TY - JOUR

T1 - The stability of short-term hearing outcome after stapedotomy

T2 - a prospective database study

AU - Andersen, Steven Arild Wuyts

AU - Öhman, Malin Charlotta

AU - Sørensen, Mads Sølvsten

PY - 2015/9

Y1 - 2015/9

N2 - CONCLUSION: Current guidelines recommend reporting short-term results of > 12 months after treatment of conductive hearing loss. This study suggests that short-term hearing results after stapedotomy recorded at the 3-month follow-up are without loss of vital information compared with data from the currently recommended > 12-month follow-up. The use of 3-month data in reporting outcome could reduce the bias inherent to the loss to follow-up at 12 months.OBJECTIVE: To investigate the stability of short-term postoperative hearing after stapedotomy for otosclerosis.METHODS: This was a prospective database study; 371 cases with otosclerosis were registered in the database between August 2004 and June 2013. We included the 166 primary cases and 37 revision cases that had attended both follow-ups.RESULTS: The mean changes in postoperative hearing thresholds between the 3-month and 12-month follow-up in both primary and revision cases were minimal and clinically insignificant. In all, 3-5% of primary cases and 14-16% of revision cases experienced a change of ≥ 10 dB for the worse of one or more parameters between follow-ups. Results were also stable when considering a range of traditional success criteria. Other complications following surgery were infrequent and typically resolved long term.

AB - CONCLUSION: Current guidelines recommend reporting short-term results of > 12 months after treatment of conductive hearing loss. This study suggests that short-term hearing results after stapedotomy recorded at the 3-month follow-up are without loss of vital information compared with data from the currently recommended > 12-month follow-up. The use of 3-month data in reporting outcome could reduce the bias inherent to the loss to follow-up at 12 months.OBJECTIVE: To investigate the stability of short-term postoperative hearing after stapedotomy for otosclerosis.METHODS: This was a prospective database study; 371 cases with otosclerosis were registered in the database between August 2004 and June 2013. We included the 166 primary cases and 37 revision cases that had attended both follow-ups.RESULTS: The mean changes in postoperative hearing thresholds between the 3-month and 12-month follow-up in both primary and revision cases were minimal and clinically insignificant. In all, 3-5% of primary cases and 14-16% of revision cases experienced a change of ≥ 10 dB for the worse of one or more parameters between follow-ups. Results were also stable when considering a range of traditional success criteria. Other complications following surgery were infrequent and typically resolved long term.

KW - Adult

KW - Audiometry

KW - Databases, Factual

KW - Female

KW - Hearing Loss, Conductive

KW - Humans

KW - Male

KW - Middle Aged

KW - Otosclerosis

KW - Prospective Studies

KW - Reoperation

KW - Stapes Surgery

KW - Time Factors

KW - Treatment Outcome

U2 - 10.3109/00016489.2015.1035402

DO - 10.3109/00016489.2015.1035402

M3 - Journal article

C2 - 25857354

VL - 135

SP - 871

EP - 879

JO - Acta Oto-Laryngologica

JF - Acta Oto-Laryngologica

SN - 0001-6489

IS - 9

ER -