Gersdorff M, Nouwen J, Gilain C, Decat M, Betsch C
ENT Department, Université Catholique de Louvain, Brussels, Belgium.
Eur Arch Otorhinolaryngol. 2000;257(6):314-6. doi: 10.1007/s004059900138.
Fifty patients with otosclerosis and tinnitus were studied for the course of the tinnitus after stapes surgery. Tinnitus disappeared in 64% of the cases, improved in 16%, was unchanged in 14%, and worsened in 6%. The reduction in tinnitus was more favorable after a small fenestra stapedotomy than after a partial stapedectomy with removal of the posterior half of the footplate. An unfavorable postoperative course of tinnitus did not appear to be linked to the postoperative audiometric result. In our study the subjective evaluation of pitch and loudness of the tinnitus did not provide significant information regarding its prognosis.
对50例耳硬化症伴耳鸣患者进行了镫骨手术后耳鸣病程的研究。64%的病例耳鸣消失,16%有所改善,14%无变化,6%恶化。小开窗镫骨切除术比去除镫骨足板后半部分的部分镫骨切除术耳鸣减轻更明显。耳鸣术后不良病程似乎与术后听力测试结果无关。在我们的研究中,对耳鸣音高和响度的主观评估并未提供有关其预后的重要信息。