Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-27T23:16:15.092Z Has data issue: false hasContentIssue false
  • English
  • Français

Bilateral hearing results of 751 unilateral stapedotomies evaluated with the Glasgow benefit plot

Published online by Cambridge University Press:  22 February 2010

V Kisilevsky ,
N A Bailie  and
J J Halik
V Kisilevsky*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada
N A Bailie
Affiliation:
University Health Network, Toronto, Ontario, Canada
J J Halik
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada
*
Address for correspondence: Dr V Kisilevsky, 8N-Room 873, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4Canada. Fax: +1 416 340 3327 E-mail: vitalykis@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Aims:

We aimed to evaluate bilateral hearing function in patients undergoing primary unilateral stapedotomy, according to the 1995 American Academy of Otolaryngology, Head and Neck Surgery guidelines and the Glasgow benefit plot. We also aimed to analyse the effect of pre-operative hearing impairment type on post-stapedotomy hearing.

Study design:

Retrospective chart review.

Methods:

Medical records relating to 1369 stapedotomies performed by the senior author (JJH) from 1991 to 2006 were reviewed. Seven hundred and fifty-one patients undergoing primary unilateral stapedotomy were included. Hearing results for these patients were evaluated according to the criteria of the 1995 American Academy of Otolaryngology, Head and Neck Surgery Committee on Hearing and Equilibrium guidelines, and the Glasgow benefit plot. Subgroups of patients with pre-operative unilateral, bilateral symmetrical and bilateral asymmetrical hearing loss were separately analysed.

Results:

The most successful results, as regards the achievement of bilateral, socially serviceable hearing, were demonstrated in patients with unilateral hearing loss; 78 per cent of these patients had normal hearing post-operatively. Overall, patients' achievement of bilateral, socially serviceable hearing correlated highly with their type of pre-operative hearing impairment (r = 0.74). Normal post-operative hearing levels also correlated with pre-operative bone conduction (r = 0.61).

Conclusion:

This study represents the largest reported series of primary stapedotomy cases evaluated with the Glasgow benefit plot. Patients' bilateral post-operative hearing function depended on their type of pre-operative hearing impairment. Pre-operative bone conduction thresholds, corrected for Carhart's effect, were useful in predicting achievable post-operative air conduction.

Keywords

OtosclerosisStapedotomyOutcome AssessmentAudiometry
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 5 , May 2010 , pp. 482 - 489
Copyright
Copyright © JLO (1984) Limited 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Sheehy, JL, Nelson, RA, House, HP. Stapes surgery at the Otologic Medical Group. Am J Otol 1979;1:22–6Google ScholarPubMed
2McGee, TM. Comparison of small fenestra and total stapedectomy. Ann Otol Rhinol Laryngol 1981;90:630–636CrossRefGoogle ScholarPubMed
3Hough, JV. Otosclerosis. Arch Otolaryngol 1965;81:630–9CrossRefGoogle ScholarPubMed
4Smyth, GDL, Patterson, CC. Results of middle ear reconstruction: do patients and surgeons agree? Am J Otol 1985;6:276–9Google ScholarPubMed
5Toner, JG, Smyth, GDL. Comparison of methods of evaluating hearing benefit of middle ear surgery. J Laryngol Otol 1993;107:4–5CrossRefGoogle ScholarPubMed
6Browning, GG, Gatehouse, S, Swan, IR. The Glasgow Benefit Plot: a new method for reporting benefits from middle ear surgery. Laryngoscope 1991;101:180–5CrossRefGoogle ScholarPubMed
7Browning, GG. Reporting the benefits from middle ear surgery using the Glasgow Benefit Plot. Am J Otol 1993;12:135–40Google Scholar
8Browning, GG. Choice, advice and assessment of patients for ear surgery. J R Soc Med 1996;89:571–6CrossRefGoogle ScholarPubMed
9Smyth, GDL. Facts and fantasies in modern otology; the ear doctor's dilemma. J Laryngol Otol 1992;106:591–6CrossRefGoogle ScholarPubMed
10Anonymous. Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg 1995;113:186–7CrossRefGoogle Scholar
11Smyth, G. Practical suggestions on stapedotomy. Laryngoscope 1982;92:952–3CrossRefGoogle ScholarPubMed
12Fisch, U. Stapedotomy vs. stapedectomy. Am J Otol 1982;4:112–17Google Scholar
13Shea, J. Forty years of stapes surgery. Am J Otol 1998;19:52–5Google ScholarPubMed
14Marquet, J. Stapedotomy technique and results. Am J Otol 1985;6:63–7Google ScholarPubMed
15Shea, J, Sanabria, F, Smyth, G. Teflon Piston operation for otosclerosis. Arch Otolaryngol 1962;76:516–21CrossRefGoogle Scholar
16Huang, SC, Stanley, RE. Stapedectomy at the Singapore General Hospital – use of functional hearing analysis. Singapore Med J 1995;36:158–62Google ScholarPubMed
17Szymanski, M, Siwiec, H, Golabek, W. Glasgow Benefit Plot for evaluation of stapedectomy results [in Polish]. Otolaryngol Pol 2003;57:403–6Google Scholar
18Subramaniam, K, Eikelboom, RH, Marino, R, Atlas, MD, Rajan, GP. Patient's quality of life and hearing outcomes after stapes surgery. Clin Otolaryngol 2006;31:273–9CrossRefGoogle ScholarPubMed
19Caces, F, Braccini, F. Comparative study using AAO-HNS guidelines for conductive hearing loss and Glasgow Benefit Plot to evaluate results of stapes surgery for otosclerosis. Rev Laryngol Otol Rhinol 2007;128:47–53Google ScholarPubMed
20Porter, MJ, Zeitoun, H, Brookes, GB. The Glasgow Benefit Plot used to access the effect of bilateral stapedectomy. Clin Otolaryngol 1995;20:68–71CrossRefGoogle Scholar
21De Bruijn, AJ, Tange, RA, Dreschler, WA. Evaluation of second-ear stapedotomy with the Glasgow benefit plot. ORL J Otolaryngol Relat Spec 1999;61:92–7CrossRefGoogle ScholarPubMed
22Schmerber, S, Karkas, A, Righini, CA, Chahine, KA. The quartile benefit plot: a middle ear surgery benefit assessment scheme. Laryngoscope 2008;118:1–6CrossRefGoogle ScholarPubMed
23Persson, P, Harder, H, Magnuson, B. Using the Glasgow benefit plot as a prognostic instrument and for preoperative counselling in patients with otosclerosis. Otol Neurotol 2007;28:739–44CrossRefGoogle ScholarPubMed
24Magliulo, G, Cristofari, P, Terranova, G. Functional hearing results in revision stapes surgery. Am J Otol 1997;18:408–12Google ScholarPubMed
25Glasscock, ME, McKennan, KX, Levine, SC. Revision stapedectomy surgery. Otolaryngol Head Neck Surg 1987;96:141–8CrossRefGoogle ScholarPubMed
26Palva, T, Ramsay, H. Revision surgery for otosclerosis. Act Otolaryngol (Stockh) 1990;110:416–20CrossRefGoogle ScholarPubMed
27Gros, A, Vatovec, J, Zargi, M, Jenko, K. Success rate in revision stapes surgery for otosclerosis. Otol Neurotol 2005;26:1143–8CrossRefGoogle ScholarPubMed
28Lundman, L, Mendel, L, Bagger-Sjoback, D, Rosenhall, U. Hearing in patients operated unilaterally for otosclerosis. Self-assessment of hearing and audiometric results. Acta Otolaryngol 1999;119:453–8Google ScholarPubMed
29De Bruijn, AJ, Tange, RA, Dreschler, WA. Efficacy of evaluation of audiometric results after stapes surgery in otosclerosis. The effects of using different audiologic parameters and criteria on success rates. Otolaryngol Head Neck Surg 2001;124:76–83CrossRefGoogle ScholarPubMed
30Carhart, R. Clinical application of bone conduction audiometry. Arch Otolaryngol 1950;51:798–808CrossRefGoogle ScholarPubMed
31Davis, H, Silverman, D. Hearing and Deafness, 3rd edn.New York: Holt, Rinehart & Winston, 1970;105Google Scholar
32Satar, B, Sen, D, Karahatay, S, Birkent, H, Yetiser, S. Effect of cochlear reserve on postoperative outcome in otosclerosis. Eur Arch Otolaryngol 2007;264:489–93CrossRefGoogle ScholarPubMed
33Moscillo, L, Imperiali, M, Carra, P, Catapano, F, Motta, G. Bone conduction variation poststapedotomy. Am J Otolaryngol 2006;27:330–3CrossRefGoogle ScholarPubMed
34Ramsay, HA, Linthicum, FH. Mixed hearing loss in otosclerosis: indication for long-term follow-up. Am J Otolaryngol 1994;15:536–9Google ScholarPubMed
35Black, B. Reporting results in ossiculoplasty. Otol Neurotol 2000;24:534–42CrossRefGoogle Scholar
36Cook, JA, Krishnan, S, Fagan, PA. Quantifying the Carhart effect in otosclerosis. Clin Otolaryngol 1995;20:258–61CrossRefGoogle ScholarPubMed
37Vartiainen, E, Karjalainen, S. Bone conduction thresholds in patients with otosclerosis. Am J Otolaryngol 1992;13:234–6CrossRefGoogle ScholarPubMed
38Smyth, GDL, Hassard, TH. Eighteen years experience in stapedectomy. Ann Otol Rhinol Laryngol 1978;87:3–36CrossRefGoogle ScholarPubMed
39Soudry, E, Sulkes, J, Attias, J, Naegris, BI. Bone conduction in otosclerosis – operated versus non-operated ears. J Basic Clin Physiol Pharmacol 2007;18:189–99CrossRefGoogle ScholarPubMed
40Giles, M, Browning, GG, Gatehouse, SG. Problems in assessing the audiogram in patients with severe hearing impairment. J Laryngol Otol 1999;110:727–31CrossRefGoogle Scholar
41Gerard, JM, Serry, P, Gersdorff, C. Outcome and lack of prognostic factors in stapes surgery. Otol Neurotol 2008;29:290–4CrossRefGoogle ScholarPubMed
42Blakley, BW, Kim, S, VanCamp, M. Preoperative hearing predicts postoperative hearing. Otolaryngol Head Neck Surg 1998;119:559–63CrossRefGoogle ScholarPubMed
43Ueda, H, Miyazawa, T, Asahi, K, Yanagita, N. Factors affecting hearing results after stapes surgery. J Laryngol Otol 1999;113:417–21CrossRefGoogle ScholarPubMed
44Browning, GG. Do patients and surgeons agree? The Gordon Smyth memorial lecture. Clin Otolaryngol 1997;22:485–96CrossRefGoogle Scholar
45Meyer, SE, Megerian, CA. Patient's perceived outcomes after stapedectomy for otosclerosis. Ear Nose Throat J 2000;79:846–56CrossRefGoogle ScholarPubMed
46Ramsay, H, Karkkainen, J, Palva, T. Success in surgery for otosclerosis: hearing improvement and other indicators. Am J Otolaryngol 1997;18:2–28CrossRefGoogle Scholar
47Hall, JW, Grose, JH, Pillsbury, HC. Predicting binaural hearing after stapedectomy from presurgery results. Arch Otolaryngol Head Neck Surg 1990;116:946–50CrossRefGoogle ScholarPubMed
48Tan, FM, Grolman, W, Tange, RA, Fokkens, WJ. Quality of perceived sound after stapedotomy. Otolaryngol Head Neck Surg 2007;137:443–9CrossRefGoogle ScholarPubMed
49Lippy, WH, Burkey, JM, Arkis, PN. Word recognition score changes after stapedectomy for far advanced otosclerosis. Am J Otol 1998;19:56–8Google ScholarPubMed
50Stewart, MG. Outcomes and patient-based hearing status in conductive hearing loss. Laryngoscope 2001;111:1–21CrossRefGoogle ScholarPubMed