Abstract
CONCLUSION: Current guidelines recommend reporting short-term results of > 12 months after treatment of conductive hearing loss. This study suggests that short-term hearing results after stapedotomy recorded at the 3-month follow-up are without loss of vital information compared with data from the currently recommended > 12-month follow-up. The use of 3-month data in reporting outcome could reduce the bias inherent to the loss to follow-up at 12 months.
OBJECTIVE: To investigate the stability of short-term postoperative hearing after stapedotomy for otosclerosis.
METHODS: This was a prospective database study; 371 cases with otosclerosis were registered in the database between August 2004 and June 2013. We included the 166 primary cases and 37 revision cases that had attended both follow-ups.
RESULTS: The mean changes in postoperative hearing thresholds between the 3-month and 12-month follow-up in both primary and revision cases were minimal and clinically insignificant. In all, 3-5% of primary cases and 14-16% of revision cases experienced a change of ≥ 10 dB for the worse of one or more parameters between follow-ups. Results were also stable when considering a range of traditional success criteria. Other complications following surgery were infrequent and typically resolved long term.
| Original language | English |
|---|---|
| Journal | Acta Oto-Laryngologica |
| Volume | 135 |
| Issue number | 9 |
| Pages (from-to) | 871-9 |
| Number of pages | 9 |
| ISSN | 0001-6489 |
| DOIs | |
| Publication status | Published - 1 Sept 2015 |
Keywords
- Adult
- Audiometry
- Databases, Factual
- Female
- Hearing Loss, Conductive
- Humans
- Male
- Middle Aged
- Otosclerosis
- Prospective Studies
- Reoperation
- Stapes Surgery
- Time Factors
- Treatment Outcome