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Stapedectomy for far-advanced otosclerosis

Published online by Cambridge University Press:  29 June 2007

A. Khalifa ,
A. El-Guindy  and
F. Erfan
A. Khalifa
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tanta Faculty of Medicine, Egypt.
A. El-Guindy*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tanta Faculty of Medicine, Egypt.
F. Erfan
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tanta Faculty of Medicine, Egypt.
*
Address for correspondence: Dr. A. El-Guindy, P.O. Box 355, Tanta 31111, Egypt.
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Abstract

Patients with far-advanced otosclerosis (FAO) may appear to be suffering from profound sensorineural hearing loss and are frequently directed to cochlear implantation programmes. In order to avoid such misdiagnosis, FAO should be considered in patients with non-measurable bone-conduction levels and airconduction levels exceeding 85 dB. Specific clues can lead the clinician to suspect otosclerosis as the aetiology of hearing loss. A review of eight patients (nine ears) with FAO who underwent stapedectomy from 1985–1995 reveals that six of the eight (75 per cent) who had been unable to use a hearing aid preoperatively obtained serviceable hearing with a hearing aid after surgery. This confirms that cochlear implantation is not the best treatment for all profoundly deaf patients; some are better off with stapedectomy.

Keywords

OtosclerosisHearing loss, sensorineuralStapedectomyCochlear implant
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 2 , February 1998 , pp. 158 - 160
Copyright
Copyright © JLO (1984) Limited 1998

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References

Frattali, M. A., Sataloff, R. T. (1993) Far-advanced otosclerosis. Annals of Otology, Rhinology and Laryngology 102: 433–437.Google Scholar
Glasscock, M. E., Storper, I. S., Haynes, D. S., Bohrer, P. S. (1996) Stapedectomy in profound cochlear loss. Laryngoscope 106: 831–833.Google Scholar
House, W. F. (1959) Oval window and round window surgery in extensive otosclerosis. Laryngoscope 69: 693–701.CrossRefGoogle ScholarPubMed
House, W., Glorig, A. (1960) Criteria for otosclerosis surgery and further experiences with round window surgery. Laryngoscope 70: 616–630.Google Scholar
House, H. P., Sheehy, J. L. (1961) Stapes surgery; selection of the patient. Annals of Otology, Rhinology and Laryngology 70: 1062–1068.Google Scholar
Iurato, S., Ettorre, G., Onofri, M., Davidson, C. (1992) Very far-advanced otosclerosis. American Journal of Otology 13: 482–487.Google Scholar
Myers, D., Wolfson, R. J., Tibbels, E. W. Jr, Winchester, R. A. (1963) Apparent total deafness due to advanced otosclerosis. Archives of Otolaryngology 78: 52–58.Google Scholar
Myers, E. N., Myers, D. (1968) Stapedectomy in advanced otosclerosis: a temporal bone report. Journal of Laryngology and Otology 82: 557–564.Google Scholar
Schknecht, H. F., Barber, W. (1985) Histologic variants in otosclerosis. Laryngoscope 95: 1307–1317.CrossRefGoogle Scholar
Sellars, S. L. (1972) Surgery of advanced otosclerosis. South African Medical Journal 1: 434–437.Google Scholar
Sheehy, J. L. (1962) Stapes surgery in advanced otosclerosis. Annals of Otology, Rhinology and Laryngology 71: 601–621.Google Scholar
Sheehy, J. L. (1964) Far-advanced otosclerosis. Diagnostic criteria and results of treatment: report of 67 cases. Archives of Otolaryngology 80: 244–248.Google Scholar
Sheehy, J. L. (1978) Surgical correction of far-advanced otosclerosis. Otolaryngologic Clinics of North America 11: 121–123.Google Scholar
Von Glass, W., Philipp, A. (1988) Imaging of capsule otosclerosis using computerized tomography. HNO 36: 373–376.Google Scholar
Wiet, R. I., Morganstein, S. A., Zwolan, T. A., Pitgon, S. M. (1987) Far-advanced otosclerosis: cochlear implants vs stapedectomy. Archives of Otolaryngology – Head and Neck Surgery 113: 299–302.CrossRefGoogle ScholarPubMed
Willis, R. (1963) Severe otosclerosis. Journal of Laryngology and Otology 77: 250–258.Google Scholar