Frequency-specific hearing results after stapes surgery for Chinese population otosclerosis with different degrees of hearing loss
Frequency-specific hearing results after stapes surgery for Chinese population otosclerosis with different degrees of hearing loss
复制标题
中国人群不同程度听力损失耳硬化症镫骨手术后频率特异性听力结果
DOI：
10.1080/00016489.2020.1724331
复制
发表时间：
2020
影响因子：
1.4
通讯作者：
Shu Yilai
中科院分区：
文献类型：
--
作者：
Zhang Kun;Fang Yanqing;Wang Bing;Cheng Xiaoting;Chen Bing;Shu Yilai
研究背景：频率特异性听力检查对预测镫骨手术后听力恢复及预后有重要意义，为耳硬化症患者的频率特异性听力康复做准备。目的：评价中国人不同程度听力损失的耳硬化症患者镫骨手术的效果。结果：94.52%的患者术后ABG <20 dB，术后听力恢复良好。除极重度组外，各组术后ABG在所有频率下均无统计学显著性差异（p<0.05）。术后AC和BC阈值均有显著改善，重度组改善最显著。有没有严重的术后并发症，没有再次手术在follow-up period.Conclusion：镫骨手术是一个合适的治疗选择耳硬化症与轻度至极重度HL。轻度至中度听力损失组在低频区的AC阈值改善最为显著，重度至极重度听力损失组出现在高频区。
Background:Frequency-specific hearing studies are important for predicting hearing results and the prognosis after stapes surgery, to prepare for the rehabilitation of frequency-specific hearing in patients with otosclerosis.Objectives:To evaluate outcomes of stapes surgery of Chinese otosclerosis patients with different degrees of hearing loss.Methods:We conducted a retrospective analysis of 213 otosclerosis patients who underwent stapes surgery in our hospital. Pre- and post-operative audiometric evaluation using conventional audiometry.Results:The post-op ABG was less than 20 dB in 94.52% of all cases after surgery. There was no statistical significance of the post-op ABG among different groups at all frequencies except extremely severe group (p< .05). There was a significant improvement of both AC and BC thresholds in post-op period and the most significant improvement was found in severe group. There were no serious post-op complications and no re-operations during the follow-up period.Conclusion:Stapes surgery is a suitable treatment option for otosclerosis with mild to extremely severe HL. The mild to moderate hearing loss groups had the most significant improvement of AC thresholds in the low frequency region, and the severe to extremely severe groups appeared in the high frequency region.