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Treatment of Far-Advanced Otosclerosis: Stapedotomy Plus Hearing Aids to Maximize the Recovery of Auditory Function-A Retrospective Case Series

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Specialty Health Services
Date 2023 Mar 11
PMID 36900680
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Abstract

Far-advanced otosclerosis (FAO) refers to severe otosclerosis with scarce auditory functions. The identification of the best method to correctly listen to sound and speech has a large impact on patients' quality of life. We retrospectively analyzed the auditory function of 15 patients affected by FAO who were treated with stapedectomy plus hearing aids independent of the severity of their auditory deficit before surgery. The combination of surgery and hearing aids allowed excellent recovery of the perception of pure tone sounds and speech. Four patients, because of poor auditory thresholds, needed a cochlear implant after stapedectomy. Despite being based on a small sample of patients, our results suggest that stapedotomy plus hearing aids could improve the auditory capacities of patients with FAO independent of their auditory thresholds at T0. The careful selection of patients is fundamental to obtain the best outcomes.

References
1.
HOUSE H, Sheehy J . Stapes surgery: selection of the patient. Ann Otol Rhinol Laryngol. 1961; 70:1062-8. DOI: 10.1177/000348946107000411. View

2.
Kabbara B, Gauche C, Calmels M, Lepage B, Escude B, Deguine O . Decisive criteria between stapedotomy and cochlear implantation in patients with far advanced otosclerosis. Otol Neurotol. 2014; 36(3):e73-8. DOI: 10.1097/MAO.0000000000000692. View

3.
Teaima A, Elnashar A, Hakim E, Hadaey H . Comparison of the efficacy of cochlear implantation and stapes surgery in far advanced otosclerosis: a meta-analysis study. Eur Arch Otorhinolaryngol. 2022; 280(1):77-88. PMC: 9813143. DOI: 10.1007/s00405-022-07449-w. View

4.
Assiri M, Khurayzi T, Alshalan A, Alsanosi A . Cochlear implantation among patients with otosclerosis: a systematic review of clinical characteristics and outcomes. Eur Arch Otorhinolaryngol. 2021; 279(7):3327-3339. DOI: 10.1007/s00405-021-07036-5. View

5.
Stadio A, Volpe A, Ralli M, Korsch F, Greco A, Ricci G . Spiral Ganglions and Speech Perception in the Elderly. Which Turn of the Cochlea is the More Relevant? A Preliminary Study on Human Temporal Bones. J Int Adv Otol. 2020; 16(3):318-322. PMC: 7901449. DOI: 10.5152/iao.2020.8481. View