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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Chang, Mun Young Jang, Jeong Hun Song, Jae-Jin Han, Kyu-Hee Lee, Jun Ho Oh, Seung Ha Chang, Sun O. |
| Description | Author Affiliation: Chang MY ( Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea.) |
| Abstract | OBJECTIVE: To compare the hearing outcomes between 2 malleostapedotomy (MS) procedures, handle-MS, connecting the prosthesis with the malleus handle and neck-MS, connecting the prosthesis with the malleus neck. PATIENTS: Fourteen individuals having undergone MS in the setting of otosclerosis or congenital ossicular fixation from January 1983 through December 2009. INTERVENTION: Review of preoperative and postoperative audiometric data, ossicular abnormalities, and postoperative complications. MAIN OUTCOME MEASURES: Postoperative air-bone gap (ABG), closure of ABG, and postoperative changes in bone conduction thresholds. RESULTS: Of 14 patients, 7 underwent handle-MS, and 7 underwent neck-MS. Morphologic or functional abnormalities of the incus were identified in all cases. There was no significant sensorineural hearing loss. The mean postoperative ABGs were 19.8 ± 11.9 dB in the handle-MS group and 14.7 ± 5.5 dB in the neck-MS group. The postoperative ABGs for single frequencies revealed better results for neck-MS at all frequencies (0.25, 0.5, 1, 2, 3, and 4 kHz) without statistical significance. The functional success rate (ABG closure, ≤ 10 dB) was 28.6% for the handle-MS group and 42.9% for the neck-MS group (p > 0.05). CONCLUSION: Inasmuch as neck-MS is easy to perform and yields comparable results to those of handle-MS, it may be an alternative procedure of use in selected cases of otosclerosis or stapes fixation with incus anomaly. |
| File Format | HTM / HTML |
| ISSN | 15317129 |
| Issue Number | 9 |
| Volume Number | 33 |
| e-ISSN | 15374505 |
| Journal | Otology & Neurotology |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2012-12-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Humans Middle Aged Child, Preschool Male Hearing Loss, Sensorineural Epidemiology Journal Article Young Adult Surgery Stapes Surgery Adult Female Physiology Child Hearing Tests Otosclerosis Prosthesis Implantation Malleus Discipline Otolaryngology Treatment Outcome Hearing Adolescent Aged Bone Conduction Cochlear Implants Rehabilitation Methods |
| Content Type | Text |
| Resource Type | Article |
| Subject | Otorhinolaryngology Sensory Systems Neurology (clinical) |
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