1. Wpływ operacji strzemiączka na próg przewodnictwa kostnego w odległym okresie obserwacji.
- Author
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Szymański, Marcin, Olejarz, Piotr, Zadrożniak, Marek, Żywot, Małgorzata, and Morshed, Kamal
- Subjects
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STAPE surgery , *BONE conduction , *FOLLOW-up studies (Medicine) , *OTOSCLEROSIS , *STATISTICAL significance , *EAR diseases - Abstract
Introduction. The level of bone conduction in otosclerosis is affected by several factors: cochlear otosclerosis, Carhart's effect and the possible injury to the inner ear caused by stapes surgery or post-surgery complications. Therefore, assessment of changes in bone conduction in otosclerosis is difficult. It is not clear whether stapes surgery accelerates deterioration of bone conduction threshold, or possibly protects against damage to the inner ear caused by otosclerosis. Aim. To assess the influence of stapes surgery on changes of bone conduction in otosclerosis in a long term follow-up period. Material and methods. The changes of bone conduction threshold in the operated and non-operated ear were evaluated in the group of 48 patients (selected from among a total of 600 people operated for otosclerosis) with bilateral otosclerosis after unilateral stapes surgery in a follow-up period of 5-19 years. Results. The mean bone conduction threshold in the operated ear improved in the early period after the operation almost by 9 dB, and was app. 19 dB compared to nearly 28 dB before surgery. In the long period of follow-up, the mean bone conduction threshold in the operated ear deteriorated by 8 dB. Similar results were noted in the nonoperated ear. The differences between the values in operated and nonoperated ears were not statistically significant. Conclusions. Uneventful stapes surgery improves bone conduction threshold in the early period following the surgery. However, it does not affect the changes of bone conduction threshold in otosclerosis in the long follow-up period after surgery. [ABSTRACT FROM AUTHOR]
- Published
- 2012