Impact of age on hearing outcomes following stapes surgery for otosclerosis: a retrospective study.

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Pub Date : 2025-05-27 DOI:10.1080/00016489.2025.2504040

Na Zhang, Xiaobo Ma, Danni Wang, Yi Li, Yan Zheng, Yongxin Li, Shouqin Zhao

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引用次数: 0

Abstract

Background: Otosclerosis causes progressive hearing loss, with stapes surgery being the most effective treatment. However, the influence of age on postoperative outcomes remains debated.

Objective: To evaluate the impact of age on hearing outcomes following stapes surgery.

Methods: This retrospective study included patients who underwent primary stapes surgery (2010-2024), excluding those with revision surgeries or confirmed cochlear otosclerosis. Pre- and postoperative pure-tone audiometry assessed air conduction (AC), bone conduction (BC), and air-bone gap (ABG) across age groups.

Results: This study included 177 patients (188 ears) aged 18-68 years. Significant improvements in AC thresholds and ABG closure were observed across all age groups (p < 0.05). BC thresholds improved significantly in patients <50 years. Linear regression revealed a modest negative correlation between age and AC improvement (R² = 0.18, p = 0.006). Despite smaller gains in older patients, both age groups demonstrated substantial improvements AC thresholds and ABG, with minimal changes in BC thresholds. No significant differences were found between younger and older groups in changes in BC, AC, or ABG closure (all p > 0.05).

Conclusion: Stapes surgery significantly improves hearing outcomes across all ages, especially in AC thresholds and ABG closure. Age should not be a contraindication if audiological criteria are met.

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年龄对耳硬化镫骨手术后听力结果的影响：一项回顾性研究

背景：耳硬化导致进行性听力丧失，镫骨手术是最有效的治疗方法。然而，年龄对术后结果的影响仍有争议。目的：探讨年龄对镫骨术后听力的影响。方法：本回顾性研究纳入了2010-2024年接受初级镫骨手术的患者，不包括翻修手术或证实耳蜗耳硬化的患者。术前和术后纯音听力学评估各年龄组的空气传导（AC）、骨传导（BC）和气骨间隙（ABG）。结果：本研究纳入177例患者（188耳），年龄18-68岁。所有年龄组的AC阈值和ABG闭合均有显著改善（p R2 = 0.18, p = 0.006）。尽管老年患者的获益较小，但两个年龄组的AC阈值和ABG均有显著改善，BC阈值变化很小。在BC、AC或ABG闭合变化方面，年轻组和老年组之间无显著差异（均p < 0.05）。结论：镫骨手术显著改善了所有年龄段的听力结果，尤其是AC阈值和ABG闭合。如果符合听力学标准，年龄不应成为禁忌。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Oto-Laryngologica 医学-耳鼻喉科学

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

3-6 weeks

期刊介绍： Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.