Santos Mariline, Rego Ângela Reis, Lino João, Coutinho Miguel, Sousa Cecília Almeida
Department of Otolaryngology, Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Portugal.
J Otol. 2021 Jan;16(1):18-21. doi: 10.1016/j.joto.2020.07.001. Epub 2020 Jul 29.
To assess hyperacusis after stapedotomy and its possible influencing factors.
Prospective, interventional, and longitudinal study.
A tertiary referral center.
Fifty consecutive patients (35 females, mean age = 46.8 years).
All patients underwent stapedotomy. The validated Portuguese version of the "Hyperacusis Questionnaire" (HQ) was administered before and two weeks and one month after surgery.
No hyperacusis was reported by any patient before surgery. At two weeks after surgery, all patients experienced hyperacusis, with a mean HQ at 16.88 ± 6.54 (range 4-25). One month after surgery, hyperacusis had already resolved in most patients. Gender, preoperative presentation or surgeon had no influence on HQ scores (p > 0.05). Patients with previous contralateral stapedotomy showed lower HQ scores (p = 0.001). Audiological parameters improvement measured at one month after surgery (PTA, SRT and contralateral SRT) were associated with HQ higher scores.
This study confirms that hyperacusis is a common complaint after stapedotomy that usually resolves in one month after surgery. The HQ highest scores were registered among patients with the highest audiological gain after surgery. This suggests that hyperacusis may be a positive prognostic factor for audiological success after stapedotomy.
评估镫骨切除术后的听觉过敏及其可能的影响因素。
前瞻性、干预性纵向研究。
三级转诊中心。
连续50例患者（35名女性，平均年龄 = 46.8岁）。
所有患者均接受镫骨切除术。在手术前、术后两周和术后一个月，使用经过验证的葡萄牙语版“听觉过敏问卷”（HQ）进行评估。
术前无患者报告有听觉过敏。术后两周时，所有患者均出现听觉过敏，HQ平均分为16.88 ± 6.54（范围4 - 25）。术后一个月，大多数患者的听觉过敏已消退。性别、术前表现或手术医生对HQ评分无影响（p > 0.05）。既往对侧有镫骨切除术的患者HQ评分较低（p = 0.001）。术后一个月测量的听力学参数改善情况（PTA、SRT和对侧SRT）与HQ较高评分相关。
本研究证实听觉过敏是镫骨切除术后常见的主诉，通常在术后一个月内消退。HQ最高评分出现在术后听力学增益最高的患者中。这表明听觉过敏可能是镫骨切除术后听力学成功的一个积极预后因素。
