Stapedectomy following tympanoplasty.
The aim of this study was to evaluate the success of stapedectomy in patients who have previously had a tympanoplasty because of chronic otitis media (COM). Fourteen patients from a private otology practice had undergone tympanoplasty for COM and subsequently underwent stapedectomy. Measurements were taken of the air-bone gap (ABG) closure and pure tone average (PTA) which showed hearing improvement. Patients had a mean 36.9 dB PTA hearing gain with 79 per cent closing the ABG to within 20 dB. The need for stapedectomy alone is a rare occurrence for patients with a history of COM requiring a tympanoplasty. Hearing improvement following stapedectomy in these cases was significant, although somewhat less than following traditional stapedectomy in otosclerosis alone.
Berenholz
L P
LP
Lippy Group for Ear, Nose and Throat, 3893 East Market Street, Warren, Ohio 44484, USA. Leonard@Netvision.net.il
Lippy
W H
WH
Burkey
J M
JM
Schuring
A G
AG
Rizer
F M
FM
D000328:Adult; D001301:Audiometry, Pure-Tone; D005260:Female; D005500:Follow-Up Studies; D006314:Hearing Loss, Conductive / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010033:Otitis Media / Q000601:surgery*; D010040:Otosclerosis / Q000601:surgery; D011184:Postoperative Period; D012189:Retrospective Studies; D013201:Stapes Surgery; D016896:Treatment Outcome; D014433:Tympanoplasty