CASE STUDY
SURGICAL TREATMENT OF A 5-YEAR-OLD BOY WITH OTOSCLEROSIS: A CASE STUDY
Henryk Skarzynski 1, A-C,E-F
,
 
Monika Boruta 1, A-C,E-F
,
 
Beata Dziendziel 2, C,E-F
,
 
,
 
Piotr H. Skarzynski 2,3,4, A,E
 
 
 
More details
Hide details
1
Oto-Rhino-Laryngology Surgery Clinic, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland
 
2
Department of Teleaudiology, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland
 
3
Institute of Sensory Organs, Kajetany, Poland
 
4
Department of Heart Failure and Cardiac Rehabilitation, Medical University of Warsaw, Warsaw, 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;
 
 
Publication date: 2018-03-31
 
 
Corresponding author
Piotr H. Skarzynski   

Piotr H. Skarzynski, Address: Mokra 17, 05-830 Kajetany, Poland, Tel. +48 22 356 03 83, E-mail: p.skarzynski@ifps.org.pl
 
 
J Hear Sci 2018;8(1):47-52
 
KEYWORDS
ABSTRACT
Otosclerosis is most often diagnosed in adults, especially women. It is much less common in children and even rarer in boys. The aim of this paper is to present the case history and results of surgical treatment of a 5-year-old boy with bilateral conductive hearing loss and tinnitus. Results of surgical treatment show mean air-bone closure of 25 dB and cessation of tinnitus. Surgical treatment for otosclerosis is recommended regardless of the patient’s age. Additional motivations for surgical intervention in children are: severe progressive hearing loss, tinnitus, and rising bone-conduction threshold.
FUNDING
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
 
REFERENCES (28)
1.
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.
 
2.
Guild SR. Histologic otosclerosis. Ann Otol Rhinol Laryngol, 1944; 53: 246–66.
 
3.
Raveh E, Hu W, Papsin BC, Forte V. Congenital conductive hearing loss. J Laryngol Otol, 2002; 116: 92–6.
 
4.
Syms CA, De la Cruz A. Pediatric otology. Otolaryngol Clin North Am, 1996; 29: 407–20.
 
5.
Tringali S, Pouget J-F, Bertholon P, Dubreuil C, Martin C. Value of temporal bone density measurements in otosclerosis patients with normal-appearing computed tomographic scan. Ann Otol Rhinol Laryngol, 2007; 116: 195–8.
 
6.
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; 72: 147–52.
 
7.
Fisher NA, Curtin HD. Radiology of congenital hearing loss. Otolaryngol Clin North Am, 1994; 27: 511–31.
 
8.
Höhmann D, Dornhoffer J. Stapedectomy in congenital stapes fixation. HNO, 1995; 43: 65–9.
 
9.
Asik B, Binar M, Serdar M, Satar B. A meta-analysis of surgical success rates in congenital stapes fixation and juvenile otosclerosis. Laryngoscope, 2016; 126: 191–8.
 
10.
Millman B, Giddings NA, Cole JM. Long-term follow-up of stapedectomy in children and adolescents. Otolaryngol Head Neck Surg, 1996; 115: 78–81.
 
11.
Lippy WH, Berenholz LP, Burkey JM. Otosclerosis in the 1960s, 1970s, 1980s, and 1990s. Laryngoscope, 1999; 109: 1307–9.
 
12.
De la Cruz A, Angeli S, Slattery WH. Stapedectomy in children. Otolaryngol Head Neck Surg, 1999; 120: 487–92.
 
13.
Denoyelle F, Daval M, Leboulanger N, et al. Stapedectomy in children: causes and surgical results in 35 cases. Arch Otolaryngol Head Neck Surg, 2010; 136: 1005–8.
 
14.
Carlson ML, Driscoll CLW, Gifford RH, et al. Implications of minimizing trauma during conventional cochlear implantation. Otol Neurotol, 2011; 32: 962–8.
 
15.
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; 126: 442–6.
 
16.
Skarżyński PH, Dziendziel B, Boruta M, Skarżyński H. 278 stapedotomy procedures in children and adolescents. J Hear Sci, 2018 (in press).
 
17.
Skarżyński H, Mueller-Malesińska M, Kochanek K, Senderski A, Ratyńska A. The models of uniform uniform newborn hearing screening program. Audiofonologia, 1997; 11: 173–81.
 
18.
Skarżyński H, Mueller-Malesińska M, Kochanek K, Geremek A, Senderski A, Ratyńska A. Methods applied in neonatal hearing screening. Audiofonologia, 1997; 11: 147–58.
 
19.
Robinson M. Juvenile otosclerosis. A 20-year study. Ann Otol Rhinol Laryngol, 1983; 92: 561–5.
 
20.
House J, Sheehy J, Antunez J. Stapedectomy in children. Laryngoscope, 1980; 90: 1804–9.
 
21.
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; 26: 866–73.
 
22.
Cole J. Surgery for otosclerosis in children. Laryngoscope, 1982; 92: 859–62.
 
23.
An YS, Lee K-S. The surgical results of stapes fixation in children. Int J Pediatr Otorhinolaryngol, 2014; 78: 55–9.
 
24.
Vincent R, Sperling NM, Oates L, Jindal M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology-neurotology database. Otol Neurotol, 2006; 27: S25–47.
 
25.
Albert S, Roger G, Rouillon I, et al. Congenital staples ankylosis: study of 28 cases and surgical results. Laryngoscope, 2006; 116: 1153–7.
 
26.
Yun S, Kwang-Sun L. The surgical results of stapes fixation in children. Int J Pediatr Otorhinolaryngol, 2014; 78: 55–59.
 
27.
Lippy WH, Burkey JM, Schuring AG, Rizer FM. Short- and long-term results of stapedectomy in children. Laryngoscope, 1998 Apr; 108: 569–72.
 
28.
Hol MKS, Cremers CWRJ, Coppens-Schellekens W, Snik AFM. The BAHA Softband. A new treatment for young children with bilateral congenital aural atresia. Int J Pediatr Otorhinolaryngol, 2005; 69: 973–80.
 
Journals System - logo
Scroll to top