[Stapedectomy in the treatment of otosclerosis in children].
In the years 1994-2000 in the Laryngology Department Silesian Medical Academy in Zabrze 167 stapedectomy were performed in 143 patients with otosclerosis. In this group of patients 11 stapedectomies in 8 children aged from 9 to 17 years were performed. 5.6% of all the patients with otosclerosis treated in our Department were children. The purpose of this study was to analyze the audiologic results of stapedectomies in children. The postoperative evaluations were performed in the period from 6 months to 6 years after the surgical treatment. In the estimation of the hearing state we analyzed the change of the air-bone gap, an average air conduction hearing improvement, the rate of percentage hearing improvement and an average hearing loss by Bell Telephone Laboratories. In all the operated children we observed the decrease of the air conduction hearing level. Stapedectomy was successful (postoperative air bone gap within 10 dB of the preoperative bone conduction) in 63.6% of the patients. In 3 cases the air bone gap was lower than 20 dB (27.3%). In one case it was greater then 20 dB. The air bone gap closure was at the average of 5.75 dB level. The results were comparable with the other authors. Stapedectomy can be an effective procedure for correcting conducting hearing losses due to the otosclerosis in the pediatric patients.
Namysłowski
G
G
Katedra i Oddział Kliniczny Laryngologii Slaskiej AM w Zabrzu.
Scierski
W
W
Mrówka-Kata
K
K
Bilińska-Pietraszek
E
E
D000293:Adolescent; D001307:Auditory Perception; D001844:Bone Conduction; D002648:Child; D006801:Humans; D010040:Otosclerosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013201:Stapes Surgery; D013997:Time Factors; D016896:Treatment Outcome