Congenital stapes ankylosis: study of 28 cases and surgical results.
OBJECTIVE
The objective of this study was to analyze functional results after stapes surgery in patients with congenital nonprogressive conductive deafness resulting from an isolated fixation of the stapes according to age and surgical procedure.


METHODS
The authors conducted a retrospective case series from March 1993 to December 2003 in patients from two tertiary referral centers.


METHODS
Twenty-eight patients were operated on by stapedotomy or partial stapedectomy using Teflon stapes prostheses. The median age at surgery was 14.2 years (range, 8.3-29.1 years). Main outcome measures were clinical and audiometric evaluation before and after surgery. Mean air conduction (MAC) and bone conduction (MBC) thresholds were recorded at 0.5, 1, 2, and 4 kHz. The evaluation of functional outcome was based on the MAC gain, the MBC comparison, and the mean postoperative and residual air-bone gaps.


RESULTS
The median preoperative MAC was 50 dB (range, 19.0-65.0 dB) with a 35.0 dB median dB air-bone gap. With a mean follow up of 19 months, postoperative hearing improvement was statistically significant: median gain of 32.5 dB (P<.001) and median residual air-bone gap of 3.5 dB. The MBC was also statistically improved with median pre- and postoperative MBC of 11.5 and 6.5 dB, respectively (P<.001). Results were not dependent on the age group or type of surgery (stapedotomy or partial stapedectomy). No perceptive hearing loss was observed despite one gusher case.


CONCLUSIONS
Surgical treatment of isolated congenital stapes ankylosis allows good functional results regardless of age or type of surgery.
Albert
Sebastien
S
Service d'ORL et de Chirurgie Cervico-faciale, Hôpital d'Enfants Armand-Trousseau, AP-HP, Paris, France.
Roger
Gilles
G
Rouillon
Isabelle
I
Chauvin
Pierre
P
Denoyelle
Francoise
F
Derbez
Remi
R
Delattre
Jerome
J
Triglia
Jean-Michel
JM
Garabedian
Erea-Noel
EN
D000293:Adolescent; D000328:Adult; D000844:Ankylosis / Q000151:congenital* / Q000601:surgery; D001844:Bone Conduction; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing; D006314:Hearing Loss, Conductive / Q000151:congenital* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D009998:Ossicular Prosthesis; D012189:Retrospective Studies; D013199:Stapes; D013201:Stapes Surgery / Q000379:methods*; D016896:Treatment Outcome