Romdhane Nadia, Chiboub Dorra, Nessib Amal, Amri Ameni, Hariga Ines, Mbarek Chiraz Chaouch
University Tunis El Manar, Faculty of Medicine of Tunis, Habib Thameur Hospital, Ears Nose and Throat, Head and Neck Surgery Department, Tunis, Tunisia.
University Tunis El Manar, Faculty of Medicine of Tunis, Habib Thameur Hospital, Ears Nose and Throat, Head and Neck Surgery Department, Tunis, Tunisia.
Braz J Otorhinolaryngol. 2025 Jul 11;91(6):101679. doi: 10.1016/j.bjorl.2025.101679.
The objectives of this work were to evaluate the results of otosclerosis surgery and to study the predictors of its functional success.
Our study was retrospective on 322 patients, equivalent to 418 ears operated in the otolaryngology and head and neck surgery department, from January 2000 to December 2020.
Hearing success was noted in 89.5% of patients considering the Postoperative Residual Air Bone Gap (PRABG) ≤10 dB criterion; in 94.3% of patients according to the conductive gain ≥20 dB criterion; in 96.4% of patients based on the improvement of cochlear reserve criterion; in 88.8% according to the Air Bone Gap improvement (ABGi) ≥70% criterion and in 81.8% considering all these criteria. The short, medium and long-term postoperative tonal audiometries could be superimposed, reflecting the stability of the hearing results. A regression of tinnitus has been reported in 79.2% of cases. The independent predictors of hearing success were the Aubry's audiometric stages I and II, mean preoperative air curve >40 dB and platinotomy. The independent predictors of tinnitus regression retained were male sex, no exposure to loud noise and Veillon radiological stages I and II.
The identification of factors influencing the functional results of surgery allows a better selection of candidates for the intervention and more relevant information for patients.
Level 3: Non-randomized controlled cohort or follow-up study.
本研究旨在评估耳硬化症手术的结果，并探讨其功能成功的预测因素。
我们对2000年1月至2020年12月在耳鼻咽喉头颈外科接受手术的322例患者（相当于418耳）进行了回顾性研究。
根据术后残余气骨间隙（PRABG）≤10dB标准，89.5%的患者听力改善成功；根据传导增益≥20dB标准，94.3%的患者听力改善成功；根据耳蜗储备改善标准，96.4%的患者听力改善成功；根据气骨间隙改善（ABGi）≥70%标准，88.8%的患者听力改善成功；综合所有这些标准，81.8%的患者听力改善成功。术后短期、中期和长期的纯音听力测试结果可相互叠加，反映了听力结果的稳定性。79.2%的病例报告耳鸣有所减轻。听力改善成功的独立预测因素为奥布里听力分级I级和II级、术前平均气导曲线>40dB以及镫骨切除术。耳鸣减轻的独立预测因素为男性、无强噪声暴露以及韦永放射学分级I级和II级。
识别影响手术功能结果的因素有助于更好地选择手术患者，并为患者提供更相关的信息。
3级：非随机对照队列研究或随访研究。
