title: Effect of stapedotomy on pre-operative tinnitus and its psychosomatic burden.
abstract: OBJECTIVE
  According to the literature, between 40 and 90% of otosclerosis patients suffering from hearing loss also suffer from tinnitus on the affected side. For a lot of these patients tinnitus represents a handicap that is just as debilitating as the hearing loss itself. The main goal of the surgical treatment of otosclerosis is a significant improvement in hearing loss, but frequent reports of reduced tinnitus after surgery suggest that this can be a positive side effect.
  
  
  METHODS
  All patients who underwent stapedotomy were initially included in the study. Retrospectively, the tinnitus questionnaire as compiled by Goebel and Hiller was sent to the patients, and 34 patients (37 ears) replied. The pre- and postoperative cases of tinnitus were divided into compensated and non-compensated tinnitus. In addition the following tinnitus-related factors were evaluated: emotional, cognitive and mental burden; intrusiveness of the tinnitus; hearing problems; somatic ailments; and sleep disturbances.
  
  
  RESULTS
  Over 80% of the patients surveyed suffered from tinnitus pre-operation. The tinnitus disappeared or improved in over 60% of the cases after stapedotomy. In addition, the related factors surveyed also improved appreciably post surgery and reached a significant level in patients with compensated tinnitus.
  
  
  CONCLUSIONS
  Besides a significant improvement in hearing loss the intensity and the psychosomatic burden of a pre-operative tinnitus can be reduced by stapedotomy.
authors.affiliation: University Hospital Charité Berlin, Department of Oto-Rhino-Laryngology, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany. Florian.Bast@charite.de
authors.forename: Florian
authors.initials: F
authors.lastname: Bast
authors.forename: Birgit
authors.initials: B
authors.lastname: Mazurek
authors.forename: Thomas
authors.initials: T
authors.lastname: Schrom
mesh_terms: D000328:Adult; D017281:Cost of Illness; D005260:Female; D034381:Hearing Loss / Q000503:physiopathology; D006801:Humans; D007834:Lasers; D008297:Male; D008875:Middle Aged; D010040:Otosclerosis / Q000150:complications / Q000601:surgery*; D011184:Postoperative Period; D012189:Retrospective Studies; D013201:Stapes Surgery; D011795:Surveys and Questionnaires; D014012:Tinnitus / Q000209:etiology / Q000503:physiopathology / Q000523:psychology*; D016896:Treatment Outcome
keywords: Laser; Otosclerosis; Stapedotomy; Tinnitus; Tinnitus questionnaire