Iran J Otorhinolaryngol. 2013 Sep;25(73):233-8.
Surgical Treatment of Otosclerosis: Eight years' Experience at the Jordan University Hospital.
Iranian journal of otorhinolaryngology
Tareq Mahafza, Abdelmonem Al-Layla, Mohammed Tawalbeh, Yagoub Abu-Yagoub, Ahmad Atwan Sulaiman
Affiliations
Affiliations
- Department of Otorhinolaryngology, University of Jordan, Amman- Jordan .
PMID: 24303446
PMCID: PMC3846245
Abstract
INTRODUCTION: To report the experience of the Jordan University Hospital with respect to the surgical treatment of otosclerosis and to compare results and complications with published studies.
MATERIALS AND METHODS: The medical records of all patients who underwent stapes surgery for otosclerosis at the Jordan University Hospital during the period January 2003 to December 2010 were reviewed.
RESULTS: Out of 130 patients who underwent stapes surgery, 104 (80%) fulfilled the criteria and were enrolled in this study. There were 68 (65.4%) females and 36 (34.6%) males (female-to-male ratio, 1.9: 1). The disease was bilateral in 86 (82.7%) patients. Family history for otosclerosis was positive in 37(35.6%) patients. Tinnitus was observed at presentation in 82 (78.8%) patients and spontaneously resolved or improved in 51(62.2%) patients after surgery. Air bone gap after surgery was ≤ 10 dB in 79 (76.0%) patients, between 10 and 20 dB in 10 (9.6%) patients, and between 20 and 30 dB in four (3.8%) patients. Complications occurred in 17(16.3%) patients, which included: one (1.0%) deaf ear, two (2.0%) sensorineural hearing loss, two (2.0%) facial nerve palsy, six (5.8%) vertigo lasting more than 7 days, three (2.9%) chorda tympani damage, one (1.0%) floating of footplate, and two (2.0%) perforation of the tympanic membrane.
CONCLUSION: The results of this study are comparable with those reported in the literature by surgeons with the same level of experience, but below than those with large series experience. Therefore, we believe that an experienced general ear, nose, and throat (ENT) surgeon can perform stapes surgery safely and successfully in the absence of an otologist.
Keywords: Jordan University Hospital; Otosclerosis; Surgical treatment
References
- Otol Neurotol. 2003 Jul;24(4):567-71 - PubMed
- Otolaryngol Head Neck Surg. 1995 Sep;113(3):186-7 - PubMed
- Laryngoscope. 1995 Sep;105(9 Pt 1):899-904 - PubMed
- Otol Neurotol. 2006 Dec;27(8 Suppl 2):S25-47 - PubMed
- Otol Neurotol. 2003 Jul;24(4):560-6 - PubMed
- Ann Otol Rhinol Laryngol. 2011 Sep;120(9):608-14 - PubMed
- Laryngol Rhinol Otol (Stuttg). 1987 Apr;66(4):167-71 - PubMed
- Am J Otolaryngol. 1997 Jan-Feb;18(1):23-8 - PubMed
- Am J Otol. 1982 Oct;4(2):112-7 - PubMed
- J Laryngol Otol. 1999 May;113(5):417-21 - PubMed
- Ann Otol Rhinol Laryngol. 1982 Sep-Oct;91(5 Pt 1):516-20 - PubMed
- Clin Otolaryngol Allied Sci. 1985 Aug;10(4):217-23 - PubMed
- Iran J Otorhinolaryngol. 2013 Jun;25(72):155-60 - PubMed
- Ann Otol Rhinol Laryngol. 2003 May;112(5):398-403 - PubMed
- An Otorrinolaringol Ibero Am. 2003;30(1):1-15 - PubMed
- Otolaryngol Clin North Am. 1993 Jun;26(3):353-7 - PubMed
- Ear Nose Throat J. 2002 Aug;81(8):548, 551-2 - PubMed
- J Laryngol Otol. 1955 Jul;69(7):437-56 - PubMed
- Am J Otol. 1995 Sep;16(5):701-2 - PubMed
- Laryngoscope. 1956 Jul;66(7):729-84 - PubMed
- J Laryngol Otol. 1997 Feb;111(2):109-12 - PubMed
- Laryngoscope. 2002 Nov;112(11):2046-50 - PubMed
- Eur Arch Otorhinolaryngol. 2007 Jul;264(7):741-8 - PubMed
- Otolaryngol Head Neck Surg. 1991 Sep;105(3):396-405 - PubMed
- Eur Arch Otorhinolaryngol. 2010 Sep;267(9):1337-49 - PubMed
- Adv Otorhinolaryngol. 2007;65:343-347 - PubMed
- Clin Otolaryngol. 2007 Aug;32(4):239-47 - PubMed
- Eur Arch Otorhinolaryngol. 1999;256(9):431-3 - PubMed
- Ann Otol Rhinol Laryngol. 1967 Jun;76(2):377-92 - PubMed
- Acta Otolaryngol. 1967 Feb-Mar;63(2):121-7 - PubMed
- Ann Otol Rhinol Laryngol. 1984 Jan-Feb;93(1 Pt 1):28-33 - PubMed
- Am J Otol. 1998 Jan;19(1):52-5 - PubMed
Publication Types