Database : MEDLINE
Search on : otosclerosis [Words]
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[PMID]: 29520797
[Au] Autor:Wegner I; Vincent R; Derks LSM; Rauh SP; Heymans MW; Stegeman I; Grolman W
[Ad] Address:Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
[Ti] Title:An internally validated prognostic model for success in revision stapes surgery for otosclerosis.
[So] Source:Laryngoscope;, 2018 Mar 09.
[Is] ISSN:1531-4995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVES/HYPOTHESIS: To develop a prediction model that can accurately predict the chance of success following revision stapes surgery in patients with recurrent or persistent otosclerosis at 2- to 6-months follow-up and to validate this model internally. STUDY DESIGN: A retrospective cohort study of prospectively gathered data in a tertiary referral center. METHODS: The associations of 11 prognostic factors with treatment success were tested in 705 cases using multivariable logistic regression analysis with backward selection. Success was defined as a mean air-bone gap closure to 10 dB or less. The most relevant predictors were used to derive a clinical prediction rule to determine the probability of success. Internal validation by means of bootstrapping was performed. Model performance indices, including the Hosmer-Lemeshow test, the area under the receiver operating characteristics curve (AUC), and the explained variance were calculated. RESULTS: Success was achieved in 57.7% of cases at 2- to 6-months follow-up. Certain previous surgical techniques, primary causes of failure leading up to revision stapes surgery, and positions of the prosthesis placed during revision surgery were associated with higher success percentages. The clinical prediction rule performed moderately well in the original dataset (Hosmer-Lemeshow P = .78; AUC = 0.73; explained variance = 22%), which slightly decreased following internal validation by means of bootstrapping (AUC = 0.69; explained variance = 13%). CONCLUSIONS: Our study established the importance of previous surgical technique, primary cause of failure, and type of the prosthesis placed during the revision surgery in predicting the probability of success following stapes surgery at 2- to 6-months follow-up. LEVEL OF EVIDENCE: 2b. Laryngoscope, 2018.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:Publisher
[do] DOI:10.1002/lary.27132

  2 / 3994 MEDLINE  
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[PMID]: 29400027
[Au] Autor:Montava M; Curto CL; Mancini J; Collin M; Lavieille JP
[Ti] Title:[Comparison of stapes protheses: A prospective analysis of audiometric results obtained after stapedotomy by implantation of a teflon piston and a Soft-CliP® piston].
[So] Source:Rev Laryngol Otol Rhinol (Bord);136(3):97-102, 2015.
[Is] ISSN:0035-1334
[Cp] Country of publication:France
[La] Language:fre
[Ab] Abstract:A wide variety of pistons are available for stapes surgery in otosclerosis. The objective of this work was to analyze the short-term and medium-term results of Soft-CliP® piston in prima­ry stapes surgery and to compare it with a conventional prosthesis. The study was prospective, monocentric, rando­mi­zed, based on efficiency of Soft-CliP® prosthesis (11 patients) versus Causse® Teflon prosthesis (9 patients) in otosclerosis surgery. Epidemiological data, treatment modalities, pure-tone audiometric results and outcome of patients were studied. Mean follow-up was 10 months. Soft-CliP® placement was statisti­cally longer. The mean postoperative air-bone gap was within 10 dB in 73% and 67% of cases at 2 months and in 82% and 89% of cases at medium-term in Soft-CliP® and Teflon groups respectively. A statistically significant decrease in mean air-bone gap and for all frequencies was observed at 2 months and at medium term, with no difference between the 2 groups. The main result was the demonstration of the reliability and safety of Soft-CliP® prosthesis. With a new design, Soft-CliP® place­ment was easy. The biomechanics of ossicular chain should be better preserved, and the risk of incus erosion and necrosis decreased. A study on a larger population in the long-term would validate these results.
[Mh] MeSH terms primary: Audiometry
Ossicular Prosthesis
Otosclerosis/surgery
Stapes Surgery
[Mh] MeSH terms secundary: Adult
Aged
Female
Humans
Male
Middle Aged
Prospective Studies
Prosthesis Design
Young Adult
[Pt] Publication type:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Entry month:1803
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[Js] Journal subset:IM
[Da] Date of entry for processing:180206
[St] Status:MEDLINE

  3 / 3994 MEDLINE  
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[PMID]: 29260778
[Au] Autor:Kryukov AI; Garov EV; Zelikovich EI; Sidorina NG; Fedorova OV; Zelenkova VN; Kaloshina AS; Zagorskaya EE; Kurilenkov GV; Kiselyus VE
[Ad] Address:L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.
[Ti] Title:Stapedoplastika v lechenii tugoukhosti u bol'nykh obliteriruiushchim otosklerozom. [The application of stapedoplasty for the treatment of hearing loss in the patients suffering from obliterative otosclerosis].
[So] Source:Vestn Otorinolaringol;82(6):28-33, 2017.
[Is] ISSN:0042-4668
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Ab] Abstract:This article presents the results of analysis of the data obtained during the examination and the surgical treatment of the patients presenting with the obliterative form of otosclerosis and suffering from hearing impairment with special reference to the intraoperative findings, technical aspects of stapedoplasty, and its effectiveness. A total of 14 patients (17 ears) were recruited for the participation in the present study including 10 women at the mean age of 38.8±6.2 years and 4 men (mean age 44.8±3.9 years). The duration of the hearing loss in the period preceding the surgical treatment in 7 (50%) patients was more than 8 years. According to the results of tonal threshold audiometry (TTA), the mean bone conduction (BC) threshold for conductive hearing loss in the frequency range from 0.5 to 4.0 kHz was 24.9±8.1 dB with the mean bone air gap (BAG) equaling 38±5.1 dB. Computed tomography (CT) of the temporal bones revealed grade 1 obliterative otosclerosis in 4 patients, grade II of the same condition in 6 patients, and grade III in 7 ones. These findings were confirmed intraoperatively. In 15 cases, stapedostomy was carried out with the use of the non-contact CO2 laser-based system, in the remaining cases a microdrill was employed. Five patients underwent laser-assisted piston stapedoplasty while in 11 others the stapes prosthesis was placed on the autovein. One patient was treated by the same method with the use of the autocartilaginous prosthesis. The functionally acceptable results within 1 year after the surgical intervention were obtained in all the treated patients with the mean bone air gap equaling 13.2±3.4 dB. The best outcome (the reduction of the BC threshold and BAG by 7 dB and 25.9 db on the average respectively within 1 year after surgery was achieved in the patients with grade III obliterative otosclerosis.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[St] Status:In-Process
[do] DOI:10.17116/otorino201782628-33

  4 / 3994 MEDLINE  
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[PMID]: 29504040
[Au] Autor:Vashishth A; Fulcheri A; Guida M; Caruso A; Sanna M
[Ad] Address:Department of Otology and Skull Base Surgery, Gruppo Otologico, Piacenza, Rome, Italy. drashishvashishth@gmail.com.
[Ti] Title:Incomplete and false tract insertions in cochlear implantation: retrospective review of surgical and auditory outcomes.
[So] Source:Eur Arch Otorhinolaryngol;, 2018 Mar 05.
[Is] ISSN:1434-4726
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:OBJECTIVES: To evaluate incidence, demographics, surgical, and radiological correlates of incomplete and false tract electrode array insertions during cochlear implantation (CI). To evaluate outcomes in patients with incomplete electrode insertion (IEI). STUDY DESIGN: Retrospective analysis. SETTING: Otology and skull base center. PATIENTS AND METHODS: Charts of 18 patients (19 ears) with incomplete or false tract insertions of the electrode array were evaluated who underwent CI, with at least 1 year follow-up (from 470 cases). Demographic findings, etiologies, pre-operative radiologic findings, operative records, post-operative plain radiographic assessment for extent of electrode insertion, and switch-on mapping were evaluated. Audiological outcomes were evaluated using maximum and last recorded vowel, word, sentence, and comprehension scores for patients with IEI. RESULTS: Incidence of insertional abnormalities was 4.25% with 17 instances of incomplete and 2 cases of insertion into superior semicircular canal. Mean age and duration of deafness were 55.18 ± 4.62 and 22.12 ± 5.71 years. Etiologies in the IEI group were idiopathic, otosclerosis, meningitis, chronic otitis media (COM), temporal bone fractures, and Neurofibromatosis-2. 29.4% cases had cochlear luminal obstruction. Mean radiological and active electrophysiological length of insertion was 20.49 ± 0.66 and 19.49 ± 0.88 mm, respectively. No significant correlation was observed between audiological outcomes and insertional length except in time to achieve maximum word scores (p = 0.04). Age at implantation had significant correlations with last recorded word and comprehension scores at mean follow-up of 42.9 months, and with time to achieve maximum auditory scores. CONCLUSIONS: IEI during cochlear implantation using straight electrodes can occur with or without cochlear luminal obstruction. Age plays an important role in the auditory rehabilitation in this patient subset.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:Publisher
[do] DOI:10.1007/s00405-018-4924-5

  5 / 3994 MEDLINE  
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[PMID]: 29502730
[Au] Autor:Nguyen Y; Bernardeschi D; Sterkers O
[Ad] Address:Sorbonne Université, Inserm, UMR-S 1159 "Minimally Invasive Robot-based Hearing Rehabilitation", 16 Rue Henri Huchard, 75018 Paris, France; Otolaryngology Department, Unit of Otology, Auditory Implants and Skull Base Surgery, AP-HP, GHU Pitié-Salpêtrière, 43 bd de l'hôpital, 75013 Paris, France. Electronic address: yann.nguyen@inserm.fr.
[Ti] Title:Potential of Robot-Based Surgery for Otosclerosis Surgery.
[So] Source:Otolaryngol Clin North Am;51(2):475-485, 2018 Apr.
[Is] ISSN:1557-8259
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Otosclerosis surgery is performed through a transcanal approach and requires long, thin instruments with submillimetric precision and precise amplitude of motion. The functional outcomes and complications of otosclerosis surgery depend on the experience of the surgeon. Thus, any technological assistance that can enhance the surgeon's dexterity and rapidly reduce the learning curve could yield an even safer surgical procedure. One of the options is to use robotic assistance to achieve this goal. An overview of different robots designed for otosclerosis surgery is presented focusing on the RobOtol system that we have designed as a multitask platform for ear surgery.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:In-Process

  6 / 3994 MEDLINE  
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[PMID]: 29502732
[Au] Autor:Eshraghi AA; Telischi FF
[Ad] Address:University of Miami Ear Institute, Department of Otolaryngology, Miller School of Medicine, 1120 Northwest, 14th Street, Miami, FL 33136, USA. Electronic address: aeshraghi@med.miami.edu.
[Ti] Title:Otosclerosis and Stapes Surgery.
[So] Source:Otolaryngol Clin North Am;51(2):xvii-xix, 2018 Apr.
[Is] ISSN:1557-8259
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:EDITORIAL
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:In-Data-Review

  7 / 3994 MEDLINE  
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[PMID]: 29502731
[Au] Autor:McElveen JT; Kutz JW
[Ad] Address:Carolina Ear & Hearing Clinic, PC, Carolina Ear Research Institute, 5900 Six Forks Road, Suite #200, Raleigh, NC 27609, USA. Electronic address: mcelveencehc@aol.com.
[Ti] Title:Controversies in the Evaluation and Management of Otosclerosis.
[So] Source:Otolaryngol Clin North Am;51(2):487-499, 2018 Apr.
[Is] ISSN:1557-8259
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Controversies have been associated with the etiology, diagnosis, evaluation, and management of otosclerosis since Valsalva first described stapes fixation as a cause of hearing loss. Although the exact mechanism of the bone remodeling associated with otosclerosis remains uncertain, stapedotomy has been accepted as the surgical treatment of most patients with stapedial otosclerosis. There remains a disparity of opinion, however, regarding the role of preoperative imaging, surgical technique, implant selection, and medical therapy for cochlear otosclerosis. In addition, opinions vary regarding the optimal postoperative care of patients undergoing stapedotomy and a patient's ability to participate in activities that may result in barotrauma.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:In-Process

  8 / 3994 MEDLINE  
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[PMID]: 29502729
[Au] Autor:Ramaswamy AT; Lustig LR
[Ad] Address:Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center, 180 Fort Washington Avenue, 8th Floor, New York, NY 10032, USA.
[Ti] Title:Revision Surgery for Otosclerosis.
[So] Source:Otolaryngol Clin North Am;51(2):463-474, 2018 Apr.
[Is] ISSN:1557-8259
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:This article is an overview of the care of patients requiring revision surgery for otosclerosis. Preoperative evaluation of the patient including surgical history, audiologic results, and physical findings is discussed, and the causes of failure of primary surgery are reviewed. A discussion of evidence-based surgical technique and postoperative care then follows.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:In-Process

  9 / 3994 MEDLINE  
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[PMID]: 29502728
[Au] Autor:de Oliveira Penido N; de Oliveira Vicente A
[Ad] Address:Department of Otorhinolaryngology-Head and Neck Surgery, Universidade Federal de São Paulo, Escola Paulista de Medicina, Rua Mário Whateley 109/72, São Paulo, São Paulo 05083140, Brazil. Electronic address: nopenido@terra.com.br.
[Ti] Title:Medical Management of Otosclerosis.
[So] Source:Otolaryngol Clin North Am;51(2):441-452, 2018 Apr.
[Is] ISSN:1557-8259
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Otosclerosis/otospongiosis is a primary osteodystrophy of the otic capsule that affects genetically predisposed individuals and leads to progressive hearing loss. Diagnosis is usually clinical, based on the findings of anamnesis, physical examination, and audiometric evaluation. However, high-resolution computed tomography scan and MRI have played an important role in the diagnosis and therapeutic approach of otosclerosis and in assisting in the differential diagnosis. The therapeutic approach is aimed at preventing, or at least minimizing, disease progression while attempting to restore hearing. The use of sodium fluoride and bisphosphonates can be an important adjunct, perhaps even primary treatment, in managing active lesions.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:In-Process

  10 / 3994 MEDLINE  
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[PMID]: 29502727
[Au] Autor:Eshraghi AA; Ila K; Ocak E; Telischi FF
[Ad] Address:Department of Otolaryngology, University of Miami Miller School of Medicine, 1600 Northwest 10th Avenue, Miami, FL 33136, USA. Electronic address: aeshraghi@med.miami.edu.
[Ti] Title:Advanced Otosclerosis: Stapes Surgery or Cochlear Implantation?
[So] Source:Otolaryngol Clin North Am;51(2):429-440, 2018 Apr.
[Is] ISSN:1557-8259
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Diagnosis and treatment of advanced otosclerosis can be controversial. In 1961, House and Sheehy defined advanced otosclerosis as hearing loss in air conduction threshold by 85 dB with nonmeasurable bone conduction. Recently, the definition of advanced otosclerosis is mostly based on the decrease of speech recognition. There are some treatment modalities: stapes surgery and hearing aids, cochlear implantation, or direct acoustic cochlear implant. The authors propose a new algorithm for treatment. If the patient is treated with cochlear implantation, the surgeon should be cautious for facial nerve stimulation after surgery because it is the most prevalent complication.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:In-Process


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