Surgical Treatment of Otosclerosis: Eight years’ Experience at the Jordan University Hospital
سال انتشار: 1392
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 87
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شناسه ملی سند علمی:
JR_IJOTO-25-4_006
تاریخ نمایه سازی: 11 بهمن 1400
چکیده مقاله:
Introduction: To report the experience of the Jordan University Hospital with respect to the surgical treatment of otosclerosis and to compare results and complications with published studies. Materials and Methods: The medical records of all patients who underwent stapes surgery for otosclerosis at the Jordan University Hospital during the period January ۲۰۰۳ to December ۲۰۱۰ were reviewed. Results: Out of ۱۳۰ patients who underwent stapes surgery, ۱۰۴ (۸۰%) fulfilled the criteria and were enrolled in this study. There were ۶۸ (۶۵.۴%) females and ۳۶ (۳۴.۶%) males (female-to-male ratio, ۱.۹: ۱). The disease was bilateral in ۸۶ (۸۲.۷%) patients. Family history for otosclerosis was positive in ۳۷(۳۵.۶%) patients. Tinnitus was observed at presentation in ۸۲ (۷۸.۸%) patients and spontaneously resolved or improved in ۵۱(۶۲.۲%) patients after surgery. Air bone gap after surgery was ≤ ۱۰ dB in ۷۹ (۷۶.۰%) patients, between ۱۰ and ۲۰ dB in ۱۰ (۹.۶%) patients, and between ۲۰ and ۳۰ dB in four (۳.۸%) patients. Complications occurred in ۱۷(۱۶.۳%) patients, which included: one (۱.۰%) deaf ear, two (۲.۰%) sensorineural hearing loss, two (۲.۰%) facial nerve palsy, six (۵.۸%) vertigo lasting more than ۷ days, three (۲.۹%) chorda tympani damage, one (۱.۰%) floating of footplate, and two (۲.۰%) perforation of the tympanic membrane. Conclusion: The results of this study are comparable with those reported in the literature by surgeons with the same level of experience, but below than those with large series experience. Therefore, we believe that an experienced general ear, nose, and throat (ENT) surgeon can perform stapes surgery safely and successfully in the absence of an otologist.
کلیدواژه ها:
نویسندگان
Tareq Mahafza
Department of Otorhinolaryngology, University of Jordan, Amman- Jordan.
Abdelmonem AL-Layla
Department of Otorhinolaryngology, University of Jordan, Amman- Jordan.
Mohammed Tawalbeh
Department of Otorhinolaryngology, University of Jordan, Amman- Jordan.
Yagoub Abu-yagoub
Department of Otorhinolaryngology, University of Jordan, Amman- Jordan.
Ahmad Atwan Sulaiman
Department of Public health, University of Jordan, Amman- Jordan.
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