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[老年人耳硬化症。镫骨成形术对听力及助听器使用的影响]

[Otosclerosis in the elderly. The effect of stapes-plasty on hearing ability and hearing aid management].

作者信息

Pröschel U, Jahnke K

机构信息

Abteilung für Phoniatrie und Pädaudiologie, Universitäts-Klinik Erlangen-Nürnberg.

出版信息

HNO. 1993 Feb;41(2):77-82.

PMID:8463118
Abstract

We examined 105 patients who underwent partial stapedectomies at the age of 65 years or older as treatment for combined hearing losses due to otosclerosis. Among other things investigated was the influence of the operation on the hearing of both the operated and unoperated ears, as well as on tinnitus existing preoperatively and the use of a hearing aid. Findings showed that tinnitus decreased or vanished in 75% of the cases. Sixty-one percent of the patients needed a hearing aid continuously preoperatively, with 48% not needing it post-operatively and 13% using it only occasionally. The degree of sensorineural hearing loss had by the other patients was so severe that the use of a hearing aid was also necessary post-operatively. However, in some of these cases, a successful use of a hearing aid became possible for the first time due to the surgical improvement in hearing.

摘要

我们研究了105例65岁及以上因耳硬化症导致混合性听力损失而接受部分镫骨切除术的患者。除其他方面外,还调查了手术对患侧和未患侧耳朵听力的影响,以及对术前存在的耳鸣和助听器使用情况的影响。结果显示,75%的病例中耳鸣减轻或消失。61%的患者术前持续需要使用助听器,术后48%不再需要,13%仅偶尔使用。其他患者的感音神经性听力损失程度严重,术后仍需使用助听器。然而,在其中一些病例中,由于手术改善了听力,首次成功使用助听器成为可能。

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