Early post-laser stapedotomy hearing thresholds.
OBJECTIVE
Auditory testing is not routinely performed within 4-6 weeks after stapedotomy, because hearing acuity is thought to be transiently depressed. In rare circumstances, postsurgical auditory and vestibular complaints may lead one to test hearing soon after stapedotomy. The early postoperative effects of carbon dioxide (CO2) and potassium titanyl phosphate (KTP) lasers, which now are routinely used to perform stapedotomies, have not been reported. The purpose of this report is to present normative data for auditory thresholds measured within 2 weeks of laser stapedotomy.


METHODS
The study design was a prospective, unblinded study.


METHODS
The study was conducted at three academic medical centers.


METHODS
Thirty-six subjects undergoing 38 stapedotomies for otosclerosis by 5 surgeons participated.


METHODS
Behavioral audiometry was performed using standard techniques beginning before surgery and continuing through > 1 year after surgery.


RESULTS
The CO2 laser was used in 26 stapedotomies and the KTP laser was used in 12. Nine cases were revision procedures. Bone conduction pure-tone averages and speech discrimination scores did not worsen during the early postoperative period. Bone conduction at 250 and 4,000 Hz dropped slightly within the first 2 weeks (-4.3 and -6.7 dB) but recovered thereafter. Bone conduction at 1,000 Hz actually improved within the first week after surgery (+6.2 dB, p = 0.021). Significant improvements in air conduction thresholds (and air-bone gap) were seen at the second week and late audiometry. The results for CO2 and KTP laser-treated groups were not significantly different.


CONCLUSIONS
Cochlear function is not significantly depressed in the early postoperative period after laser (CO2 or KTP) stapedotomy.
Antonelli
P J
PJ
Department of Otolaryngology, University of Florida, Gainesville 32610-0264, USA.
Gianoli
G J
GJ
Lundy
L B
LB
LaRouere
M J
MJ
Kartush
J M
JM
D001301:Audiometry, Pure-Tone; D001309:Auditory Threshold; D001844:Bone Conduction; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis; D006801:Humans; D053685:Laser Therapy; D008875:Middle Aged; D010040:Otosclerosis / Q000601:surgery; D011446:Prospective Studies; D013063:Speech Discrimination Tests; D013201:Stapes Surgery; D013997:Time Factors; D016896:Treatment Outcome