Differences in Postoperative Hearing Outcomes and Vertigo in Patients with Otosclerosis Treated with Laser-Assisted Stapedotomy versus Stapedectomy.
Differences in Postoperative Hearing Outcomes and Vertigo in Patients with Otosclerosis Treated with Laser-Assisted Stapedotomy versus Stapedectomy.
复制标题
激光辅助镫骨切开术与镫骨切除术治疗的耳硬化症患者术后听力结果和眩晕的差异。
DOI：
10.1159/000439177
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Yamasoba T.
中科院分区：
文献类型：
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作者：
Sakamoto T;Kikuta S;Kikkawa YS;Tsutsumiuchi K;Kanaya K;Fujimaki Y;Ueha R;Saito Y;Yamasoba T.
背景骨硬化症是耳囊骨的异常生长，可导致听力损失。方法回顾分析99耳STE手术患者的病历资料。结果手术治疗的患者分别为77耳、16耳和56耳。所有接受全部和部分砧骨切除的耳被统一为一组，每只耳均为一组。在1、2和4 kHz频率下，椎骨切除后气骨间隙的变化明显大于切除后。在1、2、4和8 kHZ频率下，术后气导阈值的变化显著大于切除后。术后0.5、1、2和4 kHz骨传导阈值的变化在两组之间没有差异。手术后眩晕持续时间明显短于手术后。结论手术引起的感音神经性听力损失与普通手术相似。但由于术后中高频听力较好，且术后眩晕时间较短，椎弓根切除术具有更好的疗效和无创性。
BackgroundOtosclerosis is an abnormal bone growth in the otic capsule that can result in hearing loss. In this study, we compared postoperative hearing outcomes and vestibular symptoms between patients treated with laser-assisted stapedotomy versus stapedectomy.MethodsThe medical charts of 99 ears treated with stapes surgery were retrospectively reviewed.ResultsA stapedotomy, partial stapedectomy, or total stapedectomy was conducted in 77, 16, and 56 ears, respectively. The ears treated with partial-and total stapedectomies were unified into one stapedectomy group. The postoperative changes in the air-bone gap after stapedotomies were significantly larger than those after stapedectomies at 1, 2, and 4 kHz. The postoperative changes in the air conduction threshold after stapedotomies were significantly larger than those after stapedectomies at 1, 2, 4, and 8 kHz. The postoperative changes in the bone conduction threshold at 0.5, 1, 2, and 4 kHz did not differ between the groups. The postoperative vertigo duration after stapedotomies was significantly shorter than that after stapedectomies.ConclusionsSurgery-induced sensorineural hearing losses were similar for stapedotomies and stapedectomies. However, stapedotomies were more effective and atraumatic than stapedectomies because of the better postoperative hearing results at middle and high frequencies and the shorter postoperative vertigo.