title: The effect of stapes fixation on hearing results in tympanosclerosis treated by mobilization.
abstract: We aimed to investigate the effect of stapes fixation on hearing results in patients who underwent mobilization surgery due to tympanosclerosis (TS). Seventy-nine patients were retrospectively analyzed and divided into two groups. Forty-four (55.7%) patients with mobile stapes were classified as group 1, and 35 (44.3%) patients with fixed stapes were classified as group 2. Improvement of the air-bone gap (ABG) to become less than 20 dB and the pure-tone average (PTA) by at least 10 dB postoperatively were accepted as success criteria. The PTA and ABG levels were significantly improved in both groups. The pre- and post-operative PTAs were 46.57 ± 15.55 and 25.84 ± 15.47 dB, respectively, in group 1 (p = 0.001). The pre- and post-operative PTAs were 55.64 ± 12.69 and 36.20 ± 14.47 dB, respectively, in group 2 (p = 0.001). The pre- and post-operative ABG levels were 35.36 ± 10.53 and 16.91 ± 8.54 dB, respectively, in group 1 (p = 0.001). The pre- and post-operative ABG levels were 41.68 ± 8.78 and 22.20 ± 10.03 dB, respectively, in group 2 (p = 0.001). A gain ≥10-dB in the PTA in groups 1 and 2 was found in 34 (77.2 %) and 23 (65.7%) patients, respectively, and the difference between the groups was not significant (p = 0.684). The post-operative AGB in groups 1 and 2 was less than 20 dB in 32 (72.7%) and 21 (60%) patients, respectively, and the difference between the groups was not significant (p = 0.733). No significant negative effect of stapes fixation on post-operative hearing results in TS was detected. Successful results can be obtained with a mobilization procedure, even if the stapes is fixed.
authors.affiliation: Department of Otorhinolaryngology, Safa Private Hospital, Fevzi cakmak mah. Sisecam bloklari. Emek apt. D:8 Bagcilar, Istanbul, Turkey. erdalkbb1979@hotmail.com.
authors.forename: Erdal
authors.initials: E
authors.lastname: Sakalli
authors.affiliation: Department of Otorhinolaryngology, Safa Private Hospital, Fevzi cakmak mah. Sisecam bloklari. Emek apt. D:8 Bagcilar, Istanbul, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Celikyurt
authors.affiliation: Department of Otorhinolaryngology, Safa Private Hospital, Fevzi cakmak mah. Sisecam bloklari. Emek apt. D:8 Bagcilar, Istanbul, Turkey.
authors.forename: Burak
authors.initials: B
authors.lastname: Guler
authors.affiliation: Department of Otorhinolaryngology, Bulent Ecevit University Medical Faculty, Zonguldak, Turkey.
authors.forename: Sultan
authors.initials: S
authors.lastname: Biskin
authors.affiliation: Department of Otorhinolaryngology, Devrek State Hospital, Zonguldak, Turkey.
authors.forename: Hasan Deniz
authors.initials: HD
authors.lastname: Tansuker
authors.affiliation: Department of Otorhinolaryngology, Hisar Intercontinental Private Hospital, Istanbul, Turkey.
authors.forename: Selcuk Cem
authors.initials: SC
authors.lastname: Erdurak
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing / Q000502:physiology*; D006314:Hearing Loss, Conductive / Q000503:physiopathology / Q000601:surgery*; D006320:Hearing Tests; D006801:Humans; D008297:Male; D008875:Middle Aged; D063371:Myringosclerosis / Q000503:physiopathology / Q000601:surgery*; D009998:Ossicular Prosthesis; D011184:Postoperative Period; D012189:Retrospective Studies; D013199:Stapes; D013200:Stapes Mobilization / Q000379:methods*; D055815:Young Adult
keywords: Fixation; Mobilization; Stapes; Tympanosclerosis