Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia.

IF 2.1 4区医学 Q2 OTORHINOLARYNGOLOGY Acta Otorhinolaryngologica Italica Pub Date : 2022-10-01 DOI:10.14639/0392-100X-N2033

Beatrice Giannoni, Federica Pollastri, Chiara Adembri, Dina Straticò, Paolo Vannucchi, Alessia Stival, Curzio Checcucci, Chiara Bruno, Rudi Pecci

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引用次数: 1

Abstract

Objective: Otosclerosis is a frequent ear disorder causing a stapedo-ovalar ankylosis and conductive hearing loss. Stapedoplasty, performed under both general (GA) and local anaesthesia (LA), is the most advisable surgical solution. Auditory recovery relies on the patient's conditions and on the intervention itself. The aim of our work was to compare hearing outcomes with stapedoplasty performed under GA or LA and to investigate patients' compliance to both methods.

Methods: Fifty-five otosclerotic patients underwent stapedoplasty both under GA (32/55) and LA (23/55). Pre- and post-operative air and bone tone audiometry threshold values as well as the air-bone gap and its closure score, were analysed. All patients filled in a satisfaction questionnaire regarding their concern and level of appreciation of the type of anaesthesia.

Results and conclusions: Our data show that the auditory results with stapedoplasty are good and do not differ between LA and GA. Even considering the advantages and limits of the two methods, one cannot favour one or the other type of anaesthesia. Finally, the patient's satisfaction cannot be considered a criterion of choice, since this was found to be high in both cases.

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镫骨手术后的听力结果和患者满意度:局部麻醉与全身麻醉。

目的:耳硬化症是一种常见的耳部疾病，可引起镫骨-卵圆关节强直和传导性听力损失。镫骨成形术在全麻(GA)和局部麻醉(LA)下进行，是最可取的手术解决方案。听力恢复取决于患者的情况和干预本身。我们工作的目的是比较在GA或LA下进行镫骨成形术的听力结果，并调查患者对这两种方法的依从性。方法:55例耳硬化患者分别在GA(32/55)和LA(23/55)下行镫骨成形术。分析术前、术后气、骨听力学阈值、气-骨间隙及其闭合评分。所有患者都填写了一份关于他们对麻醉类型的关注和欣赏程度的满意度问卷。结果和结论:我们的数据表明镫骨成形术的听觉效果良好，在LA和GA之间没有差异。即使考虑到这两种方法的优点和局限性，人们也不能偏爱其中一种或另一种麻醉。最后，患者的满意度不能被视为选择的标准，因为在这两种情况下，满意度都很高。

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来源期刊

Acta Otorhinolaryngologica Italica OTORHINOLARYNGOLOGY-

CiteScore

3.40

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini. It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.). The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief. Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.