Stapes Surgery for Profound Hearing Loss Secondary to Otosclerosis

The objective of this study is to evaluate stapes surgery in patients with otosclerosis and “profound” hearing loss. This means they meet hearing threshold criteria for cochlear implantation (CI). We performed a retrospective study and patient questionnaire. The results from 33 patients (35 ears) we...

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Bibliographic Details
Published in:Ear, nose, & throat journal nose, & throat journal, 2019-06, Vol.98 (5), p.273-278
Main Authors: Dwyer-Hemmings, Louis, Manjaly, Joseph G., Nash, Robert, Mukherjee, Abir, Lavy, Jeremy A.
Format: Article
Language:English
Subjects:
Audiometry, Pure-Tone - methods
Auditory Threshold
Female
Hearing loss
Hearing Loss - diagnosis
Hearing Loss - etiology
Hearing Loss - psychology
Humans
Male
Middle Aged
Otosclerosis - diagnosis
Otosclerosis - physiopathology
Otosclerosis - psychology
Otosclerosis - surgery
Outcome Assessment, Health Care
Patient Reported Outcome Measures
Patients
Quality of Life
Retrospective Studies
Severity of Illness Index
Stapes Surgery - methods
Stapes Surgery - statistics & numerical data
Surgery
United Kingdom
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Summary:The objective of this study is to evaluate stapes surgery in patients with otosclerosis and “profound” hearing loss. This means they meet hearing threshold criteria for cochlear implantation (CI). We performed a retrospective study and patient questionnaire. The results from 33 patients (35 ears) were recorded (mean age: 63.6, range: 40-85). The primary outcome measure was hearing thresholds recorded before and after surgery at 0.5, 1, 2, 3, and 4 kHz. Hearing thresholds at 2 and 4 kHz were also analyzed. Glasgow Benefit Inventory (GBI) was used in 21 patients to assess life quality changes. Hearing thresholds improved in 80% of ears (mean improvement, 26.3 dB), were unchanged in 11.4%, and worsened in 8.6%. Mean GBI score was +20.7. Hearing aid use decreased in 23.8% and ceased in 28.6%. One patient subsequently underwent CI. For patients with profound otosclerosis, stapes surgery provides a quantitative improvement in hearing thresholds and improvement in quality of life, with reduced reliance on hearing aids. This avoids CI, auditory rehabilitation, and a change in quality and tonality of sound.
ISSN:0145-5613
1942-7522
DOI:10.1177/0145561319834540