STAPEDOTOMİ DENEYİMİ; SONUÇLAR VE KOMPLİKASYONLAR ÜZERİNE KLİNİK BİR ÇALIŞMA

Abstract

OBJECTIVE: Otosclerosis surgery is one of the otologic surgeries producing the fastest results. It offers crucial advantages such as short operation time, high level of satisfaction during the postoperative hearing recovery and short hospital stay. The purpose of otosclerosis surgery is to relieve the immobility in the ossicular chain due to the disease and to provide the voice transmission again. This study aims to evaluate the postoperative hearing gain rates and complications of patients who underwent stapes surgery for otosclerosis in a tertiary clinic in light of the current literature.MATERIAL AND METHODS: 49 patients who were operated on for conductive hearing loss due to otosclerosis were evaluated retrospectively. Preoperative and postoperative audiological evaluations and intraoperative and postoperative complications were examined. Six of the patients were operated on both ears. A total of 36 patients, six of whom were bilateral, were included in the study (42 cases).RESULTS: As a result of our study, in 37 (88%) of 42 ears of 36 patients operated for otosclerosis,( with the success criterion of air-bone gap limits below 20 dB) functional success incompatible with the literature was obtained. Air bone gap above 30 dB, which is considered to be a failure in the literature, was not detected in any of our patients. All cases were assessed in terms of hearing thresholds preoperatively and postoperatively, resulting in a mean bone conduction gain of 4. 8 dB.CONCLUSIONS: For stapes surgery, in rare cases, surgery can be unsuccessful and it should be kept in mind that serious complications may also be encountered during stapes surger