Outcome of stapes surgery for tinnitus recovery in otosclerosis

Stapes surgery is mainly used to improve hearing in otosclerosis; however, many patients report alleviation of tinnitus after surgery. to evaluate the effectiveness of stapes surgery for improving tinnitus symptoms. This prospective study included 29 patients with surgically proven otosclerosis, who...

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Bibliographic Details
Published in:The international tinnitus journal 2012, Vol.17 (1), p.42-46
Main Authors: Rajati, Mohsen, Poursadegh, Mehdi, Bakhshaee, Mehdi, Abbasi, Abbasali, Shahabi, Ayeh
Format: Article
Language:English
Subjects:
Hearing Loss
Humans
Otosclerosis
Prospective Studies
Stapes Surgery
Tinnitus - diagnosis
Treatment Outcome
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Summary:Stapes surgery is mainly used to improve hearing in otosclerosis; however, many patients report alleviation of tinnitus after surgery. to evaluate the effectiveness of stapes surgery for improving tinnitus symptoms. This prospective study included 29 patients with surgically proven otosclerosis, who had undergone stapedectomy or stapedotomy. We compared symptomatic (tinnitus, hearing loss, and vertigo) and audiological findings obtained before and after surgery. Using Newman's method the level of discomfort caused by tinnitus was scored from grade I to V pre- and postoperatively. The mean preoperative tinnitus discomfort grade was 2.72, at day 1 after surgery it was 1.29, and after 1 month it had decreased to 0.96, indicating a significant improvement in the level of tinnitus discomfort (p < 0.0001). One month after surgery 82.8% of patients had a complete or partial absence of tinnitus. We conclude that stapes surgery is quite effective for treatment of tinnitus as well as improvement of hearing. When deciding upon management in patients with otosclerosis the presence of tinnitus should be considered as well as hearing level.
ISSN:0946-5448