REVIEW PAPER
SURGERY FOR JUVENILE OTOSCLEROSIS: A LITERATURE REVIEW
Henryk Skarzynski 1, A,D-F
,  
Beata Dziendziel 1, D-F
,  
Joanna J. Rajchel 1, D-F
,  
 
 
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1
World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/ Kajetany, Poland
2
Heart Failure and Cardiac Rehabilitation Department, Medical University of Warsaw, Warsaw, Poland
3
Institute of Sensory Organs, Warsaw/Kajetany, Poland
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
CORRESPONDING AUTHOR
Piotr Henryk Skarzynski   

Piotr Henryk Skarżyński, PhD; ORCID: 0000-0002-4978-1915; E-mail: p.skarzynski@ifps.org.pl; Tel. +48 22 356 03 20; Address: Mokra 17 Street, 05-830 Nadarzyn, Poland
Publication date: 2020-04-09
 
J Hear Sci 2018;8(1):15–21
KEYWORDS
ABSTRACT
Otosclerosis is a disease characterized by abnormal bony growth and remodeling around the otic capsule. Although adults make up the majority of patients, otosclerosis is also encountered in children. However, the literature on juvenile otosclerosis is still limited. The main therapeutic options for children with otosclerosis are hearing aids or stapes surgery. Despite many years of treating pediatric patients with stapes surgery, the issue of whether to perform the operation is still a subject of debate. To identify suitable literature on juvenile otosclerosis, a search was performed using the following databases: PubMed, Web of Science, and Medline, and based on the search criteria 19 articles were found suitable for the review. The current evidence indicates that stapes surgery for juvenile otosclerosis is a safe and effective procedure which leads to closure of the air-bone gap over both short and long terms. Complications of stapes surgery are extremely rare and in the majority of cases comprise transient vertigo. Age itself should not be a contraindication to stapes surgery for juvenile otosclerosis.
 
REFERENCES (30)
1.
Vincent R, Wegner I, Vonck BMD, Bittermann AJ, Kamalski DMA, Grolman W. Primary stapedotomy in children with otosclerosis: a prospective study of 41 consecutive cases. Laryngoscope, 2016 Feb; 126: 442–6.
 
2.
Skarżynski H, Porowski M. Stapedotomia jako metoda z wyboru w leczeniu otosklerozy młodzieńczej. Audiofonologia, 2006; 29: 101–4.
 
3.
Lancer H, Manickavasagam J, Zaman A, Lancer J. Stapes surgery: a National Survey of British Otologists. Eur Arch Otorhinolaryngol, 2016; 273: 371–9.
 
4.
Kishimoto M, Ueda H, Uchida Y, Sone M. Factors affecting postoperative outcome in otosclerosis patients: predictive role of audiological and clinical features. Auris Nasus Larynx, 2015; 42: 369–73.
 
5.
Neilan RE, Zhang RW, Roland PS, Isaacson B, Lee KH, Walter Kutz J. Pediatric stapedectomy: does cause of fixation affect outcomes? Int J Pediatr Otorhinolaryngol, 2013; 77: 1099–102.
 
6.
Yellon RF, Thottam PJ. When should stapes surgery be performed in children? Laryngoscope. 2015 Dec; 125: 2631–2.
 
7.
House J, Sheehy J, Antunez J. Stapedectomy in children. Laryngoscope, 1980; 90: 1804–9.
 
8.
Teunissen EB, Cremers WR. Classification of congenital middle ear anomalies. Report on 144 ears. Ann Otol Rhinol Laryngol, 1993; 102: 606–12.
 
9.
De la Cruz A, Angeli S, Slattery WH. Stapedectomy in children. Otolaryngol Head Neck Surg, 1999; 120: 487–92.
 
10.
Thomeer HGXM, Kunst HPM, Cremers CWRJ. Isolated congenital stapes ankylosis: surgical results in a consecutive series of 39 ears. Ann Otol Rhinol Laryngol, 2010; 119: 761–6.
 
11.
Lippy WH, Burkey JM, Schuring AG, Rizer FM. Short- and long-term results of stapedectomy in children. Laryngoscope, 1998 Apr 1; 108: 569–72.
 
12.
Vincent R, Wegner I, Kamalski DMA, Bittermann AJN, Grolman W. Congenital stapes ankylosis in children: surgical findings and results in 35 cases. Otol Neurotol, 2016 Apr; 37: 367–73.
 
13.
Asik B, Binar M, Serdar M, Satar B. A meta-analysis of surgical success rates in congenital stapes fixation and juvenile otosclerosis. Laryngoscope, 2016 Jan; 126: 191–8.
 
14.
Hajek EF. Juvenile otosclerosis. J Laryngol Otol, 1961 Jul; 75: 621–39.
 
15.
Welling DB, Merrell JA, Merz M, Dodson EE. Predictive factors in pediatric stapedectomy. Laryngoscope, 2003; 113: 1515–9.
 
16.
Millman B, Giddings NA, Cole JM. Long-term follow-up of stapedectomy in children and adolescents. Otolaryngol Head Neck Surg, 1996 Jul; 115: 78–81.
 
17.
Cole J. Surgery for otosclerosis in children. Laryngoscope, 1982; 92: 859–62.
 
18.
Carlson ML, Van Abel KM, Pelosi S, et al. Outcomes comparing primary pediatric stapedectomy for congenital stapes footplate fixation and juvenile otosclerosis. Otol Neurotol, 2013; 34: 816–20.
 
19.
Bachor E, Just T, Wright CG, Pau HW, Karmody CS. Fixation of the stapes footplate in children: a clinical and temporal bone histopathologic study. Otol Neurotol, 2005 Sep; 26: 866–73.
 
20.
Vick U, Just T, Terpe H, Graumuller S, Pau HW. Stapes fixation in children. HNO, 2004 Dec; 52: 1076–82.
 
21.
An YS, Lee K-S. The surgical results of stapes fixation in children. Int J Pediatr Otorhinolaryngol, 2014 Jan; 78: 55–9.
 
22.
Murphy TP, Wallis DL. Stapedectomy in the pediatric patient. Laryngoscope, 1996; 106: 1415–8.
 
23.
Lescanne E, Bakhos D, Metais JP, Robier A, Moriniere S. Otosclerosis in children and adolescents: a clinical and CT-scan survey with review of the literature. Int J Pediatr Otorhinolaryngol, 2008 Feb; 72: 147–52.
 
24.
Denoyelle F, Daval M, Leboulanger N, et al. Stapedectomy in children: causes and surgical results in 35 cases. Arch Otolaryngol Head Neck Surg, 2010 Oct; 136: 1005–8.
 
25.
Namysłowski G, Ścierski W, Trybalska G, Mrówka-Kata K, Orecka B, Gac B. Leczenie otosklerozy u dzieci. Pol Merkuriusz Lek, 2005; 19: 331–2.
 
26.
Carlson ML, Driscoll CLW, Gifford RH, et al. Implications of minimizing trauma during conventional cochlear implantation. Otol Neurotol, 2011 Aug; 32: 962–8.
 
27.
Meurman O. Otosclerosis in children. HNO, 1975; 23: 337–8.
 
28.
Robinson M. Juvenile otosclerosis. A 20-year study. Ann Otol Rhinol Laryngol, 1983 Dec; 92: 561–5.
 
29.
von Haacke NP. Juvenile stapedectomy. Clin Otolaryngol Allied Sci, 1985 Feb; 10: 9–13.
 
30.
Becker SS, Dobratz EJ, Stowell N, Barker D, Park SS. Revision septoplasty: review of sources of persistent nasal obstruction. Am J Rhinol, 2008; 22: 440–4.
 
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