单侧与双侧镫骨手术：听觉结果和生活质量的比较研究

IF 1.4 Q2 OTORHINOLARYNGOLOGY

Journal of Otology Pub Date : 2024-04-01 DOI:10.1016/j.joto.2024.06.002

Luigi Curatoli , Vito Pontillo , Massimo Ralli , Francesca Yoshie Russo , Nicola Quaranta

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引用次数: 0

摘要

耳硬化是一种众所周知的疾病，主要影响中年女性患者，导致传导性或混合性听力损失。诊断基本上是通过完整的听力电池测试来完成的，而治疗基本上依赖于镫骨手术。在这项研究中，我们分析了33名患者的听力和生活质量数据，以完善手术指征（单侧镫骨手术还是双侧镫骨手术），评估最佳技术（镫骨切除术还是部分镫骨切除术）和治疗时机。对所有患者使用意大利语原始问卷OTOS。本组患者以女性居多（18/33），平均年龄53岁。两种手术方法均有效，术后气骨间隙无明显差异。OTOS问卷在评估镫骨手术患者的生活质量方面似乎是有效的。双侧和单侧手术患者的术后生活质量似乎相似，提示只有在患者明确要求的情况下，才能在有效手术后进行对侧干预。

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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Unilateral versus bilateral stapes surgery: A comparative study on auditory outcome and quality of life

Otosclerosis is a well-known disease which mainly affects middle-aged female patients, causing conductive or mixed hearing loss. Diagnosis is essentially made through a complete audiometric battery testing, while treatment substantially relies on stapes surgery.

In this study, we analyzed audiometric and Quality-of-Life data from 33 patients in order to refine the surgical indications (unilateral versus bilateral stapes surgery) and assess the best technique (stapedotomy versus partial stapedectomy) and timing of treatment. The original questionnaire OTOS, in the Italian language, was administered to all patients.

In this study, most of the patients were female (18/33), with a mean age of 53 years old. Both surgical techniques appear to be effective with no significant difference in post-operative Air Bone Gap. OTOS questionnaire appeared to be effective in assessing quality of life in patients treated by stapes surgery. Post-operative QoL appeared to be similar in bilaterally and unilaterally operated patients, suggesting that a contralateral intervention after effective surgery should be undertaken only if expressly requested by the patient.

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来源期刊

Journal of Otology Medicine-Otorhinolaryngology

CiteScore

2.70

自引率

0.00%

发文量

461

审稿时长

18 days

期刊介绍： Journal of Otology is an open access, peer-reviewed journal that publishes research findings from disciplines related to both clinical and basic science aspects of auditory and vestibular system and diseases of the ear. This journal welcomes submissions describing original experimental research that may improve our understanding of the mechanisms underlying problems of basic or clinical significance and treatment of patients with disorders of the auditory and vestibular systems. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines. Journal of Otology welcomes contributions from scholars in all countries and regions across the world.