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Outcomes in paediatric patients undergoing stapedotomy

Published online by Cambridge University Press:  21 October 2024

David Lehmann Open the ORCID record for David Lehmann [Opens in a new window] ,
Ewen Chao ,
Robert Saadi ,
Madelyn Wang  and
Huseyin Isildak
David Lehmann
Affiliation:
Stony Brook University Hospital, New York, USA
Ewen Chao
Affiliation:
Stony Brook University Hospital, New York, USA
Robert Saadi
Affiliation:
Arkansas Children's Hospital, Little Rock, Arkansas, USA
Madelyn Wang
Affiliation:
Stony Brook University Hospital, New York, USA
Huseyin Isildak*
Affiliation:
Stony Brook University Hospital, New York, USA
*
Corresponding author: Huseyin Isildak; Email: mdhuseyin@gmail.com
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Abstract

Objectives

This study aimed to describe outcomes of paediatric stapes surgery at an academic tertiary care centre.

Methods

Electronic medical records of patients younger than 21 years who underwent stapedotomy between September 2013 and July 2020 were reviewed.

Results

A total of 17 patients (7 male, 10 female) were included in our study; 14 underwent surgery on one ear while 3 underwent surgery on both ears (20 ears total). Mean pre-operative air-bone gap was 34.5 dB (standard deviation, 11). At three months, the mean post-operative air-bone gap was 20.6 dB (standard deviation, 10.2), with a mean improvement of 17 dB (standard deviation, 12.1). Sixty-four per cent of patients had closure of their air-bone gap to 20 dB or less. A negative correlation between pre-operative body-mass index and post-operative air-bone gap was statistically significant (n = 14, p = 0.03, r = -0.57 [95% confidence interval -0.85, -0.04]).

Conclusion

Paediatric stapedotomy can be effective and safe. In this cohort, age was not correlated with improvement in air-bone gap; pre-operative body mass index was significantly correlated with post-operative air-bone gap.

Keywords

hearing lossotologymiddle ear surgeryotosclerosisaudiology

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 3 , March 2025 , pp. 200 - 202
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Huseyin Isildak takes responsibility for the integrity of the content of the paper

Presented as a poster at the Combined Otolaryngology Spring Meetings (COSM), 3–7 May 2023, Boston, Massachusetts, USA.

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