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Functional results of 394 bilateral stapedotomies evaluated with the Glasgow Benefit Plot

  • Otology
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Abstract

This study aimed to evaluate the results of 394 bilateral stapedotomies according to the American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) guidelines and with the Glasgow Benefit Plot (GBP) and also analyze the benefit of a second-ear stapedotomy in achievement of normal and symmetrical hearing using retrospective chart review. The charts of 1,369 stapedotomies performed by senior author (J.H.) from 1991 to 2006 were reviewed. Results of 394 bilateral stapedotomies were included. The hearing results were evaluated according to the 1995 AAO–HNS Committee on Hearing and Equilibrium (CHE) guidelines and the GBP criteria. Success rates after the first and second ear surgeries were separately analysed. ABG closure ≤20 dB was demonstrated in 98% of cases after both first and second procedures. Postoperative AC gain was higher in the first ear surgery compared with the second ear surgery in all groups of preoperative hearing impairment. As a result of first ear surgery, 142 (72%) patients changed into the category of unilateral hearing loss. As a result of second ear surgery, 125 (64%) patients changed into the category of normal and symmetric hearing. In this study the largest group of 394 primary bilateral stapedotomies was simultaneously evaluated according to AAO–HNS guidelines and GBP criteria. The results showed that the first ear surgery was more successful in achievement of normal hearing in the operated ear. Second ear surgery was more beneficial in providing symmetric hearing.

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References

  1. Reddy J, Sataloff J, Liu J (1966) Histopathological changes following bilateral stapedectomy. Arch Otolaryngol 84(2):165–169

    CAS  PubMed  Google Scholar 

  2. Ferguson B, Gillespie CA, Kenan P, Farmer J (1986) Mechanisms of cholesteatoma formation following stapedectomy. Am J Otol 7(6):420–424

    CAS  PubMed  Google Scholar 

  3. Altmann F, Basek M, Hough J (1960) Otosclerosis with bilateral stapes mobilization. Histological and clinical considerations. Arch Otolaryngol 72:147–162

    CAS  PubMed  Google Scholar 

  4. Sale C (1969) Bilateral deafness due to stapes surgery. Arch Otolaryngol 90(4):467–469

    CAS  PubMed  Google Scholar 

  5. Faye-Lund H, Stangeland N, Rohrt T (1984) Long-term results of bilateral stapedectomy. J Laryngol Otol 98:247–254

    Article  CAS  PubMed  Google Scholar 

  6. Belal A, Ylikoski J (1982) Post-stapedectomy dizziness. A histopathologic report. Am J Otol 3(3):187–191

    PubMed  Google Scholar 

  7. Browning GG, Gatehouse S, Swan IR (1991) The Glasgow Benefit Plot: a new method for reporting benefits from middle ear surgery. Laryngoscope 101:180–185

    Article  CAS  PubMed  Google Scholar 

  8. Porter MJ, Zeitoun H, Brookes GB (1995) The Glasgow Benefit Plot used to access the effect of bilateral stapedectomy. Clin Otolaryngol Allied Sci 20(1):68–71

    Article  CAS  PubMed  Google Scholar 

  9. De Bruijn AJ, Tange RA, Dreschler WA (1999) Evaluation of second-ear stapedotomy with the Glasgow benefit plot. ORL J Otorhinolaryngol Relat Spec 61(2):92–97

    PubMed  Google Scholar 

  10. Schmerber S, Karkas A, Righini CA, Chahine KA (2008) The Quartile benefit plot: a middle ear surgery benefit assessment scheme. Laryngoscope 118(14):1–6

    Google Scholar 

  11. Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss (1995) Otolaryngol Head Neck Surg 113(3):186–187

    Google Scholar 

  12. Smyth G (1982) Practical suggestions on stapedotomy. Laryngoscope 92(8 pt 1):952–953

    CAS  PubMed  Google Scholar 

  13. Fish U (1982) Stapedotomy vs. stapedectomy. Am J Otol 4:112–117

    Google Scholar 

  14. Toner J, Smyth G (1993) Comparison of methods of evaluating hearing benefit of middle ear surgery. J Laryngol Otol 107:4–5

    Article  CAS  PubMed  Google Scholar 

  15. Shea J, Shea P, McKenna M (2003) Stapedectomy for otosclerosis. In: Glasscock M, Gulya A (eds) Surgery of the ear. BC Decker, Burlington

    Google Scholar 

  16. Hawke M (1987) Otosclerosis. In: Hawke M, Jahn AF (eds) Diseases of the ear. Gower Medical Publishing, London

    Google Scholar 

  17. Emmet J (1993) Physical examination and clinical evaluation of the patient with otosclerosis. Otolaryngol Clin N Am 26(3):353–359

    Google Scholar 

  18. Schuknecht H, Mendoza A (1981) Cochlear pathology after stapedectomy. Am J Otolaryngol 2(3):173–187

    Article  CAS  PubMed  Google Scholar 

  19. Pratt L (1972) Postoperative complications associated with bilateral stapedectomy. Laryngoscope 1:1189–1198

    Article  Google Scholar 

  20. Mann W, Amedee R, Fuerst G (1996) Hearing loss as a complication of stapes surgery. Otolaryngol Head Neck Surg 115(4):324–328

    Article  CAS  PubMed  Google Scholar 

  21. Eviatar A, Jamal H (1983) Cholesteatoma induced by stapedectomy. Arch Otolaryngol 109(6):413–414

    CAS  PubMed  Google Scholar 

  22. Von Haacke N, Wilson J, Murray J, Duvall E (1987) Cholesteatoma following stapedectomy. J Laryngol Otol 101(7):708–710

    Google Scholar 

  23. Ludman H, Grant H (1973) The case against bilateral stapedectomy, and problems of post-operative follow-up from the King’s College Hospital series. J Laryngol Otol 87(9):833–843

    Article  CAS  PubMed  Google Scholar 

  24. Smyth G, Kerr A, Singh K (1975) Second-ear stapedectomy—a continued controversy. J Laryngol Otol 89:1047–1056

    Article  CAS  PubMed  Google Scholar 

  25. Hough J, Dyer K (1993) Stapedectomy: causes of failure and revision surgery in otosclerosis. Otolaryngol Clin N Am 26(3):453–470

    CAS  Google Scholar 

  26. Glasscock ME, McKennan KX, Levine SC (1987) Revision stapedectomy surgery. Otolaryngol Head Neck Surg 96(2):141–148

    PubMed  Google Scholar 

  27. Smyth GDL, Hassard TH (1978) Eighteen years experience in stapedectomy. Ann Otol Rhinol Laryngol Suppl 87:3–36

    CAS  PubMed  Google Scholar 

  28. House H, Hansen M, Al Dakhalil A, House W (2002) Stapedectomy versus stapedotomy: comparison of results with long-term follow-up. Laryngoscope 112:2046–2050

    Article  PubMed  Google Scholar 

  29. Vernick D (1996) Laser applications in ossicular surgery. Otolaryngol Clin N Am 29(6):931–941

    Google Scholar 

  30. Szymanski M, Golabek W, Morshed K, Siwiec H (2007) The influence of the sequence of surgical steps on complications rate in stapedotomy. OLtol Neurotol 28:152–156

    Article  Google Scholar 

  31. Kisilevsky VE, Dutt SN, Bailie NA, Halik JJ (2009) Hearing results of 1145 stapedotomies evaluated with Amsterdam Hearing Evaluation Plots. J Laryngol Otol 123(7):730–736

    Article  CAS  PubMed  Google Scholar 

  32. Black B (2000) Reporting results in ossiculoplasty. Otol Neurotol 24:534–542

    Article  Google Scholar 

  33. Giles M, Browning GG, Gatehouse SG (1999) Problems in assessing the audiogram in patients with severe hearing impairment. J Laryngol Otol 110:727–731

    Google Scholar 

  34. Shea J (1998) Forty years of stapes surgery. Am J Otol 19:52–55

    PubMed  Google Scholar 

  35. Sheehy JL, Nelson RA, House HP (1979) Stapes surgery at the Otologic Medical Group. Am J Otol 1(1):22–26

    CAS  PubMed  Google Scholar 

  36. Somers T, Govartes P, Marquet T, Offeciers E (1994) Statistical analysis of otosclerosis surgery performed by Jean Marquet. Ann Otol Rhinol Laryngol 103(12):945–951

    CAS  PubMed  Google Scholar 

  37. Daniels R, Krieger L, Lippy W (2001) The other ear: findings and results in 1800 bilateral stapedectomies. Otol Neurotol 22(5):603–607

    Article  CAS  PubMed  Google Scholar 

  38. Smyth GDL, Patterson CC (1985) Results of middle ear reconstruction: do patients and surgeons agree? Am J Otol 6:276–279

    CAS  PubMed  Google Scholar 

  39. Persson P, Harder H, Magnuson B (2007) Using the Glasgow benefit plot as a prognostic instrument and for preoperative counselling in patients with otosclerosis. Otol Neurotol 28(6):739–744

    Article  PubMed  Google Scholar 

  40. Berliner KI, Doyle KJ, Goldenberg RA (1996) Reporting operative hearing results in stapes surgery: does choice of outcome measure make a difference? Am J Otol 17(4):214–220

    CAS  PubMed  Google Scholar 

  41. Subramanian K, Eikelboom RH, Marino R et al (2006) Patient’s quality of life and hearing outcomes after stapes surgery. Clin Otolaryngol 31(4):273–279

    Article  Google Scholar 

  42. Caces F, Braccini F (2007) Comparative study using AAO-HNS guidelines for conductive hearing loss and Glasgow Benefit Plot to evaluate results of stapes surgery for otosclerosis. Rev Laryngol Otol Rhinol 128(1–2):47–53

    CAS  Google Scholar 

  43. Huang SC, Stanley RE (1995) Stapedectomy at the Singapore General Hospital-use of functional hearing analysis. Singapore Med J 36(2):158–162

    CAS  PubMed  Google Scholar 

  44. Szymanski M, Siwiec H, Golabek W (2003) Glasgow Benefit Plot for evaluation of stapedectomy results. Otolaryngol Pol 57(3):403–406

    PubMed  Google Scholar 

  45. Lundman L, Mendel L, Bagger-Sjoback D, Rosenhall U (1999) Hearing in patients operated unilaterally for otosclerosis. Self-assessment of hearing and audiometric results. Acta Otolaryngol 119(4):453–458

    Article  CAS  PubMed  Google Scholar 

  46. De Bruijn AJ, Tange RA, Dreschler WA, Grolman W, Schouwenburg PF (1998) Bilateral stapedotomy in patients with otosclerosis: a disability-oriented evaluation of the benefit of second ear surgery. Clin Otolaryngol Allied Sci 23:123–127

    Article  PubMed  Google Scholar 

  47. Albrecht C, Fonesca A, Bernardes G (2004) “Second ear” stapedotomy: is it safe? Acta Otorhinolaryngol Belg 58(2):109–111

    Google Scholar 

  48. Kujala J, Aalto H, Ramsay H, Hirvonen T (2007) Simultaneous bilateral stapes surgery—a pilot study. Acta Otolaryngol 127:1255–1258

    Article  PubMed  Google Scholar 

  49. Kujala J, Aalto H, Ramsay H, Hirvonen T (2008) Simultaneous bilateral stapes surgery. Acta Otolaryngol 128(4):347–351

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors wish to thank Dr John Rutka MD FRCS(C) and Dr Mila Kisilevsky M.Sc. for their support and assistance in preparation of this article.

Conflict of interest statement

No conflict of interests to disclose.

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Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, University of Toronto, Toronto, Canada

    Vitaly Eugeny Kisilevsky & Jerry J. Halik

  2. Department of Otolaryngology, Head and Neck Surgery, University Health Network, Toronto, Canada

    Neil A. Bailie

  3. Department of Otolaryngology, Apollo Hospitals, Bangalore, India

    Sunil N. Dutt

  4. 8 N-Room 873, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada

    Vitaly Eugeny Kisilevsky

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  1. Vitaly Eugeny Kisilevsky
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  2. Neil A. Bailie
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  3. Sunil N. Dutt
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  4. Jerry J. Halik
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Correspondence to Vitaly Eugeny Kisilevsky.

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Kisilevsky, V.E., Bailie, N.A., Dutt, S.N. et al. Functional results of 394 bilateral stapedotomies evaluated with the Glasgow Benefit Plot. Eur Arch Otorhinolaryngol 267, 1027–1034 (2010). https://doi.org/10.1007/s00405-009-1154-x

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  • DOI: https://doi.org/10.1007/s00405-009-1154-x

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