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Hearing results of 1145 stapedotomies evaluated with Amsterdam hearing evaluation plots

Published online by Cambridge University Press:  26 February 2009

V E Kisilevsky ,
S N Dutt ,
N A Bailie  and
J J Halik
V E Kisilevsky*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University of Toronto, Ontario, Canada
S N Dutt
Affiliation:
Department of Otolaryngology, Apollo Hospital, Bangalore, Karnataka, India
N A Bailie
Affiliation:
Department of Otolaryngology, University of Toronto, Markham-Stouffville Hospital, Toronto, Ontario, Canada
J J Halik
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University of Toronto, Ontario, Canada Department of Otolaryngology, Markham-Stouffville Hospital, Markham, Ontario, Canada
*
Address for correspondence: Dr Vitaly Kisilevsky, 8 N, Room 873, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4Canada. Fax: +1 416 340 3327 E-mail: vitalykis@yahoo.com
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Abstract

Aims:

To evaluate the hearing results of a large series of primary stapedotomies, according to American Academy of Otolaryngology, Head and Neck Surgery guidelines and Amsterdam hearing evaluation plots.

Study design:

Retrospective chart review.

Methods:

The charts for 1369 consecutive stapedotomy cases were reviewed; 1145 cases of primary stapedotomy were included. Raw data from the audiometric database were evaluated using Amsterdam hearing evaluation plots. The effect on outcomes of using different audiological parameters was analysed.

Results:

A significant improvement was demonstrated in mean post-operative air conduction and speech reception thresholds, with no change in bone conduction. Air–bone gap closure of 10 dB or more was achieved in 82 per cent of cases. A ‘dead ear’ occurred in one patient (0.1 per cent).

Conclusion:

This study reports the largest series of primary stapedotomies evaluated with Amsterdam hearing evaluation plots. This method enables visual identification of successful and unfavourable results, providing more accurate and detailed presentation of surgical outcomes.

Keywords

Hearing LossOtosclerosisStapes Surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 7 , July 2009 , pp. 730 - 736
Copyright
Copyright © JLO (1984) Limited 2009

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