title: High-frequency hearing, tinnitus, and patient satisfaction with stapedotomy: A randomized prospective study.
abstract: Otosclerosis is a common disorder that leads to conductive hearing loss. Most patients with otosclerosis also have tinnitus, and surgical treatment is known to improve hearing as well as tinnitus. Some patients however experience worsening of tinnitus after the operation, but there are no known factors that allow surgeons to predict who will be at risk. In this prospective observational study on 133 patients undergoing stapedotomy, we show that postoperative air conduction thresholds at very high stimulus frequencies predict improvement of tinnitus, as assessed with proportional odds logistic regression models. Young patients were significantly more likely to experience reduction of tinnitus and patients whose tinnitus became better were also more satisfied with the outcome of the operation. These findings have practical importance for patients and their surgeons. Young patients can be advised that surgery is likely to be beneficial for their tinnitus, but a less positive message should be conveyed to older patients.
authors: Department of Otolaryngology, Karolinska University Hospital, Stockholm, Sweden.|Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
authors: Dan
authors: D
authors: Bagger-Sjöbäck
authors: Department of Surgical Sciences, Section of Otorhinolaryngology and Head and Neck Surgery, Uppsala University, Uppsala, Sweden.
authors: Karin
authors: K
authors: Strömbäck
authors: Department of Otolaryngology, Karolinska University Hospital, Stockholm, Sweden.|Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
authors: Malou
authors: M
authors: Hultcrantz
authors: Department of Otolaryngology, Karolinska University Hospital, Stockholm, Sweden.|Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
authors: Georgios
authors: G
authors: Papatziamos
authors: Department of Otolaryngology, Karolinska University Hospital, Stockholm, Sweden.|Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
authors: Henrik
authors: H
authors: Smeds
authors: Department of Surgical Sciences, Section of Otorhinolaryngology and Head and Neck Surgery, Uppsala University, Uppsala, Sweden.
authors: Niklas
authors: N
authors: Danckwardt-Lillieström
authors: Department of Otolaryngology, Karolinska University Hospital, Stockholm, Sweden.|Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
authors: Bo
authors: B
authors: Tideholm
authors: Department of Audiology and Neurotology, Karolinska University Hospital, Stockholm, Sweden.
authors: Ann
authors: A
authors: Johansson
authors: Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.|Department of Audiology and Neurotology, Karolinska University Hospital, Stockholm, Sweden.
authors: Sten
authors: S
authors: Hellström
authors: Department of Clinical and Experimental Medicine, Cell Biology, Linköping University, Linköping, Sweden.
authors: Pierre
authors: P
authors: Hakizimana
authors: Department of Clinical and Experimental Medicine, Cell Biology, Linköping University, Linköping, Sweden.
authors: Anders
authors: A
authors: Fridberger
mesh_terms: D006801:Humans; D001309:Auditory Threshold; D006309:Hearing; D017060:Patient Satisfaction; D011446:Prospective Studies; D013201:Stapes Surgery; D014012:Tinnitus / Q000503:physiopathology / Q000601:surgery