Resultater efter primaer stapedotomi ved otosklerose

Translated title of the contribution: Results after stapedotomy in otosclerosis

Jens Wanscher, Aksel Grøntved, Christian Faber

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

INTRODUCTION: The purpose of this study was to assess the results after primary otosclerosis surgery at Odense University Hospital. MATERIAL AND METHODS: The study was based on information collected from a database and from patient records. A total of 154 primary stapedotomies (138 patients) were performed using small-fenester-technique in the period 1996-2005. Five experienced ear surgeons performed the operations. The surgeons were still in the learning phase with regard to otosclerosis surgery. RESULTS: A significant improvement was found regarding the air-conduction pure tone average (PTA) (52.8 dB to 31.4 dB), the bone conduction PTA (25.2 dB to 23,1 dB), air-bone gap (27.6 dB to 8.3 dB), and the speech reception threshold (44.8 dB to 22.5 dB). One operation (0.6%) resulted in severe sensory-neural hearing loss, while other types of complications were seen after 7,2% of the operations. After thirteen operations (8.4%), reoperation was subsequently needed. CONCLUSION: Patients undergoing primary otosclerosis surgery gained a significant hearing improvement. The results of this survey matched those of larger international and Danish studies. Experienced ear surgeons can perform stapedotomy with good results without having initial experience in otosclerosis surgery.
Udgivelsesdato: 2009-Feb-9
Original languageDanish
JournalUgeskrift for læger
Volume171
Issue number7
Pages (from-to)511-514
Number of pages3
ISSN0041-5782
Publication statusPublished - 9. Feb 2009

Keywords

  • Adolescent
  • Adult
  • Aged
  • Child
  • Clinical Competence
  • Hearing
  • Humans
  • Middle Aged
  • Otosclerosis
  • Outcome Assessment (Health Care)
  • Speech Perception
  • Stapes Surgery
  • Treatment Outcome
  • Young Adult

Cite this

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title = "Resultater efter primaer stapedotomi ved otosklerose",
abstract = "INTRODUCTION: The purpose of this study was to assess the results after primary otosclerosis surgery at Odense University Hospital. MATERIAL AND METHODS: The study was based on information collected from a database and from patient records. A total of 154 primary stapedotomies (138 patients) were performed using small-fenester-technique in the period 1996-2005. Five experienced ear surgeons performed the operations. The surgeons were still in the learning phase with regard to otosclerosis surgery. RESULTS: A significant improvement was found regarding the air-conduction pure tone average (PTA) (52.8 dB to 31.4 dB), the bone conduction PTA (25.2 dB to 23,1 dB), air-bone gap (27.6 dB to 8.3 dB), and the speech reception threshold (44.8 dB to 22.5 dB). One operation (0.6{\%}) resulted in severe sensory-neural hearing loss, while other types of complications were seen after 7,2{\%} of the operations. After thirteen operations (8.4{\%}), reoperation was subsequently needed. CONCLUSION: Patients undergoing primary otosclerosis surgery gained a significant hearing improvement. The results of this survey matched those of larger international and Danish studies. Experienced ear surgeons can perform stapedotomy with good results without having initial experience in otosclerosis surgery. Udgivelsesdato: 2009-Feb-9",
keywords = "Adolescent, Adult, Aged, Child, Clinical Competence, Hearing, Humans, Middle Aged, Otosclerosis, Outcome Assessment (Health Care), Speech Perception, Stapes Surgery, Treatment Outcome, Young Adult",
author = "Jens Wanscher and Aksel Gr{\o}ntved and Christian Faber",
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journal = "Ugeskrift for Laeger",
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Resultater efter primaer stapedotomi ved otosklerose. / Wanscher, Jens; Grøntved, Aksel; Faber, Christian.

In: Ugeskrift for læger, Vol. 171, No. 7, 09.02.2009, p. 511-514.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Resultater efter primaer stapedotomi ved otosklerose

AU - Wanscher, Jens

AU - Grøntved, Aksel

AU - Faber, Christian

PY - 2009/2/9

Y1 - 2009/2/9

N2 - INTRODUCTION: The purpose of this study was to assess the results after primary otosclerosis surgery at Odense University Hospital. MATERIAL AND METHODS: The study was based on information collected from a database and from patient records. A total of 154 primary stapedotomies (138 patients) were performed using small-fenester-technique in the period 1996-2005. Five experienced ear surgeons performed the operations. The surgeons were still in the learning phase with regard to otosclerosis surgery. RESULTS: A significant improvement was found regarding the air-conduction pure tone average (PTA) (52.8 dB to 31.4 dB), the bone conduction PTA (25.2 dB to 23,1 dB), air-bone gap (27.6 dB to 8.3 dB), and the speech reception threshold (44.8 dB to 22.5 dB). One operation (0.6%) resulted in severe sensory-neural hearing loss, while other types of complications were seen after 7,2% of the operations. After thirteen operations (8.4%), reoperation was subsequently needed. CONCLUSION: Patients undergoing primary otosclerosis surgery gained a significant hearing improvement. The results of this survey matched those of larger international and Danish studies. Experienced ear surgeons can perform stapedotomy with good results without having initial experience in otosclerosis surgery. Udgivelsesdato: 2009-Feb-9

AB - INTRODUCTION: The purpose of this study was to assess the results after primary otosclerosis surgery at Odense University Hospital. MATERIAL AND METHODS: The study was based on information collected from a database and from patient records. A total of 154 primary stapedotomies (138 patients) were performed using small-fenester-technique in the period 1996-2005. Five experienced ear surgeons performed the operations. The surgeons were still in the learning phase with regard to otosclerosis surgery. RESULTS: A significant improvement was found regarding the air-conduction pure tone average (PTA) (52.8 dB to 31.4 dB), the bone conduction PTA (25.2 dB to 23,1 dB), air-bone gap (27.6 dB to 8.3 dB), and the speech reception threshold (44.8 dB to 22.5 dB). One operation (0.6%) resulted in severe sensory-neural hearing loss, while other types of complications were seen after 7,2% of the operations. After thirteen operations (8.4%), reoperation was subsequently needed. CONCLUSION: Patients undergoing primary otosclerosis surgery gained a significant hearing improvement. The results of this survey matched those of larger international and Danish studies. Experienced ear surgeons can perform stapedotomy with good results without having initial experience in otosclerosis surgery. Udgivelsesdato: 2009-Feb-9

KW - Adolescent

KW - Adult

KW - Aged

KW - Child

KW - Clinical Competence

KW - Hearing

KW - Humans

KW - Middle Aged

KW - Otosclerosis

KW - Outcome Assessment (Health Care)

KW - Speech Perception

KW - Stapes Surgery

KW - Treatment Outcome

KW - Young Adult

M3 - Tidsskriftartikel

VL - 171

SP - 511

EP - 514

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

IS - 7

ER -