Terzić Negra, Jakovljević Vladimir L J, Milanović Nada, Jaćimović Violeta, Zivić Ljubica
Visoka zdravstvcna Skola strukovnih studija, Beograd.
Med Pregl. 2010 Sep-Oct;63(9-10):648-51. doi: 10.2298/mpns1010648t.
Otosclerosis is an osteodystrophy disease of the bony labyrinth of the ear which leads to stapes fixation and to bradyecoia of a conductive type. The microsurgical treatment by the use of a stapes prosthesis provides hearing improvement and a reduction or disappearing of tinnitus. The aim of our study was to determine the hearing condition and tinnitus before and after the treatment of otosclerosis.
A hundred patients with otosclerosis, aged 20 to 70, were surgically treated at the Otorhinolaryngology Clinic and the Functional Diagnostics, Military Medical Academy, Belgrade. After the treatment, the audiometric examinations were performed in order to assess the hearing condition and tinnitus was assessed by a questionnaire. The subjective assessment of tinnitus was ranged as present, reduced or absent.
Before the treatment, hearing impairment was present in all the patients, while tinnitus was found in 91% of them. One year following the surgical treatment hearing improvement was found in 96% of the patients, and tinnitus cessation in 89% of them.
The surgical treatment can result in hearing improvement and cessation or reduction of tinnitus.
耳硬化症是一种耳部骨迷路的骨营养不良疾病,可导致镫骨固定及传导性听力减退。使用镫骨假体进行显微手术治疗可改善听力,并减轻或消除耳鸣。我们研究的目的是确定耳硬化症治疗前后的听力状况及耳鸣情况。
100例年龄在20至70岁之间的耳硬化症患者在贝尔格莱德军事医学院耳鼻喉科诊所及功能诊断科接受了手术治疗。治疗后,进行听力测定检查以评估听力状况,并通过问卷调查评估耳鸣情况。耳鸣的主观评估分为存在、减轻或消失。
治疗前,所有患者均存在听力障碍,其中91%的患者有耳鸣。手术治疗一年后,96%的患者听力得到改善,89%的患者耳鸣消失。
手术治疗可改善听力,并使耳鸣停止或减轻。