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Analysis of 101 patients with severe to profound sudden unilateral hearing loss treated with explorative tympanotomy and sealing of the round window membrane

  • Otology
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Abstract

The aim of this retrospective study was to evaluate the effect of sealing of the round window membrane in patients with severe to profound unilateral sudden sensorineural hearing loss (SSNHL). 101 Patients with unilateral SSNHL were treated with tympanotomy and sealing of the round window membrane if hearing did not improve after conservative treatment. Preoperative and postoperative pure tone audiograms after removal of the ear packing were evaluated. A 4-PTA (pure tone audiometry) was used as reference value. The improvement of 4-PTA was analysed; in addition, recovery was evaluated using Siegel’s criteria. Mean initial hearing threshold was 101.1 dB. Eighty-one patients had a hearing threshold of 80 dB or more. The average improvement at the time of ear packing was 21.7 dB and a further average recovery of 13.4 dB was recorded in the follow-up. Patients who underwent rapid tympanotomy within 5 days showed a significantly better hearing improvement than patients with delayed tympanotomy (26.9 vs. 14.0 dB, p < 0.02). Age was significantly correlated with the degree of hearing improvement. There was no significant difference of recovery between patients with detected lesions of the round window membrane and those without. Concomitant vertigo and tinnitus showed no significant effect on recovery. Tympanotomy and sealing of the round window membrane is effective in the treatment of severe to profound SSNHL. There is evidence that early surgery performed within 5 days is more effective than later surgery. The existence of a detectable lesion of the round window membrane has no significant influence on recovery.

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All authors declare that no conflicts of interest exist and no funding was received during the creation of this manuscript.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Cologne, Cologne, Germany

    Daniel Kampfner, Andreas Anagiotos, Jan Christoffer Luers, Karl-Bernd Hüttenbrink & Simon F. Preuss

  2. Department of Neurology and Neurological Rehabilitation, Rheinhessen-Fachklinik Alzey, Academic Teaching Hospital of the University Hospital of Mainz, Dautenheimer Landstrasse 66, 55232, Alzey, Germany

    Daniel Kampfner

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  1. Daniel Kampfner
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  2. Andreas Anagiotos
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  3. Jan Christoffer Luers
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  4. Karl-Bernd Hüttenbrink
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  5. Simon F. Preuss
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Correspondence to Daniel Kampfner.

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Kampfner, D., Anagiotos, A., Luers, J.C. et al. Analysis of 101 patients with severe to profound sudden unilateral hearing loss treated with explorative tympanotomy and sealing of the round window membrane. Eur Arch Otorhinolaryngol 271, 2145–2152 (2014). https://doi.org/10.1007/s00405-013-2703-x

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  • DOI: https://doi.org/10.1007/s00405-013-2703-x

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