Stapedotomy in osteogenesis imperfecta: a prospective study of 23 consecutive cases.
OBJECTIVE
To prospectively evaluate the hearing results in surgically treated cases of stapes fixation in patients with osteogenesis imperfecta.


METHODS
A prospective study of osteogenesis imperfecta patients with stapes fixation.


METHODS
One tertiary referral center.


METHODS
Eighteen patients (23 ears) who underwent stapes surgery from 1994 to 2004 were prospectively included.


METHODS
Stapedotomy with vein graft interposition and reconstruction with a Teflon piston or a bucket handle (cup) prosthesis.


METHODS
Preoperative and postoperative audiometric evaluation using conventional audiometry. Air-bone gap, bone-conduction thresholds, and air-conduction thresholds were measured. Postoperative audiometry was performed at 6, 9, 12, 18, and 24 months after surgery and at a yearly interval thereafter.


RESULTS
Overall, a postoperative air-bone gap closure to within 10 dB was achieved in 85.7% of cases. Postoperative improvement of air-conduction thresholds superior to 20 dB was found in 57% of cases. The postoperative bone-conduction thresholds were unchanged.


CONCLUSIONS
This study shows that safe and successful stapedotomy is possible in cases of stapes fixation in patients with osteogenesis imperfecta.
Vincent
Robert
R
Jean Causse Ear Clinic, Traverse de Béziers, Colombiers, France.
Gratacap
Benoit
B
Oates
John
J
Sperling
Neil M
NM
D000293:Adolescent; D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D001309:Auditory Threshold; D001844:Bone Conduction / Q000502:physiology; D004429:Ear Ossicles / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010013:Osteogenesis Imperfecta / Q000601:surgery*; D011446:Prospective Studies; D012086:Reoperation; D013201:Stapes Surgery / Q000379:methods*; D017211:Treatment Failure; D016896:Treatment Outcome