[Early complications following stapedectomy--surgical or conservative treatment?].
The incidence of sensorineural hearing loss after stapedectomy ranges from 0.6% to 5%. There is evidence that reparative granuloma is a major cause: most authors report that it requires urgent surgery, but this view is not universally accepted. This study analyses 14 stapedectomies that resulted in a sudden or gradual sensorineural hearing loss, often combined with vertigo, and presenting between 1 and 6 weeks after an initial hearing improvement. All patients were treated immediately with a combined infusion of an antibiotic, a corticosteroid and a plasma expander. The sensorineural hearing loss began to improve compared with pre-operative values 9 days later. Thus drug therapy might be sufficient in most cases of sensorineural hearing loss early after stapedectomy, and surgery can be restricted to patients with perilymph fistulae.
Elies
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HNO-Klinik der Städtischen Krankenanstalten Bielefeld-Mitte.
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D000328:Adult; D001309:Auditory Threshold / Q000187:drug effects; D001844:Bone Conduction / Q000187:drug effects; D015310:Cefotiam / Q000008:administration & dosage; D003907:Dexamethasone / Q000008:administration & dosage; D005500:Follow-Up Studies; D006099:Granuloma / Q000188:drug therapy; D034381:Hearing Loss / Q000601:surgery*; D006314:Hearing Loss, Conductive / Q000601:surgery*; D006319:Hearing Loss, Sensorineural / Q000188:drug therapy; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000008:administration & dosage; D008575:Meniere Disease / Q000188:drug therapy; D008802:Mezlocillin / Q000008:administration & dosage; D009759:Nystagmus, Pathologic / Q000188:drug therapy; D010068:Oxacillin / Q000008:administration & dosage; D011183:Postoperative Complications / Q000188:drug therapy*; D011446:Prospective Studies; D013201:Stapes Surgery
D006895:Hydroxyethyl Starch Derivatives; D003907:Dexamethasone; D015310:Cefotiam; D008802:Mezlocillin; D010068:Oxacillin
Frühkomplikationen nach Stapedektomie--operative oder konservative Behandlung?