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Cochlear implantation outcomes in patients with far advanced otosclerosis.

Abstract：

OBJECTIVES:To compare hearing outcomes in patients with far advanced otosclerosis (FAO) undergoing cochlear implantation to an age-matched group of controls, to describe the effects of cochlear ossification on hearing, and to review the adverse effects of implantation in patients with FAO. HYPOTHESIS:Hearing performance in patients with FAO after cochlear implantation is comparable to similarly treated postlingually deafened adults without FAO. Ossification or retrofenestral otosclerosis does not predict poor hearing outcomes. Modiolar-hugging technology reduces postoperative facial nerve stimulation. STUDY DESIGN:Retrospective chart review. SETTING:Academic neurotologic tertiary referral center. PATIENTS:Thirty patients with FAO, who metaudiological criteria for cochlear implantation, were compared to 30 age-matched controls, postlingually deafened by non-otosclerotic causes. MAIN OUTCOME MEASURES:Audiometric pre- and postoperative speech reception threshold, word, and sentence scores were analyzed. The presence of retrofenestral findings on computed tomography or intraoperative cochlear ossification were noted. RESULTS:In the FAO group, radiographic abnormalities were noted in 26.4% of patients. Intraoperative ossification requiring drillout was seen in 29.4% of patients. None developed postoperative facial nerve stimulation. There was no difference between the FAO and control groups in the mean short-term and long-term postoperative speech reception threshold, word, and sentence scores (P = .77). The presence of radiographic abnormalities did not predict hearing outcome. Intraoperative cochlear ossification was not associated with worse short-term word and sentence scores (P = .58 and 0.79, respectively), and for the long-term hearing outcome (P = .24). CONCLUSIONS:In patients with FAO, effective and safe hearing rehabilitation can be accomplished with cochlear implantation.

journal_name

Am J Otolaryngol

journal_title

American journal of otolaryngology

authors

Semaan MT,Gehani NC,Tummala N,Coughlan C,Fares SA,Hsu DP,Murray GS,Lippy WH,Megerian CA

doi

10.1016/j.amjoto.2012.05.001

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

608-14

issue

5

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(12)00111-1

journal_volume

33

pub_type

杂志文章

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