耳硬化症患者及术前气骨导间距小的患者行镫骨切除术后的听力测定结果
Audiometric Results after Stapedotomy Operations in Patients with Otosclerosis and Preoperative Small Air-Bone Gaps.
作者信息
Salmon Caroline, Barriat Sébastien, Demanez Laurent, Magis David, Lefebvre Philippe
机构信息
Department of Otorhinolaryngology, University of Lix00E8;ge, Lix00E8;ge, Belgium.
出版信息
Audiol Neurootol. 2015;20(5):330-6. doi: 10.1159/000433510. Epub 2015 Aug 28.
OBJECTIVES
The efficacy of stapedotomies performed on patients with small air-bone gaps (<25 dB) was compared with the efficacy of the operation in patients who had otosclerosis with high air-bone gaps (≥25 dB).
METHODS
This retrospective study evaluates the short-term postoperative air and bone conduction thresholds and air-bone gaps after 182 CO2 laser stapedotomies.
RESULTS
A significantly smaller air-bone gap and lower air conduction thresholds after surgery were observed in the group of patients who underwent surgery with preoperative air-bone gaps of less than 25 dB. Bone conduction thresholds improve in the group with small air-bone gaps after surgery.
CONCLUSIONS
The results after stapedotomies are good even if the preoperative air-bone gap is small and the overall risk of hearing deterioration due to stapes surgery remains low.
目的
比较对气骨导差小（<25 dB）的患者行镫骨切除术的疗效与对气骨导差大（≥25 dB）的耳硬化症患者行该手术的疗效。
方法
这项回顾性研究评估了182例二氧化碳激光镫骨切除术后的短期气导和骨导阈值以及气骨导差。
结果
术前气骨导差小于25 dB的手术患者组术后气骨导差明显更小，气导阈值更低。术后气骨导差小的组骨导阈值有所改善。
结论
即使术前气骨导差小，镫骨切除术后的效果也良好，且镫骨手术导致听力恶化的总体风险仍然较低。
Zotero 插件