传导性听力损失的探索性鼓室切开术，术前检查正常。

IF 2.1 4区医学 Q2 OTORHINOLARYNGOLOGY Acta Otorhinolaryngologica Italica Pub Date : 2022-12-01 DOI:10.14639/0392-100X-N1933

Michele Tomasoni, Daniele Borsetto, Alessandra Deretti, Mara Arcuri, Alessandra Sordi, Silvia Zorzi, Luca Oscar Redaelli de Zinis, Cesare Piazza, Alberto Deganello, Tommaso Sorrentino

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引用次数: 1

摘要

目的:探讨传导性听力损失(CHL)患者在术前检查正常的情况下，是否可以采用探索性鼓室切开术(ET)并根据术中发现进行有针对性的治疗。方法:回顾性分析2011 ~ 2019年接受ET治疗的术前耳镜、鼓室测量及CT扫描正常的CHL患者。收集和分析有关人口统计学、听力学、术中发现和手术的数据，以评估它们是否可以预测术后空气骨隙(ABG)闭合和患者满意度。结果:纳入48例。平均ABG从术前(38.4 dB)到术后(14.8 dB)显著降低(p < 0.001)。术后10 dB内ABG闭合20例(41.7%)。60%的病例报告了总体满意度。镫骨固定是最常见的诊断(47.9%)，与较低的术后ABG和较高的满意度显著相关。结论:在术前调查正常的CHL中，即使听力学结果可能有很大差异，ET也是治疗的主要手段。术中发现镫骨固定(因此镫骨切除术)确保了最佳的听力学和满意的结果。

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Exploratory tympanotomy in conductive hearing loss with normal pre-operative investigations.

Objective: To investigate whether patients with conductive hearing loss (CHL) and normal preoperative investigations may benefit from exploratory tympanotomy (ET) and tailored treatment performed according to intraoperative findings.

Methods: Patients treated with ET for CHL with normal pre-operative otoscopy, tympanometry and CT scan from 2011 to 2019 were reviewed. Data regarding demographics, audiometry, intraoperative findings and surgery were collected and analysed to assess if they can predict post-operative air bone gap (ABG) closure and patient satisfaction.

Results: Forty-eight cases were included. Mean ABG significantly reduced (p < 0.001) from preoperative (38.4 dB) to postoperative (14.8 dB). Post-operative ABG closure within 10 dB was observed in 20 cases (41.7%). Overall satisfaction was reported in 60% of cases. Stapes fixation was the most common diagnosis (47.9%) and significantly associated with lower post-operative ABG and higher satisfaction.

Conclusions: In CHL with normal pre-operative investigations, ET represents the mainstay of treatment, even if audiological outcomes may widely vary. Intraoperative finding of stapes fixation (thus stapedotomy) ensures the best audiological and satisfaction outcomes.

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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.