Audiometric results of tympanoplasty with stapedectomy and synthetic total ossicular replacement prosthesis: A STROBE analysis.

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-12-06 DOI:10.1016/j.anorl.2024.11.006
C Guigou, M Folia, B Reliquet, A Lalande, M Brisson, A Bozorg Grayeli
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Abstract

Aim: To evaluate the audiometric results of tympanoplasty with stapedectomy and insertion of a synthetic total ossicular replacement prosthesis (TORP).

Material and methods: Retrospective observational study conducted on a cohort of 15 patients (16 ears) aged 10 to 58 years (mean: 36 years) with chronic otitis media (COM) and tympanosclerosis (n=9), stapediovestibular ankylosis (n=3), minor aplasia (n=3) or post-traumatic ossicular dislocation (n=1). Treatment consisted in tympanoplasty with stapedectomy and TORP placement by the same operator, between December 1, 2012 and January 30, 2023, in a French university hospital department, with follow-up ranging from 2 to 92 months (mean: 24 months). The primary endpoint was postoperative change in air conduction (AC) threshold and air-bone gap (ABG). Secondary endpoints comprised change in speech recognition threshold (SRT) and speech discrimination score (SDS) and analysis of complications. The STROBE editorial line was followed and the significance threshold was set at P<0.005.

Results: There was significant improvement in AC threshold (-2 to 25dB, mean: 10dB; P=0.001), ABG (-8 to 26dB, mean: 10dB), SRT (2 to 30dB, mean: 13dB; P<0.0001) and SDS (P=0.001). No patients showed vestibular symptoms postoperatively.

Conclusion: This study suggests that this technique is a possible and safe therapeutic option in selected cases of stapes footplate fixation associated with other ossicular anomalies.

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鼓室成形术合并镫骨切除术和人工全听骨置换术的听力学结果:一个STROBE分析。
目的:评价镫骨切除鼓室成形术置入人工全听骨置换术(TORP)的听力学效果。材料与方法:对慢性中耳炎(COM)合并鼓室硬化(9例)、镫骨前叶强直(3例)、轻度发育不全(3例)、创伤后听骨脱位(1例)患者15例(16耳),年龄10 ~ 58岁(平均36岁)进行回顾性观察研究。2012年12月1日至2023年1月30日,在法国一所大学医院进行鼓室成形术、镫骨切除术和TORP放置,随访时间为2至92个月(平均24个月)。主要终点是术后空气传导(AC)阈值和气骨间隙(ABG)的变化。次要终点包括语音识别阈值(SRT)和语音识别评分(SDS)的变化以及并发症分析。遵循STROBE编辑线,显著性阈值设置于:结果:交流阈值显著改善(-2至25dB,平均值:10dB;P=0.001), ABG (-8 ~ 26dB,平均值:10dB), SRT (2 ~ 30dB,平均值:13dB;结论:本研究表明,对于镫骨足板固定合并其他听骨异常的病例,该技术是一种可能且安全的治疗选择。
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来源期刊
CiteScore
3.70
自引率
28.00%
发文量
97
审稿时长
12 days
期刊介绍: European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.
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