[Surgical experience by 95 malformed stampedes and otosclerosis].
OBJECTIVE
To investigate the effect of stapes surgery for conductive hearing loss with intact tympanic membrane and eustachian tube.


METHODS
Stapes surgery data of 95 conductive hearing loss patients, which with intact tympanic membrane and eustachian tube, was retrospective analyzed,and the surgical effect of otosclerosis, middle ear deformities and external canal stenosis was summarized.


RESULTS
Postoperative (4 weeks after the surgery) pure tone threshold test demonstrated that the effect of Vestibulotomy was better than incus-footplate connection (incus and footplate is connected by a cortical bone ) ( P <0.05). The surgery to the patients with external canal stenosis was better than those with otosclerosis or middle ear deformities ( P <0.05). There was no statistic significance between physiological stapedectomy and Vestibulotomy. The follow-up of 1-3 years showed that the pure tone threshold of 8 out of 14 cases reverted to the preoperative level, while the hearing improvement in the other cases still remained.


CONCLUSIONS
Stapes surgery to the patients with stapes-oval window deformities is of significance compared with those with otosclerosis.
Leng
Tongjia
T
Department of Otolaryngology-Head and Neck Surgery, Affiliated Beijing Tongren Hospital of Capital University of Medical Sciences, Beijing, 100730, China. qian_leng@yahoo.com.cn
Zhao
Shouqin
S
D000293:Adolescent; D000328:Adult; D001301:Audiometry, Pure-Tone; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006314:Hearing Loss, Conductive / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010040:Otosclerosis / Q000601:surgery*; D010046:Oval Window, Ear / Q000002:abnormalities*; D012189:Retrospective Studies; D013199:Stapes / Q000002:abnormalities*; D013201:Stapes Surgery / Q000379:methods*