongoing discussion about the best treatment approach. Thus, the surgical procedure for the stapes in pediatric patients continues to be a subject of debate. This study aimed to evaluate the results of stapes surgery in children, trying to understand, based on our results, whether this is actually the most suitable option.
METHODS: The study included 18 patients who underwent surgery between January 2013 and December 2023. The patients\' ages ranged from 11 to 18 years, with an average age of 14.7. Out of the total 21 surgeries, three patients opted for bilateral surgery. Pre- and post-operative data were compared, focusing on the mean air conduction (AC) and bone conduction (BC) thresholds at frequencies of 0.5, 1, 2, and 4 kHz. Additionally, pre-operative thresholds and the post-operative air-bone gap (ABG) were examined.
RESULTS: After a year, the air-bone gap was effectively reduced to 10 dB or less in 94% of the 21 cases, and to 20 dB or less in 98% of all cases.
CONCLUSIONS: Our results and research in the field have consistently shown that stapedotomy, when conducted by skilled otosurgeons, is a reliable and successful procedure for a considerable number of patients. The outcomes it generates are similar to those achieved through the procedure conducted during adulthood.