ORIGINAL ARTICLE
STAPES SURGERY FOR OTOSCLEROSIS:
AUDIOMETRIC AND SELF-REPORTED
HEARING OUTCOMES
| 1 | Oto-Rhino-Laryngology Surgery Clinic, World Hearing Center, Institute of Physiology
and Pathology of Hearing, Warsaw/Kajetany, Poland |
| 2 | Teleaudiology and Screening Department, World Hearing Center, Institute of Physiology
and Pathology of Hearing, Warsaw/Kajetany, Poland |
| 3 | Heart Failure and Cardiac Rehabilitation Department, 2nd Faculty of Medicine, Medical
University of Warsaw, Warsaw, Poland |
| 4 | 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 H. Skarzynski
Piotr H. Skarzynski, Mokra 17 Street, 05-830 Kajetany, e-mail: p.skarzynski@ifps.org.pl, tel. +48 22 3560366.
Piotr H. Skarzynski, Mokra 17 Street, 05-830 Kajetany, e-mail: p.skarzynski@ifps.org.pl, tel. +48 22 3560366.
Publication date: 2019-03-31
J Hear Sci 2019;9(1):17–24
KEYWORDS
otosclerosisstapedotomyaudiometric outcomesself-reported hearing outcomespatient’s perspectiveAPHAB questionnaire
ABSTRACT
Background:
Stapes surgery is widely used to treat otosclerosis and its effectiveness is reported in audiometric terms – closure of the preoperative air-bone gap and improvement in air conduction thresholds. The objective of our study was to measure audiometric and self-assessed hearing changes in otosclerosis patients after stapes surgery. A secondary objective was to gauge the relationship between self-reported hearing and audiometric hearing thresholds.
Material and Methods:
This prospective study included 236 patients with otosclerosis who underwent primary stapedotomy. The Abbreviated Profile of Hearing Aid Benefit questionnaire (APHAB) was used to measure subjective hearing before surgery and 6 months postoperatively. Pure-tone audiometry was also conducted at the same observation periods.
Results:
The air- and bone-conduction thresholds, as well as the air-bone gap, confirmed that there was a significant improvement in hearing. The difference between the pre- and postoperative APHAB Total score was 26.7 points and was statistically significant (p < 0.001). A weak correlation was found between the pre- and postoperative change of APHAB Total score and air conduction thresholds (rho = 0.23; p < 0.01) as well as between the change in the APHAB Total score and the size of the air-bone gap (rho = 0.19; p < 0.05).
Conclusions:
The results of the audiometric tests demonstrate the effectiveness of stapedotomy in improving the hearing of the majority of patients. However, audiometric results give limited information about the status of the patient’s hearing. The patient’s subjective perspective, together with the audiometric data, provide valuable information that can be helpful in clinical decision-making and counselling.
Stapes surgery is widely used to treat otosclerosis and its effectiveness is reported in audiometric terms – closure of the preoperative air-bone gap and improvement in air conduction thresholds. The objective of our study was to measure audiometric and self-assessed hearing changes in otosclerosis patients after stapes surgery. A secondary objective was to gauge the relationship between self-reported hearing and audiometric hearing thresholds.
Material and Methods:
This prospective study included 236 patients with otosclerosis who underwent primary stapedotomy. The Abbreviated Profile of Hearing Aid Benefit questionnaire (APHAB) was used to measure subjective hearing before surgery and 6 months postoperatively. Pure-tone audiometry was also conducted at the same observation periods.
Results:
The air- and bone-conduction thresholds, as well as the air-bone gap, confirmed that there was a significant improvement in hearing. The difference between the pre- and postoperative APHAB Total score was 26.7 points and was statistically significant (p < 0.001). A weak correlation was found between the pre- and postoperative change of APHAB Total score and air conduction thresholds (rho = 0.23; p < 0.01) as well as between the change in the APHAB Total score and the size of the air-bone gap (rho = 0.19; p < 0.05).
Conclusions:
The results of the audiometric tests demonstrate the effectiveness of stapedotomy in improving the hearing of the majority of patients. However, audiometric results give limited information about the status of the patient’s hearing. The patient’s subjective perspective, together with the audiometric data, provide valuable information that can be helpful in clinical decision-making and counselling.
REFERENCES (28)
1.
Crompton M, Cadge BA, Ziff JL, et al. The epidemiology of otosclerosis in a British cohort. Otol Neurotol, 2018; 40: 22–30.
2.
Skarżyński H, Gos E, Dziendziel B, Raj-Koziak D, Włodarczyk EA, Skarżyński PH. Clinically important change in tinnitus sensation after stapedotomy. Health Qual Life Outcomes, 2018; 16: 208.
3.
Dziendziel B, Skarżyński PH, Rajchel J, Skarżyńska MB, Skarżyński H. Evaluation of the prevalence and tinnitus distress in patients undergoing surgical treatment of otosclerosis: the overview. Now Audiofonol. 2017; 6: 13–20.
4.
Redfors YD, Möller C. Otosclerosis: thirty-year follow-up after surgery. Ann Otol Rhinol Laryngol, 2011; 120: 608–14.
5.
Strömbäck K, Lundman L, Bjorsne A, Grendin J, Stjernquist-Desatnik A, Dahlin-Redfors Y. Stapes surgery in Sweden: evaluation of a national-based register. Eur Arch Otorhinolaryngol, 2017; 274: 2421–7.
7.
Salmon C, Barriat S, Lefebvre PP. Stapes surgery for otosclerosis in patients presenting with mixed hearing loss. Audiol Neurootol, 2018; 23: 82–8.
8.
Maniu A, Cosgarea M. Technical and functional hearing results after unilateral stapes surgery for otosclerosis at Cluj-Napoca University Hospital. Eur Arch Otorhinolaryngol, 2013; 270: 2215–24.
9.
Lailach S, Schenke T, Baumann I, et al. Living with otosclerosis: disease-specific health-related quality-of-life measurement in patients undergoing stapes surgery. Eur Arch Otorhinolaryngol, 2018; 275: 71–9.
10.
Hallberg LRM, Hallberg U, Kramer SE. Self-reported hearing difficulties, communication strategies and psychological general well-being (quality of life) in patients with acquired hearing impairment. Disabil Rehabil, 2008; 30: 203–12.
11.
Heffernan E, Habib A, Ferguson M. Evaluation of the psychometric properties of the social isolation measure (SIM) in adults with hearing loss. Int J Audiol, 2019; 58(1): 45–52.
12.
Monzani D, Galeazzi G, Genovese E, Marrara A, Martini A. Psychological profile and social behaviour of working adults with mild or moderate hearing loss. Acta Otorhinolaryngol Ital, 2008; 28: 61–6.
13.
Roup CM, Post E, Lewis J. Mild-gain hearing aids as a treatment for adults with self-reported hearing difficulties. J Am Acad Audiol, 2018; 29: 477–94.
14.
Cox RM, Alexander GC, Gray GA. Audiometric correlates of the unaided APHAB. J Am Acad Audiol, 2003; 14: 361–71.
15.
Hazenberg AJC, Minovi A, Dazert S, Hoppe FF. Predictors of listening capabilities and patient satisfaction after stapes surgery in otosclerosis. Otol Neurotol, 2013; 34: 220–6.
16.
Meyer SE, Megerian CA. Patients’ perceived outcomes after stapedectomy for otosclerosis. Ear Nose Throat J, 2000; 79: 846–8, 851–2, 854 passim.
17.
Tan FML, Grolman W, Tange RA, Fokkens WJ. Quality of perceived sound after stapedotomy. Otolaryngol Head Neck Surg, 2007; 137: 443–9.
18.
Lundman L, Mendel L, Bagger-Sjöbäck D, Rosenhall U. Hearing in patients operated unilaterally for otosclerosis. Self-assessment of hearing and audiometric results. Acta Otolaryngol, 1999; 119: 453–8.
19.
World Health Organization. Prevention of blindness and deafness. Grades of hearing impairment [Internet]. Available from: https://www.schwerhoerigen-net.... Viewed 2019-03-18.
20.
Cox RM, Alexander GC. The abbreviated profile of hearing aid benefit. Ear Hear, 1995; 16: 176–86.
21.
Fackrell K, Hall D, Barry J, Hoare D. Tools for tinnitus measurement: development and validity of questionnaires to assess handicap and treatment effects. In: Tinnitus: Causes treatment and short and long-term health effects. New York: Nova Science Publishers; 2014, 13–60.
22.
Yung MW, Oates J. The learning curve in stapes surgery and its implication for training. Adv Otorhinolaryngol, 2007; 65: 361–9.
23.
Lancer H, Manickavasagam J, Zaman A, Lancer J. Stapes surgery: a national survey of British otologists. Eur Arch Otorhinolaryngol, 2016; 273: 371–9.
24.
Skarżyński H. Surgical treatment of otosclerosis: expanding indications and new recommendations. J Hear Sci, 2018; 8(1): 9–12.
25.
Chandarana S, Parnes L, Agrawal S, Fung K. Quality of life following small fenestra stapedotomy. Ann Otol Rhinol Laryngol, 2005; 114: 472–7.
26.
Topsakal V, Fransen E, Schmerber S, et al. Audiometric analyses confirm a cochlear component, disproportional to age, in stapedial otosclerosis. Otol Neurotol, 2006; 27: 781–7.
27.
Subramaniam K, Eikelboom RH, Marino R, Atlas MD, Rajan GP. Patient’s quality of life and hearing outcomes after stapes surgery. Clin Otolaryngol, 2006; 31: 273–9.
28.
Redfors YD, Hellgren J, Möller C. Hearing-aid use and benefit: a long-term follow-up in patients undergoing surgery for otosclerosis. Int J Audiol, 2013; 52: 194–9.
RELATED ARTICLE
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.