Hostname: page-component-848d4c4894-ttngx Total loading time: 0 Render date: 2024-05-20T07:28:01.529Z Has data issue: false hasContentIssue false

Predictive factors of revision stapes surgery in otosclerosis

Published online by Cambridge University Press:  13 December 2022

S Normant
Affiliation:
Department of Otorhinolaryngology, University Hospital of Nantes, France
A Gendre*
Affiliation:
Department of Otorhinolaryngology, University Hospital of Nantes, France
S Boucher
Affiliation:
Department of Otorhinolaryngology, University Hospital of Angers, France
B Godey
Affiliation:
Department of Otorhinolaryngology, University Hospital of Rennes, France
P Bordure
Affiliation:
Department of Otorhinolaryngology, University Hospital of Nantes, France
G Michel
Affiliation:
Department of Otorhinolaryngology, University Hospital of Nantes, France
*
Author for correspondence: Dr A Gendre, Service ORL et Chirurgie Cervico-Faciale, CHU de Nantes, 1 Place A. Ricordeau, BP 1005, 44093 Nantes Cedex 1, France E-mail: gendreadrien@gmail.com

Abstract

Objectives

This study aimed to investigate predictive factors for revision surgery in otosclerosis.

Methods

This was a retrospective, multicentre study in four tertiary centres. The primary objective was to investigate factors that were predictive of the need for revision stapes surgery.

Results

The ‘revision’ group included 145 patients, and the ‘control’ group included 143 patients. This study identified statistically significant predictive factors for the need for revision surgery: younger age, active smoking status, dyslipidaemia and high blood pressure. There was no statistically significant difference between the two groups in terms of surgical technique or stapedotomy technique.

Conclusion

This study showed that patients who are candidates for primary stapes surgery with younger age, active smoking status, dyslipidaemia and high blood pressure are at higher risk of needing revision surgery. A holistic approach prior to stapes surgery with multidisciplinary assessment is recommended. These results are important for better patient counselling on expected outcomes and risks.

Type
Main Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr A Gendre takes responsibility for the integrity of the content of the paper

References

Menger, DJ, Tange, RA. The aetiology of otosclerosis: a review of the literature. Clin Otolaryngol Allied Sci 2003;28:112–20CrossRefGoogle ScholarPubMed
Crompton, M, Cadge, BA, Ziff, JL, Mowat, AJ, Nash, R, Lavy, JA et al. The epidemiology of otosclerosis in a british cohort. Otol Neurotol 2019;40:2230CrossRefGoogle Scholar
Ayache, D, El Kihel, M, Betsch, C, Bou Malhab, F, Elbaz, P. Revision surgery of otosclerosis: a review of 26 cases. Ann Otolaryngol Chir Cervicofac 2000;117:281–90Google ScholarPubMed
Bakhos, D, Lescanne, E, Charretier, C, Robier, A. A review of 89 revision stapes surgeries for otosclerosis Eur Ann Otorhinolaryngol Head Neck Dis 2010;127:177–82CrossRefGoogle ScholarPubMed
Farrior, J, Sutherland, A. Revision stapes surgery. Laryngoscope 1991;101:1155–61CrossRefGoogle ScholarPubMed
Meyer, TA, Lambert, PR. Primary and revision stapedectomy in elderly patients. Curr Opin Otolaryngol Head Neck Surg 2004;12:387–92Google ScholarPubMed
Kay-Rivest, E, Mascarella, M, Sewitch, MJ, Cloutier, F, Mijovic, T. Association between smoking and 30-day outcomes in otologic surgery. Otolaryngol Head Neck Surg 2020;162:108113CrossRefGoogle ScholarPubMed
Tüz, M, Doğru, H, Yasan, H, Döner, F, Yariktaş, M. Incus and stapes necrosis associated with diabetes mellitus. J Laryngol Otol 2006;120:E22CrossRefGoogle ScholarPubMed
Enghag, S, Strömbäck, K, Li, H, Rohani, SA, Ladak, HM, Rask-Andersen, H et al. Incus necrosis and blood supply: a micro-CT and synchrotron imaging study. Otol Neurotol 2019;40:e713–22CrossRefGoogle ScholarPubMed
Wegner, I, Vincent, R, Derks, LSM, Rauh, SP, Heymans, MW, Stegeman, I et al. An internally validated prognostic model for success in revision stapes surgery for otosclerosis. Laryngoscope 2018;128:2390–6CrossRefGoogle ScholarPubMed
Fang, L, Lin, H, Zhang, TY, Tan, J. Laser versus non-laser stapedotomy in otosclerosis: a systematic review and meta-analysis. Auris Nasus Larynx 2014;41:337–42CrossRefGoogle ScholarPubMed
Sakamoto, T, Kikuta, S, Kikkawa, YS, Tsutsumiuchi, K, Kanaya, K, Fujimaki, Y et al. Differences in postoperative hearing outcomes and vertigo in patients with otosclerosis treated with laser-assisted stapedotomy versus stapedectomy. ORL J Otorhinolaryngol Relat Spec 2015;77:287–93CrossRefGoogle ScholarPubMed
Singh, A, Datta, R, Prasad, BK, Nilakantan, A, Rajguru, R, Kanzhuly, MK et al. Post-stapedotomy vestibular deficit: is co2 laser better than conventional technique? a non-randomized controlled trial. Indian J Otolaryngol Head Neck Surg 2018;70:306–12CrossRefGoogle ScholarPubMed
Wegner, I, Kamalski, DMA, Tange, RA, Vincent, R, Stegeman, I, Van der Heijden, GJM et al. Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review. Laryngoscope 2014;124:1687–93CrossRefGoogle ScholarPubMed
Bartel, R, Huguet, G, Cruellas, F, Hamdan, M, Gonzalez-Compta, X, Cisa, E. Laser vs drill for footplate fenestration during stapedotomy: a systematic review and meta-analysis of hearing results. Eur Arch Otorhinolaryngol 2021;278:914CrossRefGoogle ScholarPubMed
Brar, T, Passey, JC, Agarwal, AK. Comparison of hearing outcome using a Nitinol versus Teflon prosthesis in stapedotomy. Acta Otolaryngol 2012;132:1151–4CrossRefGoogle ScholarPubMed
Faramarzi, M, Gilanifar, N, Roosta, S. Comparison of fluoroplastic causse loop piston and titanium soft-clip in stapedotomy. Iran J Otorhinolaryngol 2017;29:23–8Google ScholarPubMed
De La Cruz, A, Fayad, JN. Revision stapedectomy. Otolaryngol Head Neck Surg 2000;123:728–32CrossRefGoogle ScholarPubMed
Bast, F, Weikert, S, Schrom, T. Treatment of otosclerosis with a superelastic nitinol piston: first results. Indian J Otolaryngol Head Neck Surg 2011;63:126–31CrossRefGoogle ScholarPubMed
Wegner, I, Swartz, JE, Bance, ML, Grolman, W. A systematic review of the effect of different crimping techniques in stapes surgery for otosclerosis. Laryngoscope 2016;126:1207–17CrossRefGoogle ScholarPubMed
Schimanski, G, Schimanski, E, Berthold, MR. Diagnostic findings in stapes revision surgery--a retrospective of 26 years. Otol Neurotol 2011;32:373–83CrossRefGoogle ScholarPubMed