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Kulakova L.A.

Kafedra bolezneĭ ukha, gorla i nosa Pervogo MGMU im. I.M. Sechenova Minzdravsotsrazvitiia Rossii, Moskva

Poliakova E.P.

Kafedra bolezneĭ ukha, gorla i nosa

Bodrova I.V.

Kafedra luchevoĭ diagnostiki i terapii GBOU VPO "Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova"

Lopatin A.S.

Polyclinic No 1, General Management Department of the Presidential Administration, Moscow, Russia

The results of the surgical treatment of otosclerosis in the elderly subjects

Authors:

Kulakova L.A., Poliakova E.P., Bodrova I.V., Lopatin A.S.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2014;(3): 17‑19

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THE RESULTS OF THE SURGICAL TREATMENT OF OTOSCLEROSIS IN THE ELDERLY SUBJECTS
THE RESULTS OF THE SURGICAL TREATMENT OF OTOSCLEROSIS IN THE ELDERLY SUBJECTS

To cite this article:

Kulakova LA, Poliakova EP, Bodrova IV, Lopatin AS. The results of the surgical treatment of otosclerosis in the elderly subjects. Russian Bulletin of Otorhinolaryngology. 2014;(3):17‑19. (In Russ.)

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The objective of the present study was to evaluate the effectiveness of the surgical treatment of otosclerosis in the subjects of advanced age. The medical histories of 19 patients aged above 65 years (20 ears) presenting with otosclerosis were available for the retrospective analysis. All of them had undergone surgical interventions (a total of 22 ones or 4.49% of the 489 operations performed between 2001 and 2012). The audiometric assessment was made at four wavelengths (0.5, 1, 2, and 4 kHz). Primary surgery (n=18) was preceded by the determination of the high air and bone conductivity thresholds (76.18 dB and 42.15 dB respectively), with the mean bone to air interval (BAI) being 33.99 dB. The surgical treatment resulted in the improvement of hearing; in 83.33% of the cases, BAI was reduced to 10 dB or below this value. It is concluded that the surgical intervention on the stirrup bone for the treatment of otosclerosis in the patients above 65 years of age is a safe and efficacious method despite marked hearing impairment in this group of patients.

Keywords:

otosclerosis
stirrup surgery
stapedotomy
hearing impairment
advanced age

Authors:

Kulakova L.A.

Kafedra bolezneĭ ukha, gorla i nosa Pervogo MGMU im. I.M. Sechenova Minzdravsotsrazvitiia Rossii, Moskva

Poliakova E.P.

Kafedra bolezneĭ ukha, gorla i nosa

Bodrova I.V.

Kafedra luchevoĭ diagnostiki i terapii GBOU VPO "Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova"

Lopatin A.S.

Polyclinic No 1, General Management Department of the Presidential Administration, Moscow, Russia

List of references:

  1. Zahnert Т. The differential diagnosis of hearing. Loss Dtsch Arztebl Int 2011; 108: 25: 433-444.
  2. Tavartkiladze G.A. Audiologicheskiy skrining [Audiological screening]. //www.audiology.ru/ru/surdo/screening/. 2007.
  3. Clark K., Sowers M.R., Wallace R.B., Jannausch M.L., Lemke J., Anderson C.V. Age-related hearing loss and bone mass in a population of rural women aged 60 to 85 years. Ann Epidemiology 1995; 5: 1: 8-14.
  4. Kulakova L.A., Bodrova I.V., Polyakova E.P., Pokoziy I.Yu., Popova O.I. Osobennosty stapedoplastiki u lits pozhilogo vozrasta. Materialy 1-y Vserossiyskoy otkrytoy konferentsii po problemam ukha v ramkakh 10-go seminara "Izbrannye voprosy prakticheskoy otologii/otokhirurgii". Poslediplomnoe obrazovanie v otorinolaringologii. М 2012; 11. [Peculiarities of stapedoplasty in the elderly subjects. Materials of the 1st All-Russian open conference of the problems of the ear held in the framework of the 10th seminar "The selected problems of practical otology/otosurgery". Postgraduate education in otorhinolaryngology]. М 2012; 11.
  5. Kulakova L.A., Bodrova I.V., Lopatin A.S., Polyakova E.P., Pokoziy I.Yu., Popova O.I. Operatsiya na stremeni pri vysokikh porogakh kostnoy provodimosti. Materialy 4-go Natsional'nogo kongressa audiologov i 8-go Mezhdunarofdnogo simposiuma "Sovremennye problemy fiziologii I patologii slukha". Suzdal' 2011; 109-110 [The surgical intervention on the stirrup in the case of a high bone conductance threshold. Materials of the 4th National congress of audiologists and the 8th International symposium "The current problems of physiology and pathology of hearing". Suzdal' 2011; 109-110].
  6. Meyer T.A., Lambert P.R. Primary and revision stapedectomy in elderly patients. Curr Opin Otolaryngol Head Neck Surg 2004; 12: 5: 387-392.
  7. Ayache D., Corre A., Van Prooyen S., Elbaz P. Surgical treatment of otosclerosis in elderly patients. Otolaryngol Head Neck Surg 2003; 129: 6: 674-677.
  8. Marchese M.R., Conti G., Cianfrone F., Scorpecci A., Fetoni A.R., Paludetti G. Predictive role of audiological and clinical features for functional results after stapedotomy. Audiol Neurootol 2009; 14: 5: 279-285.
  9. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg 1995; 113: 3: 186-187.
  10. Kulakova L.A., Bodrova I.V., Lopatin A.S., Ternovoy S.K. Vozmozhnosti mul'tispiral'noy komp'yuternoy tomografii (MSKT) v vyyavlenii anatomicheskikh I topograficheskikh osobennostrey struktur srednego ukha v oblasti okna preddveriya pered operatsiey na stremeni [The potential of multispiral computed tomography (MSCT) for the identification of anatomical and topographical peculiarities of the middle ear structures in the vestibular window region prior to the surgical intervention on the stirrup]. Vestn otorinolar 2012; 2: 18-22.
  11. Bodrova I.V., Rusetsky Yu.Yu., Kulakova L.A., Lopatin A.S., Ternovoy S.K. Funktsional'naya mul'tispiral'naya komp'yuternaya tomografiya zvukoprovodyashchikh struktur srednego ukha [Functional multispiral computed tomography of the sound-transmitting structures in the middle ear]. Vestn otorinolar 2011; 3: 36-40.

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