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Bilateral stapedotomy in patients with otosclerosis: a disability-orientated evaluation of the benefit of second ear surgery
This study reports the evaluation of the results of 80 stapedotomies in patients with bilateral otosclerosis. All pre‐ and postoperative audiological data, together with all relevant information of the operations, were stored in a database and analysed retrospectively. A new approach has been develo...
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| Published in: | Clinical otolaryngology and allied sciences 1998-04, Vol.23 (2), p.123-127 |
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| Main Authors: | , , , , |
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| container_end_page | 127 |
| container_issue | 2 |
| container_start_page | 123 |
| container_title | Clinical otolaryngology and allied sciences |
| container_volume | 23 |
| creator | De Bruijn, A J Tange, R A Dreschler, W A Grolman, W Schouwenburg, P F |
| description | This study reports the evaluation of the results of 80 stapedotomies in patients with bilateral otosclerosis. All pre‐ and postoperative audiological data, together with all relevant information of the operations, were stored in a database and analysed retrospectively. A new approach has been developed in order to evaluate the benefit of second ear stapes surgery in a more disability‐orientated way using the AMA‐criteria in the Guides to the Evaluation of Permanent Impairment. In all patients the percentage of Binaural Hearing Impairment (BHI) and the percentage of Impairment of the Whole Person (IWP) were determined according to the AMA‐criteria. In patients who had both operations at the Academic Medical Centre it was found after the first operation that there was an important decrease in the BHI‐percentage (from 26% to 10%) as well as for the IWP‐percentage (from 9% to 4%). In addition, the percentages dropped significantly after the second operation (from 11% to 7% and from 4% to 2%, respectively). During follow‐up there were no serious complications. It is concluded that bilateral stapedotomy is a safe procedure with good results. |
| doi_str_mv | 10.1046/j.1365-2273.1998.00118.x |
| format | article |
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All pre‐ and postoperative audiological data, together with all relevant information of the operations, were stored in a database and analysed retrospectively. A new approach has been developed in order to evaluate the benefit of second ear stapes surgery in a more disability‐orientated way using the AMA‐criteria in the Guides to the Evaluation of Permanent Impairment. In all patients the percentage of Binaural Hearing Impairment (BHI) and the percentage of Impairment of the Whole Person (IWP) were determined according to the AMA‐criteria. In patients who had both operations at the Academic Medical Centre it was found after the first operation that there was an important decrease in the BHI‐percentage (from 26% to 10%) as well as for the IWP‐percentage (from 9% to 4%). In addition, the percentages dropped significantly after the second operation (from 11% to 7% and from 4% to 2%, respectively). During follow‐up there were no serious complications. It is concluded that bilateral stapedotomy is a safe procedure with good results.</description><identifier>ISSN: 0307-7772</identifier><identifier>EISSN: 1365-2273</identifier><identifier>DOI: 10.1046/j.1365-2273.1998.00118.x</identifier><identifier>PMID: 9597281</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adolescent ; Adult ; Aged ; American Medical Association ; Audiometry ; Auditory Threshold - physiology ; Bone Conduction - physiology ; Child ; Databases as Topic ; Disability Evaluation ; Evaluation Studies as Topic ; Female ; Follow-Up Studies ; Hearing - physiology ; Hearing Loss, Bilateral - surgery ; Hearing Loss, Conductive - surgery ; Humans ; Male ; Middle Aged ; Ossicular Prosthesis ; otosclerosis ; Otosclerosis - surgery ; Prosthesis Design ; Retrospective Studies ; Safety ; second ear ; stapedectomy ; Stapes Surgery - adverse effects ; Stapes Surgery - methods ; United States</subject><ispartof>Clinical otolaryngology and allied sciences, 1998-04, Vol.23 (2), p.123-127</ispartof><rights>Blackwell Science Ltd</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4018-55ec0557b60916186ef25737e52379308b7a2f519859cf439e7b4be8e03a41d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9597281$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Bruijn, A J</creatorcontrib><creatorcontrib>Tange, R A</creatorcontrib><creatorcontrib>Dreschler, W A</creatorcontrib><creatorcontrib>Grolman, W</creatorcontrib><creatorcontrib>Schouwenburg, P F</creatorcontrib><title>Bilateral stapedotomy in patients with otosclerosis: a disability-orientated evaluation of the benefit of second ear surgery</title><title>Clinical otolaryngology and allied sciences</title><addtitle>Clin Otolaryngol Allied Sci</addtitle><description>This study reports the evaluation of the results of 80 stapedotomies in patients with bilateral otosclerosis. All pre‐ and postoperative audiological data, together with all relevant information of the operations, were stored in a database and analysed retrospectively. A new approach has been developed in order to evaluate the benefit of second ear stapes surgery in a more disability‐orientated way using the AMA‐criteria in the Guides to the Evaluation of Permanent Impairment. In all patients the percentage of Binaural Hearing Impairment (BHI) and the percentage of Impairment of the Whole Person (IWP) were determined according to the AMA‐criteria. In patients who had both operations at the Academic Medical Centre it was found after the first operation that there was an important decrease in the BHI‐percentage (from 26% to 10%) as well as for the IWP‐percentage (from 9% to 4%). In addition, the percentages dropped significantly after the second operation (from 11% to 7% and from 4% to 2%, respectively). During follow‐up there were no serious complications. It is concluded that bilateral stapedotomy is a safe procedure with good results.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>American Medical Association</subject><subject>Audiometry</subject><subject>Auditory Threshold - physiology</subject><subject>Bone Conduction - physiology</subject><subject>Child</subject><subject>Databases as Topic</subject><subject>Disability Evaluation</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hearing - physiology</subject><subject>Hearing Loss, Bilateral - surgery</subject><subject>Hearing Loss, Conductive - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ossicular Prosthesis</subject><subject>otosclerosis</subject><subject>Otosclerosis - surgery</subject><subject>Prosthesis Design</subject><subject>Retrospective Studies</subject><subject>Safety</subject><subject>second ear</subject><subject>stapedectomy</subject><subject>Stapes Surgery - adverse effects</subject><subject>Stapes Surgery - methods</subject><subject>United States</subject><issn>0307-7772</issn><issn>1365-2273</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNqNkE-P1CAYh4nRrOPqRzDh5K0VSilgvKyjrsbNbnQ38Uho-9ZlZMoI1J0mfnipM5mzJ_68v-dHeBDClJSU1M3rTUlZw4uqEqykSsmSEEpluX-EVqfBY7QijIhCCFE9Rc9i3BBCairEGTpTXIlK0hX68846kyAYh2MyO-h98tsZ2xHvTLIwpogfbLrH-Tp2DoKPNr7BBvc2mtY6m-bChyWXS3oMv42bMudH7Aec7gG3MMJg03KM0PkxZ0zAcQo_IMzP0ZPBuAgvjus5uvv44W79qbi6ufy8vrgquppQWXAOHeFctA1RtKGygaHiggngFROKEdkKUw2cKslVN9RMgWjrFiQQZmras3P06lC7C_7XBDHprY0dOGdG8FPUQklJK1nnoDwEu_zPGGDQu2C3JsyaEr141xu96NWLXr141_-8631GXx7fmNot9CfwKDrP3x7mD9bB_N-9en1zkTcZLw64jQn2J9yEn7rJJrj-fn2pr9-Lr9--3BJ9y_4CtXCiNg</recordid><startdate>199804</startdate><enddate>199804</enddate><creator>De Bruijn, A J</creator><creator>Tange, R A</creator><creator>Dreschler, W A</creator><creator>Grolman, W</creator><creator>Schouwenburg, P F</creator><general>Blackwell Science Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199804</creationdate><title>Bilateral stapedotomy in patients with otosclerosis: a disability-orientated evaluation of the benefit of second ear surgery</title><author>De Bruijn, A J ; Tange, R A ; Dreschler, W A ; Grolman, W ; Schouwenburg, P F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4018-55ec0557b60916186ef25737e52379308b7a2f519859cf439e7b4be8e03a41d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>American Medical Association</topic><topic>Audiometry</topic><topic>Auditory Threshold - physiology</topic><topic>Bone Conduction - physiology</topic><topic>Child</topic><topic>Databases as Topic</topic><topic>Disability Evaluation</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hearing - physiology</topic><topic>Hearing Loss, Bilateral - surgery</topic><topic>Hearing Loss, Conductive - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ossicular Prosthesis</topic><topic>otosclerosis</topic><topic>Otosclerosis - surgery</topic><topic>Prosthesis Design</topic><topic>Retrospective Studies</topic><topic>Safety</topic><topic>second ear</topic><topic>stapedectomy</topic><topic>Stapes Surgery - adverse effects</topic><topic>Stapes Surgery - methods</topic><topic>United States</topic><toplevel>online_resources</toplevel><creatorcontrib>De Bruijn, A J</creatorcontrib><creatorcontrib>Tange, R A</creatorcontrib><creatorcontrib>Dreschler, W A</creatorcontrib><creatorcontrib>Grolman, W</creatorcontrib><creatorcontrib>Schouwenburg, P F</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical otolaryngology and allied sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>De Bruijn, A J</au><au>Tange, R A</au><au>Dreschler, W A</au><au>Grolman, W</au><au>Schouwenburg, P F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral stapedotomy in patients with otosclerosis: a disability-orientated evaluation of the benefit of second ear surgery</atitle><jtitle>Clinical otolaryngology and allied sciences</jtitle><addtitle>Clin Otolaryngol Allied Sci</addtitle><date>1998-04</date><risdate>1998</risdate><volume>23</volume><issue>2</issue><spage>123</spage><epage>127</epage><pages>123-127</pages><issn>0307-7772</issn><eissn>1365-2273</eissn><abstract>This study reports the evaluation of the results of 80 stapedotomies in patients with bilateral otosclerosis. All pre‐ and postoperative audiological data, together with all relevant information of the operations, were stored in a database and analysed retrospectively. A new approach has been developed in order to evaluate the benefit of second ear stapes surgery in a more disability‐orientated way using the AMA‐criteria in the Guides to the Evaluation of Permanent Impairment. In all patients the percentage of Binaural Hearing Impairment (BHI) and the percentage of Impairment of the Whole Person (IWP) were determined according to the AMA‐criteria. In patients who had both operations at the Academic Medical Centre it was found after the first operation that there was an important decrease in the BHI‐percentage (from 26% to 10%) as well as for the IWP‐percentage (from 9% to 4%). In addition, the percentages dropped significantly after the second operation (from 11% to 7% and from 4% to 2%, respectively). During follow‐up there were no serious complications. It is concluded that bilateral stapedotomy is a safe procedure with good results.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>9597281</pmid><doi>10.1046/j.1365-2273.1998.00118.x</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0307-7772 |
| ispartof | Clinical otolaryngology and allied sciences, 1998-04, Vol.23 (2), p.123-127 |
| issn | 0307-7772 1365-2273 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79881284 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adolescent Adult Aged American Medical Association Audiometry Auditory Threshold - physiology Bone Conduction - physiology Child Databases as Topic Disability Evaluation Evaluation Studies as Topic Female Follow-Up Studies Hearing - physiology Hearing Loss, Bilateral - surgery Hearing Loss, Conductive - surgery Humans Male Middle Aged Ossicular Prosthesis otosclerosis Otosclerosis - surgery Prosthesis Design Retrospective Studies Safety second ear stapedectomy Stapes Surgery - adverse effects Stapes Surgery - methods United States |
| title | Bilateral stapedotomy in patients with otosclerosis: a disability-orientated evaluation of the benefit of second ear surgery |
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