Strohm M, Bächler U
Evangelisches Diakonissenkrankenhaus Karlsruhe.
Laryngorhinootologie. 1992 Jan;71(1):15-21. doi: 10.1055/s-2007-997237.
Stapes surgery in otosclerosis (first and revision operation) and in minor middle ear malformation follows the same principles, but the surgical problems are rather different. When analyzing three groups of patients, which had been operated on the same technique, we could show that the risks of the operation in malformation and revision surgery are not greater than they are in primary otosclerosis surgery. The audiologic results are more satisfying in the latter; malformation surgery and revision surgery have almost the same results which are lying somewhat below those of primary otosclerosis surgery. In the hands of an experienced surgeon, who is able to adopt his surgical technique at the individual situation, stapes surgery is nearly without risk in all these indications; an improvement of the air-conducting level of 18-23 dB can be expected and a social hearing above 35 dB can be provided in 83% of otosclerosis patients, in 79% of malformation patients and in 57% of revision patients.
耳硬化症的镫骨手术（初次手术和翻修手术）以及轻度中耳畸形的镫骨手术遵循相同的原则，但手术问题却大不相同。在分析采用相同技术进行手术的三组患者时，我们发现畸形手术和翻修手术的风险并不高于原发性耳硬化症手术。原发性耳硬化症手术的听力学结果更令人满意；畸形手术和翻修手术的结果几乎相同，略低于原发性耳硬化症手术的结果。在经验丰富、能够根据个体情况调整手术技术的外科医生手中，所有这些适应证的镫骨手术几乎没有风险；预计耳硬化症患者中有83%、畸形患者中有79%、翻修患者中有57%的气导听力水平可提高18 - 23 dB，且能达到35 dB以上的社交听力。
