title: [Clinical analysis of tympanosclerosis: characteristics and treatment].
abstract: OBJECTIVE
  To explore the clinical characteristics, diagnosis and surgical management of tympanosclerosis.
  
  
  METHODS
  The data of 73 patients who underwent surgery for tympanosclerosis were retrospectively analyzed with respects to the clinical characteristics, diagnosis and management.
  
  
  RESULTS
  Seventy-three patients with tympanosclerosis (involving 73 ears) , including 17 patients with sclerosis of tympanic membrane (type I), 23 patients with fixed Malleus-incus complex (type II), 8 (type III) with fixed stapes, and 25 (type IV) with extensive typannosclerosis. Sclerosis was seen most frequently in the malleus, incus and attic, followed by the tympanic membrane, incudomalleolar joint and other regions. Audiometry was performed for all the patients 1 weeks before and 1 year( the least) after operation, which were (51.70 ± 14.93)dB HL and (36.24 ± 11.58) dB HL respectively, with success rate 83% (61/73).
  
  
  CONCLUSIONS
  Most of the patients suffer from conductive hearing loss. Teatment of the sclerosis around stapes is a key point. Acording to the sites of lesion and hearing level, hearing structures should be reconstructed by the rules of tympanoplasty and stapes surgery.
authors.forename: Shaoxing
authors.initials: S
authors.lastname: Zhang
authors.forename: Furong
authors.initials: F
authors.lastname: Ma
authors.forename: Tao
authors.initials: T
authors.lastname: Pan
authors.forename: Jia
authors.initials: J
authors.lastname: Ke
authors.forename: Ke
authors.initials: K
authors.lastname: Zhang
authors.forename: Yu
authors.initials: Y
authors.lastname: Song
authors.forename: Liwei
authors.initials: L
authors.lastname: Jiang
mesh_terms: D001299:Audiometry; D004432:Ear, Middle / Q000473:pathology; D006309:Hearing; D006314:Hearing Loss, Conductive / Q000150:complications; D006801:Humans; D007188:Incus / Q000473:pathology; D008307:Malleus / Q000473:pathology; D063371:Myringosclerosis / Q000175:diagnosis* / Q000601:surgery; D012189:Retrospective Studies; D013199:Stapes / Q000473:pathology; D013201:Stapes Surgery; D014432:Tympanic Membrane / Q000473:pathology*; D014433:Tympanoplasty