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Predictive factors of revision stapes surgery in otosclerosis

Published online by Cambridge University Press:  13 December 2022

S Normant ,
A Gendre Open the ORCID record for A Gendre [Opens in a new window] ,
S Boucher ,
B Godey ,
P Bordure  and
G Michel
S Normant
Affiliation:
Department of Otorhinolaryngology, University Hospital of Nantes, France
A Gendre*
Affiliation:
Department of Otorhinolaryngology, University Hospital of Nantes, France
S Boucher
Affiliation:
Department of Otorhinolaryngology, University Hospital of Angers, France
B Godey
Affiliation:
Department of Otorhinolaryngology, University Hospital of Rennes, France
P Bordure
Affiliation:
Department of Otorhinolaryngology, University Hospital of Nantes, France
G Michel
Affiliation:
Department of Otorhinolaryngology, University Hospital of Nantes, France
*
Author for correspondence: Dr A Gendre, Service ORL et Chirurgie Cervico-Faciale, CHU de Nantes, 1 Place A. Ricordeau, BP 1005, 44093 Nantes Cedex 1, France E-mail: gendreadrien@gmail.com
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Abstract

Objectives

This study aimed to investigate predictive factors for revision surgery in otosclerosis.

Methods

This was a retrospective, multicentre study in four tertiary centres. The primary objective was to investigate factors that were predictive of the need for revision stapes surgery.

Results

The ‘revision’ group included 145 patients, and the ‘control’ group included 143 patients. This study identified statistically significant predictive factors for the need for revision surgery: younger age, active smoking status, dyslipidaemia and high blood pressure. There was no statistically significant difference between the two groups in terms of surgical technique or stapedotomy technique.

Conclusion

This study showed that patients who are candidates for primary stapes surgery with younger age, active smoking status, dyslipidaemia and high blood pressure are at higher risk of needing revision surgery. A holistic approach prior to stapes surgery with multidisciplinary assessment is recommended. These results are important for better patient counselling on expected outcomes and risks.

Keywords

OtosclerosisStapes SurgeryReoperation
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 8 , August 2023 , pp. 906 - 909
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr A Gendre takes responsibility for the integrity of the content of the paper

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