Characterization of patients with otosclerosis with transcanal and retroauricular stapedotomy in a university hospital
Article Sidebar
Main Article Content
Abstract
Introduction: Otosclerosis managed surgically with stapedotomy has shown improvement in hearing threshold using a transcanal or retroauricular approach. Objective: To characterize the response to surgical treatment with transcanal and retroauricular stapedotomy in patients diagnosed with otosclerosis in a university center. Design: Retrospective descriptive observational study, case series type. Methodology: Patients with a diagnosis of otosclerosis treated at the Hospital Universitario Clínica San Rafael who met the eligibility criteria between 2014 and 2020 were included. Results: 33 patients operated with transcanal approach and 8 with retroauricular approach were included, the average age was 46.6 years. Most patients were female (56.1%). Hearing threshold improvement was evidenced in 89.9% of the total sample. The presence of anatomical variants was described in 26.8%, the most common variant was the prolapse of the chorda tympani nerve (14.5%). The most common intraoperative complication was eardrum cord nerve section (9.8%). The presence of complications and anatomic variants was more prevalent with retroauricular approach. Conclusion: Stapedotomy with retroauricular and transcanal approach showed improvement of hearing threshold comparable to the world literature, the presence of anatomical variants was correlated with postoperative complications.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
Este es un artículo de acceso abierto, distribuido bajo los términos de la LicenciaCreativeCommons Atribución-CompartirIgual 4.0 Internacional.( http://creativecommons.org/licenses/by-sa/4.0/), que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada.
eISSN: 2539-0856
ISSN: 0120-8411
References
Batson L, Rizzolo D. Otosclerosis: An update on diagnosis and treatment. JAAPA. 2017;30(2):17-22. doi: 10.1097/01.JAA.0000511784.21936.1b.
Rudic M, Keogh I, Wagner R, Wilkinson E, Kiros N, Ferrary E, et al. The pathophysiology of otosclerosis: Review of current research. Hear Res. 2015;330(Pt A):51-6. doi: 10.1016/j.heares.2015.07.014.
Thomson S, Madani G. The windows of the inner ear. Clin Radiol. 2014;69(3):e146-52. doi: 10.1016/j.crad.2013.10.020.
Cureoglu S, Baylan MY, Paparella MM. Cochlear otosclerosis. Curr Opin Otolaryngol Head Neck Surg. 2010;18(5):357-62. doi: 10.1097/MOO.0b013e32833d11d9.
Karosi T, Sziklai I. Etiopathogenesis of otosclerosis. Eur Arch Otorhinolaryngol. 2010;267(9):1337-49. doi: 10.1007/s00405-010-1292-1.
Tato JM, Tato JM Jr. Otosclerosis and races. Ann Otol Rhinol Laryngol. 1967;76(5):1018-25. doi: 10.1177/000348946707600512.
Master A, Wilkinson E, Wagner R. Management of Chronic Suppurative Otitis Media and Otosclerosis in Developing Countries. Otolaryngol Clin North Am. 2018;51(3):593-605. doi: 10.1016/j.otc.2018.01.017.
Ali H, Khater N. Otosclerosis and complications of stapedectomy: CT and MRI correlation. Alexandria Journal of Medicine. 2018;54(3):197-201. doi: 10.1016/j.ajme.2017.07.001
Rask-Andersen H, Schart-Morén N, Strömbäck K, Linthicum F, Li H. Special Anatomic Considerations in Otosclerosis Surgery. Otolaryngol Clin North Am. 2018;51(2):357-374. doi: 10.1016/j.otc.2017.11.013.
Foster MF, Backous DD. Clinical Evaluation of the Patient with Otosclerosis. Otolaryngol Clin North Am. 2018;51(2):319-326. doi: 10.1016/j.otc.2017.11.004.
Wolfang A. Häusler R. Otosclerosis and Stapes Surgery. En: Fisch U, Linder T (editores). A Checklist for Surgical Exposure in Stapes Surgery: How to Avoid Misapprehension. Advances in Oto-Rhino-Laryngology. Karger; 2007. p. 158-63.
Cheng HCS, Agrawal SK, Parnes LS. Stapedectomy Versus Stapedotomy. Otolaryngol Clin North Am. 2018;51(2):375-392. doi: 10.1016/j.otc.2017.11.008.
Cuda D, Murri A, Mochi P, Solenghi T, Tinelli N. Microdrill, CO2-laser, and piezoelectric stapedotomy: a comparative study. Otol Neurotol. 2009;30(8):1111-5. doi: 10.1097/MAO.0b013e3181b76b08.
Altamami NM, Huyghues des Etages G, Fieux M, Coudert A, Hermann R, Zaouche S, et al. Is one of these two techniques: CO2 laser versus microdrill assisted stapedotomy results in better post-operative hearing outcome? Eur Arch Otorhinolaryngol. 2019;276(7):1907-1913. doi: 10.1007/s00405-019-05415-7.
Sioshansi PC, Schettino AE, Babu SC, Bojrab DI, Michaelides EM, Luryi AL, et al. Stapes surgery with a persistent stapedial artery. Am J Otolaryngol. 2020;41(6):102684. doi: 10.1016/j.amjoto.2020.102684.
Senturk E, Eren SB, Aksoy F, Dagistanli N, Yenigun A, Degirmenci N, et al. Stapedectomy in patients with dehiscent and prolapsed facial nerve. Am J Otolaryngol. 2020;41(5):102580. doi: 10.1016/j.amjoto.2020.102580.
Park HY, Han DH, Lee JB, Han NS, Choung YH, Park K. Congenital stapes anomalies with normal eardrum. Clin Exp Otorhinolaryngol. 2009;2(1):33-8. doi: 10.3342/ceo.2009.2.1.33.
Pauli N, Strömbäck K, Lundman L, Dahlin-Redfors Y. Surgical technique in stapedotomy hearing outcome and complications. Laryngoscope. 2020;130(3):790-796. doi: 10.1002/lary.28072.
Antonelli PJ. Prevention and Management of Complications in Otosclerosis Surgery. Otolaryngol Clin North Am. 2018;51(2):453-462. doi: 10.1016/j.otc.2017.11.015.
Shiao AS, Kuo CL, Wang MC, Chu CH. Minimally traumatic stapes surgery for otosclerosis: Risk reduction of post-operative vertigo. J Chin Med Assoc. 2018;81(6):559-564. doi: 10.1016/j.jcma.2017.08.022.
Adedeji TO, Indorewala S, Indorewala A, Nemade G. Stapedotomy and its effect on hearing - our experience with 54 cases. Afr Health Sci. 2016;16(1):276-81. doi: 10.4314/ahs.v16i1.36.
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(1):9-14. doi: 10.1007/s00405-020-06117-1.
Singh PP, Goyal A. Our experience with the titanium soft clip piston stapedotomy. Indian J Otolaryngol Head Neck Surg. 2013;65(3):280-2. doi: 10.1007/s12070-011-0459-4.
Khorsandi A MT, Jalali MM, Shoshi D V. Predictive factors in 995 stapes surgeries for primary otosclerosis. Laryngoscope. 2018;128(10):2403-2407. doi: 10.1002/lary.27160.
Alharbi F. Stapedotomy performed with microdrill technique for otosclerosis: Hearing results and complications. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2013;14(1):23-6.
Salvador P, Costa R, Silva F, Fonseca R. Primary stapedotomy: Influence of prosthesis diameter on hearing outcome. Acta Otorrinolaringol Esp. 2021;72(4):238-45. doi: 10.1016/j.otorri.2020.06.004
Boonchoo R, Puapermpoonsiri P. Results of CO2 laser stapedotomy with Teflon piston prosthesis and autologous blood seal. J Med Assoc Thai. 2007;90(10):2097-103.
Kuhn JJ, Lassen LF. Congenital incudostapedial anomalies in adult stapes surgery: a case-series review. Am J Otolaryngol. 2011;32(6):477-84. doi: 10.1016/j.amjoto.2010.09.011.