Vartiainen E
Department of Otolaryngology, University of Kuopio, Finland.
Am J Otol. 1995 Jul;16(4):536-8.
Hearing results and complications of surgery were studied in 42 patients with otosclerosis (46 ears operated on) who were over the age of 60 years at the time of stapedectomy. The mean follow-up period was 8 years. The results were compared with those obtained in 275 patients (330 ears operated on) younger than 60 years of age undergoing stapes surgery during the same time period. Large fenestra stapedectomy with fascia seal to the oval window was used in all cases. Hearing results as judged by postoperative air-bone gaps were as good in the older age group as in the younger patients. In contrast to some earlier reports, complications of surgery such as postoperative sensorineural hearing loss occurred not more frequently among elderly patients than in younger patients. It is concluded that stapes surgery should be offered to elderly patients with the same indications as in younger patients with otosclerosis.
对42例耳硬化症患者（共46耳接受手术）进行了研究，这些患者在镫骨切除术时年龄超过60岁。平均随访期为8年。将结果与同期接受镫骨手术的275例年龄小于60岁的患者（共330耳接受手术）的结果进行了比较。所有病例均采用大窗镫骨切除术，并使用筋膜封闭卵圆窗。根据术后气骨导间距判断，老年组的听力结果与年轻患者一样好。与一些早期报告相反，老年患者术后感音神经性听力损失等手术并发症的发生率并不高于年轻患者。得出的结论是，对于老年耳硬化症患者，应与年轻患者一样，在相同适应症下进行镫骨手术。
