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European Archives of Oto-Rhino-Laryngology

, Volume 275, Issue 5, pp 1111–1119 | Cite as

Long-term hearing results of stapedotomy: analysis of factors affecting outcome

  • Ingeborg Dhooge
  • Stéphanie Desmedt
  • Thomas Maly
  • David Loose
  • Helen Van Hoecke
Otology

Abstract

Objective

To evaluate long-term hearing results of stapedotomy and analyze the influence of patient-, disease-, and procedure-related variables.

Study design

Retrospective case series.

Setting

Tertiary referral center.

Patients

230 ears (202 patients, 10–74 years) underwent stapedotomy for otosclerosis between January 2008 and August 2014. All cases had early postoperative follow-up (4 weeks post-surgery) and 181 cases had late postoperative follow-up (≥ 1 year, average 32.5 months).

Intervention

Stapedotomy procedure for otosclerosis.

Main outcome measures

Hearing outcome using conventional audiometry. The primary outcome parameter was the postoperative air-bone gap pure-tone average. Postoperative air-bone gap ≤ 10 dB was defined as surgical success. Preoperative, early postoperative and late postoperative hearing results were compared. Influence of patient- and procedure-related variables on hearing outcome was evaluated by logistic regression analysis.

Results

The postoperative air-bone gap was 10 dB or less in 77.0% of cases early post-surgery and in 70.7% of cases in long-term follow-up. Air-bone gap closure within 20 dB was obtained in 95.7 and 92.3%, respectively. Logistic regression analysis demonstrated that a larger preoperative air-bone gap (p = 0.041) and positive family history of otosclerosis (p = 0.044) were predictive for less surgical success early postoperatively, but not on the long term. Age, gender, primary versus revision surgery, presence of preoperative tinnitus and preoperative vertigo did not independently and significantly influence postoperative air-bone gap closure.

Conclusion

Our series confirms excellent hearing results achieved in stapedotomy surgery, also in long-term follow-up. On the long-term no patient-, disease-, or procedure-related variables were identified as predictors of surgical success.

Keywords

Otosclerosis Stapedotomy Long-term Retrospective 

Notes

Acknowledgements

The authors would like to acknowledge Dr. Ellen Deschepper for statistical advice.

Compliance with ethical standards

Conflict of interest

Authors Ingeborg Dhooge, Stéphanie Desmedt, Thomas Maly, David Loose and Helen Van Hoecke have no conflict of interest.

Statement of human rights

The study has been approved by the Ethical Committee of Ghent University Hospital, Belgium (Approval Numbers: 2014- 0760/2014-0761 and 2015-0198/2015- 0199) and has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. As is involved a retrospective study, formal consent is not required.

Supplementary material

405_2018_4899_MOESM1_ESM.tiff (41 kb)
Fig 1A: Preoperative and early postoperative Air Conduction extended Pure-Tone Average (AC-PTA) (n=230) (TIFF 40 KB)
405_2018_4899_MOESM2_ESM.tiff (41 kb)
Fig 1B: Preoperative and early postoperative Bone Conduction extended Pure-Tone Average (BC-PTA) (n=230) (TIFF 41 KB)
405_2018_4899_MOESM3_ESM.tiff (45 kb)
Fig 2A: Evolution of Air Conduction extended Pure-Tone Average (AC-PTA) from preoperative to early postoperative and late postoperative (n=181) (TIFF 45 KB)
405_2018_4899_MOESM4_ESM.tiff (28 kb)
Fig 2B: Evolution of Bone Conduction extended Pure-Tone Average (BC-PTA) from preoperative to early postoperative and late postoperative (n=181) (TIFF 28 KB)
405_2018_4899_MOESM5_ESM.docx (46 kb)
Supplementary material 5 (DOCX 45 KB)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of OtorhinolaryngologyGhent UniversityGhentBelgium
  2. 2.Department of OtorhinolaryngologyGhent University HospitalGhentBelgium
  3. 3.Faculty of Medicine and Health SciencesGhent UniversityGhentBelgium

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