The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2024
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Krukov A.I.

Sverzhevsky Moscow Scientific and Practical Othorhinolaryngology Center, Moscow

Garov E.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Zelikovich E.I.

Otdelenie otorinolaringologii, otdelenie komp'iuternoĭ tomografii Nauchnogo tsentra zdorov'ia deteĭ RAMN, Moskva

Sidorina N.G.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii im. L.I. Sverzhevskogo Departamenta zdravookhraneniia Moskvy, Moskva, Rossiia, 117152

Fedorova O.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Zelenkova V.N.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii DZ Moskvy

Kaloshina A.S.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152

Zagorskaia E.E.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Kurilenkov G.V.

Otdelenie rentgenovskoĭ komp'iuternoĭ tomografii Nauchnogo tsentra zdorov'ia deteĭ RAMN, Moskva

Kiselyus V.E.

L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152

The application of stapedoplasty for the treatment of hearing loss in the patients suffering from obliterative otosclerosis

Authors:

Krukov A.I., Garov E.V., Zelikovich E.I., Sidorina N.G., Fedorova O.V., Zelenkova V.N., Kaloshina A.S., Zagorskaia E.E., Kurilenkov G.V., Kiselyus V.E.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2017;82(6): 28‑33

DOI: 10.17116/otorino201782628-33

Views: 2039

Downloaded: 57

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Krukov AI, Garov EV, Zelikovich EI, et al. . The application of stapedoplasty for the treatment of hearing loss in the patients suffering from obliterative otosclerosis. Russian Bulletin of Otorhinolaryngology. 2017;82(6):28‑33. (In Russ.)
https://doi.org/10.17116/otorino201782628-33

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
МСФ на ЯМ
Close metadata

This article presents the results of analysis of the data obtained during the examination and the surgical treatment of the patients presenting with the obliterative form of otosclerosis and suffering from hearing impairment with special reference to the intraoperative findings, technical aspects of stapedoplasty, and its effectiveness. A total of 14 patients (17 ears) were recruited for the participation in the present study including 10 women at the mean age of 38.8±6.2 years and 4 men (mean age 44.8±3.9 years). The duration of the hearing loss in the period preceding the surgical treatment in 7 (50%) patients was more than 8 years. According to the results of tonal threshold audiometry (TTA), the mean bone conduction (BC) threshold for conductive hearing loss in the frequency range from 0.5 to 4.0 kHz was 24.9±8.1 dB with the mean bone air gap (BAG) equaling 38±5.1 dB. Computed tomography (CT) of the temporal bones revealed grade 1 obliterative otosclerosis in 4 patients, grade II of the same condition in 6 patients, and grade III in 7 ones. These findings were confirmed intraoperatively. In 15 cases, stapedostomy was carried out with the use of the non-contact CO2 laser-based system, in the remaining cases a microdrill was employed. Five patients underwent laser-assisted piston stapedoplasty while in 11 others the stapes prosthesis was placed on the autovein. One patient was treated by the same method with the use of the autocartilaginous prosthesis. The functionally acceptable results within 1 year after the surgical intervention were obtained in all the treated patients with the mean bone air gap equaling 13.2±3.4 dB. The best outcome (the reduction of the BC threshold and BAG by 7 dB and 25.9 db on the average respectively within 1 year after surgery was achieved in the patients with grade III obliterative otosclerosis.

Keywords:

obliterative otosclerosis
stapedoplasty

Authors:

Krukov A.I.

Sverzhevsky Moscow Scientific and Practical Othorhinolaryngology Center, Moscow

Garov E.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Zelikovich E.I.

Otdelenie otorinolaringologii, otdelenie komp'iuternoĭ tomografii Nauchnogo tsentra zdorov'ia deteĭ RAMN, Moskva

Sidorina N.G.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii im. L.I. Sverzhevskogo Departamenta zdravookhraneniia Moskvy, Moskva, Rossiia, 117152

Fedorova O.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Zelenkova V.N.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii DZ Moskvy

Kaloshina A.S.

L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152

Zagorskaia E.E.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Kurilenkov G.V.

Otdelenie rentgenovskoĭ komp'iuternoĭ tomografii Nauchnogo tsentra zdorov'ia deteĭ RAMN, Moskva

Kiselyus V.E.

L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152

List of references:

  1. Preobrajenskii NA, Patiakina OK. Stapedektomya i stapedoplastica pri otosclerose. M.: Meditsina; 1973. (In Russ.)
  2. Shidlovskaja TV. Kliniko-audiologicheskie vzaimosvjazi pri zabolevanijah perifericheskogo otdela zvukovogo analizatora. Kiev: Naukova dumka; 1985. (In Russ.)
  3. Robinson M. Total footplate extraction in stapedectomy. Ann Otol Rhinol Laryngol. 1981;90:630-632. https://doi.org/10.1177/000348948109000625
  4. Тoc M, Barfoed C. Failures and complication in the surgery of otosclerosis. Acta Otolaryngol Ital. 1982;2:485-493.
  5. Gristwood R, Venables N. Otosclerosis in South Australia. Clin Otolaryngol Allied Sci. 1984;9:221-228. https://doi.org/10.1111/j.1365-2273.1984.tb01501.x
  6. Fish U. Tympanoplasty, Mastoidectomy and Stapes Surgery. Stuttgart-New York: Thieme Verlag; 1994.
  7. Ayache D, Sleiman J, Plouin-Gaudon I, Klap P, Elbaz P. Obliterative otosclerosis. J Laryngol Otol. 1999;113(6):512-514. https://doi.org/10.1017/S0022215100144378
  8. Daniel R, Krieger L, Lippy W. The other ear: findings and results in 1,800 bilateral stapedotomies. Otol Neurotol. 2001;22:603-607. https://doi.org/10.1097/00129492-200109000-00007
  9. Perez-Lazaro J, Urquiza R, Cabrera A, Guerrero C, Navarro E. Effectiveness assessment of otosclerosis surgery. Acta Oto-Laryngol. 2005;125:935-945. https://doi.org/10.1080/00016480510038202
  10. Vincent R, Sperling N, Oates J, Jindal M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology-neurotology database. Otol Neurotol. 2006;27:25-47. https://doi.org/10.1097/01.mao.0000235311.80066.df
  11. Yavuz H, Ozer F, Caylakli F, Ozluoglu L. Microdrill versus fine pick perforator during stapedotomy. Eur Arch ORL Head Neck. 2007;264(1):184.
  12. Gristwood R, Bedson J. Observations on bilateral symmetry of the stapedial footplate lesion and narrowing of the oval window niche in otosclerosis. Ann Otol Rhinol Laryngol. 2008;117(8):569-573. https://doi.org/10.1177/000348940811700803
  13. Malafronte G, Filosa B, Gantone E. New Macroscopic Classification of Stapedio-Ovalar Otosclerosis: A Simplified rating for training in Stapedotomy. Otology and Neurotology. 2008;29:889-892. https://doi.org/10.1097/mao.0b013e31818201de
  14. Hanci D, Sözen T, Kayahan B, Saraç S, Sennaroğlu L. Stapes surgery outcomes: the practice of 35 years. Turk Arch Otolaryngol. 2014;52:115-1120. https://doi.org/10.5152/tao.2014.516
  15. Svatko LG. Otoscleros. Patogenes, morfogistohimia I hiryrgicheskoe lechenie. Kazan. 1974. (In Russ.)
  16. Shine N, Rodrigues S, Miller S, Pacsker P. Bilateral stapedectomy: association bitween ferst- and second-ear surgical findings and their effects on the second-ear outcome. Ann Оtol Rhinol Laryngol. 2008;117(3):207-211.
  17. Gristwood R. Obliterative otosclerosis, an analysis of the clinical and audiometric findings. J Laryngol Otol. 1966;80:1115-1126. https://doi.org/10.1017/s0022215100066470
  18. Causse J, Bel J, Michaux P, Cerard R, Tapon I, Canut Y, Desire M. Apport de l’informatique daus l’otospongiose (Premiere partie). Ann Otolaryng. 1975;92(7-8):389-416.
  19. Portmann M. The ear and temporal bone. New York: Mason; 1979.
  20. Nadol J, Mckenna M. Surgery of the ear and temporal bone. Philadelphia: Lippincott Williams & Wilkins; 2005.
  21. Donditov DC. Funkcionalnie resultati hiryrgicheskogo i inaktiviryuschego lechenia otosclerosa: Dis... kand. med. nauk. M. 2000. (In Russ.)
  22. Gros A, Vatovec J, Battelino S. Hearing results regarding location and histologic activity on stapedial footplate in otosclerosis. Eur Arch ORL Head Neck. 2007;264(1):184.
  23. Diskalenko VV, Yanov YuK, Sopko ON, Bolozneva EV. On the selection of appropriate methods of surgery for otosclerosis. Rossiiskaya otorinolaringologiya. 2013;3:35-38. (In Russ.)
  24. Gristwood R, Venables N. Otosclerosis obliteration of the oval window niche: an analysis of results of surgery. J Laryngol Otol. 1975;89:1185-1217. https://doi.org/10.1017/s0022215100081573
  25. Marx M, Lagleyre S, Escudé B, Demeslay J, Elhadi T, Deguine O, Fraysse B. Correlations between CT scan findings and hearing thresholds in otosclerosis. Acta Oto-Laryngologica. 2011;131:351-357. https://doi.org/10.3109/00016489.2010.549841
  26. Wiet R, Harvey S, Bauer G. Complications in stapes surgery. Otolaryngol Clin N Am. 1993;26(3):471-490.
  27. Swartz J, Harnsberger H. Imaging of temporal bone. New York-Stuttgart: Thieme; 1998.
  28. Naumann C, Porcellini B, Fisch U. Otosclerosis: incidence of positive findings on high-resolution computed tomogphy and their correlation to audiological test data. Ann Otol Rhinol Laringol. 2005;114(9):709-716. https://doi.org/10.1177/000348940511400910
  29. Lagleyre S, Sorrentino T, Calmels M, Shin Y, Escude B, Deguine O, Fraysse B. Reliability of high-resolution CT scan in diagnosis of otosclerosis. Otol Neurotol. 2009;30(8):1152-1159. https://doi.org/10.1097/mao.0b013e3181c2a084
  30. Guneri E, Ada E, Ceryan K, Guneri A. High-resolution computed tomographic evalution of the cohlear capsule in otosclerosis: relationship between densiometry and sensorineural hearing loss. Ann Otol Rhinol Laringol. 1996;105(8):659-664. https://doi.org/10.1177/000348949610500813
  31. Shin Y, Fraysse B, Deguine O, Cognard C, Charlet J, Sevely A. Sensorineural hearing loss and oto-sclerosis: a clinical and Radiologic Survey of 437 Cases. Acta otolaringol. 2001;121(2):200-204. https://doi.org/10.1080/000164801300043505
  32. Kawase S, Naganawa S, Sone M, Ikeda M, Ishigaki T. Relationship between CT densitometry with a slice thickness of 0.5 mm and audi-ometry in otosclerosis. Eur Radiol. 2006;16:1367-1373. https://doi.org/10.1007/s00330-005-0128-7
  33. Wycherly B, Berkowitz F, Noone A, Kim H. Computed tomography and otosclerosis: a practical method to correlate the sites affected to hearing loss. Ann Otol Rhinol Laryngol. 2010;119(12):789-794. https://doi.org/10.1177/000348941011901201
  34. Kutlar G, Koyuncu M, Elmali M, Basar F, Atmaca S. Are computed tomography and densitometric measurements useful in otosclerosis with mixedhearing loss? A retrospective clinical study. Eur Arch Otorhinolaryngol. 2014;271(9):2421-2425. https://doi.org/10.1007/s00405-013-2729-0
  35. Yang D, Kodama T, Tono T, Ochiai R, Kiyomizu K, Suzuki Y, Yano T, Watanabe K. High-resolution CT of otosclerosis. Nip-pon-Igaku-Hoshasen-Gakkai-Zasshi. 1997;57(13):864-870.
  36. Genç A, Sennaroğlu L. Is it possible to predict diffuse obliterative otosclerosis preoperatively by audiologic examination. Int J Audiol. 2007;46(5):203-207. https://doi.org/10.1080/14992020601145302
  37. Min J, Chung W, Lee W, Cho Y, Hong S, Kim H, Lee H. Otosclero-sis: incidence of positive findings on temporal bone computed tomography (TBCT) and audiometric correlation in Korean patients. Auris Nasus Larynx. 2010;37:23-28. https://doi.org/10.1016/j.anl.2009.04.010
  38. Abdel-Ghany A, Osman N, Botros S. Correlation between the size, CT density of otosclerotic foci, and audiological tests in cases of otosclerosis. Int Adv Otol. 2014;10(2):156-161. https://doi.org/10.5152/iao.2014.29
  39. Hildman H, Sudhooff H. Middle ear surgery. Berlin—Heidelberg—New York: Springer-Verlag; 2006. https://doi.org/10.1007/978-3-540-47671-9
  40. Nadol J. Histopathology of residual and recurrent conductive hearing loss after stapedectomy. Otol Neurotol. 2001;22(2):162-169. https://doi.org/10.1097/00129492-200103000-00008
  41. De Souza C, Glasscock III M. Oto-sclerosis and stapedectomy. Diagnosis, Management, and Complications. New York—Stuttgart: Thieme; 2004. https://doi.org/10.1055/b-002-43894
  42. Garov EV, Zelenkova VN, Zagorskaia EE, Antonian RG. The results of stapedoplasty with the use of an auricular autocartilage as a stapes bone prosthesis in the patients presenting with a mixed form of otosclerosis. Journal of Otolaryngology. 2011;3:41-46. (In Russ.)
  43. Zelenkova VN. Laser stapedoplasty in patients with otosclerosis: Dis... kand. med. nauk. M. 2013. (In Russ.)
  44. Kos M, Montandon P, Guyot J. Short- and long-term results of sta-pedotomy and stapedectomy with a Teflon-wire piston prosthesis. Ann Otol Rhinol Laryngol. 2001;907-911. https://doi.org/10.1177/000348940111001003

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.