Post- stapedectomy tinnitus´ perception. Experience in a university hospital.

Authors

DOI:

https://doi.org/10.31053/1853.0605.v77.n2.27743

Keywords:

otosclerosis, tinnitus, hearing, stapedectomy

Abstract

INTRODUCTION: Otosclerosis is a bone remodeling disorder characterized by decreased stirrup mobility, which results in hearing loss and tinnitus. The most commonly used and most effective treatment is surgery. The main objective is a significant improvement in hearing loss, but the reduction of tinnitus is an additional benefit. OBJECTIVES: To determine the changes in the sensation of tinnitus after stapedectomy in patients with otosclerosis operated in our environment; as well as the factors that could be associated with these changes. MATERIALS AND METHODS: We conducted a prospective, observational, analytical and longitudinal study, which included 15 patients with otosclerosis operated in the Sanatorium who underwent a complete examination with Audiometry, Tinnitus and Computed Tomography; Data were collected using the Global Clinical Printing Scale and the Functional Tinnitus Index, at the time prior to surgery and three months after surgery. Soft R-medic and Infostat was used to analyze the variables and graph the results. RESULTS: The differences between pre and postoperative hearing status were statistically significant (p << 0.001). In addition, statistically significant differences were found between the perception of tinnitus before and after surgery (p << 0.001). And that said difference is statistically related to the improvement of hearing (p = 0.01). DISCUSSION- CONCLUSION: Most patients reported an improvement in the state of perception of tinnitus; in addition to the improvement in your hearing; resulting in significant association both variables.

 

Downloads

Download data is not yet available.

Author Biographies

  • Maria Laura Moyano, Sanatorio Allende, Universidad Nacional de Cordoba

    Médica Residente del Servicio de Otorrinolaringología. Dirección de e-mail: marialmoyano89@gmail.com Tel: 3512679916- Avenida Hipolito Irigoyen 398, Edifico Aguaribay. Dpto 12 A. Cod postal:  5000. Cordoba Capiltal, República Argentina.

  • Mario Zernotti
    Prof. Otorhinolaryngology, Catholic University of Cordoba Prof. Otorhinolaryngology, National University of Villa María. Prof. Otológica Clinic, National University of Córdoba Chairman, ENT Departament , Sanatorio Allende. Cordoba Argentina

References

1- House JW, Cunningham CD, Flint PW, Haughey BH, Lund VJ, Niparko JK, et al. Cummings otolaryngology head and neck surgery (5th ed.), Mosby-Elsevier, Philadelphia, PA (2010), pp. 2028-2035.

2- Declau F, Van Spaendonck M, Timmermans JP, Michaels L, Liang J, Qiu JP, et al. Prevalence of otosclerosis in an unselected series of temporal bones. Otol Neurotol. 2001; 22:596-602. doi: 10.1097/00129492-200109000-00006.

3- Karosi T, Sziklai I. Etiopathogenesis of otosclerosis. Eur Arch Otorhinolaryngol. 2010; 267:1337-1349. doi: 10.1007/s00405-010-1292-1.

4- House HP, Hansen MR, Al Dakhail AAA, House JW. Stapedectomy versus stapedotomy: comparison of results with long-term follow-up. Laryngoscope. 2002; 112:2046-2050. doi: 10.1097/00005537-200211000-00025.

5- Calmels MN, Viana C, Wanna G, Marx M, James C, Deguine O, et al. Very far-advanced otosclerosis: stapedotomy or cochlear implantation. Acta Otolaryngol (Stockh) 2007; 127:574-578. doi: 10.1080/00016480600987768.

6- Green JD, Mc Elveen JT. Next generation shape memory prosthesis for stapedotomy: short-term results. Laryngoscope. 2016; 127:915-920. doi: 10.1002/lary.26114.

7- Skarżyński PH, Król B, Mrówka M, Porowski M, Skarżyński H. Evaluation of the benefits of using Teflon prostheses in the treatment of otosclerosis. Nowa Audiofonología. 2016; 5:58-59.

8- Skarżyński H, Mrówka M, Młotkowska-Klimek P, Sitarz L, Wysocki J, Skarżyńska B. Stapedotomy in advanced otosclerosis and tympanosclerosis. Audiofonologia. 2003; 24:43-51.

9- Szymański M, Gołabek W. Mills Effect of stapedectomy on subjective tinnitus. J Laryngol Otol, 117 (2003), pp. 261-264.

10- Causse JB, Vincent R. Poor vibration of inner ear fluids as a cause of low tone tinnitus. Am J Otol, 16 (1995), pp. 701-702.

11- Ayache D, Earally F, Elbaz P. Characteristics and postoperative course of tinnitus in otosclerosis. Otol Neurotol. 2003; 24:48-51. doi: 10.1097/00129492-200301000-00011.

12- Sparano A, Leonetti JP, Marzo S, Kim H. Effects of stapedectomy on tinnitus in patients with otosclerosis. Int Tinnitus J. 2004; 10:73-77.

13- Sobrinho PG, Oliveira CA, Venosa AR. Long-term follow-up of tinnitus in patients with otosclerosis after stapes surgery. Int Tinnitus J. 2004; 10:197-201.

14- Da Silva Lima A, Sanchez TG, Marcondes R, Bento RF. The effect of stapedotomy on tinnitus in patients with otospongiosis. Ear Nose Throat J. 2005; 84:412-414.

15- Rajati M, Poursadegh M, Bakhshaee M, Abbasi A, Shahabi A. Outcome of stapes surgery for tinnitus recovery in otosclerosis. Int Tinnitus J. 2012; 17:42-46.

16- Bast F, Mazurek B, Schrom T. Effect of stapedotomy on pre-operative tinnitus and its psychosomatic burden. Auris Nasus Larynx. 2013; 40:530-533. doi: 10.1016/j.anl.2013.04.006.

17- Ismi O, Erdogan O, Yesilova M, Ozcan C, Ovla D, Gorur K. Does stapes surgery improve tinnitus in patients with otosclerosis? Braz J Otorhinolaryngol. 2017; 83:568-573. doi: 10.1016/j.bjorl.2016.07.001.

18- Dziendziel B, Skarżyński PH, Rajchel J, Skarżyńska MB, Skarżyński H. Assessment of the frecuency and severity of tinnitus in patients undergoing surgery for otosclerosis- a review of the literature. Nowa Audiofonologia. 2017; 6:13-20.

19- Gersdorff M, Nouwen J, Gilain C, Decat M, Betsch C. Tinnitus and otosclerosis. Eur Arch Otorhinolaryngol. 2000; 257:314-316. doi: 10.1007/s004059900138.

20- Ramsay H, Kärkkäinen J, Palva T. Success in surgery for otosclerosis: hearing improvement and other indications Am J Otolaryngol, 18 (1997), pp. 23-28.

21- Ayache D, Earally F, Elbaz P. Characteristics and postoperative course of tinnitus in otosclerosis Otol Neurotol, 24 (2003), pp. 48-51.

22- Busner J, Targum SD. The clinical global impressions scale. Psychiatry Edgmont. 2007; 4:28-37.

23- Meikle MB, Henry JA, Griest SE, Stewart BJ, Abrams HB, McArdle R, et al. The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus. Ear Hear. 2012; 33:153-176. doi: 10.1097/AUD.0b013e31822f67c0

24- Fackrell K, Hall D, Barry J, Hoare D. Tools for tinnitus measurement: development and validity of questionnaires to assess handicap and treatment effects. Tinnitus Causes Treat Short Long-Term Health Eff. New York: Nova Science Publishers Inc; 2014. pp. 13-60.

25- Mangeaud A , Elías Panigo DH. 2018 R-Medic. Un programa de análisis estadísticos sencillo e intuitivo. Revista Methodo 3 (1) 18-22.

26- Stromback k, Lundman L, Bjorsne A, Grendin J, Stjernquist-Desatnik A, Dahlin-Redfors Y. Sptapedectomy surgery in Sweden. Evaluation of a national registry. Eur Arch Otorhinolaryngol. 2017; 274: 2421-7.

27- Heller MF, Bergman M. Tinnitus aurium in normally hearing persons. Ann Otol Rhinol Laryngol, 62 (1953), pp. 73-83.

28. Del Bo L, Forti S, Ambrosetti U, Costanzo S, Mauro D, Ugazio G, et al. Tinnitus aurium in persons with normal hearing: 55 years later. Otolaryngol Head Neck Surg. 2008; 139:391-4.

29- Lima Ada S, Sanchez TG, Marcondes R, Bento RF. The effect of stapedotomy on tinnitus in patients with otospongiosis. Ear Nose Throat J. 2005; 84:412-4.

30- Glasgold A, Altmann F. The effect of stapes surgery on tinnitus in otosclerosis. Laryngoscope. 1966;76:1524-32.

Published

2020-04-27

Issue

Section

Original Papers

How to Cite

1.
Moyano ML, Zernotti ME. Post- stapedectomy tinnitus´ perception. Experience in a university hospital. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2020 Apr. 27 [cited 2024 Nov. 22];77(2):73-8. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/27743

Similar Articles

1-10 of 27

You may also start an advanced similarity search for this article.