Otosklerozlu olguların analizi
Küçük Resim Yok
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada, otoskleroz ameliyatı olan hastaların ameliyat yöntemi, işitme sonuçları ve komplikasyonları literatür eşliğinde değerlendirildi.Hastalar ve Yöntemler: Haziran 2010 - Haziran 2015 tarihleri arasında kliniğimizde otoskleroz tanısı konularak ameliyat edilen 50 hastanın (21 erkek, 33 kadın ort. yaş 3815 yıl; dağılım 18-67 yıl) dosyaları retrospektif olarak incelendi. Hastaların muayene bulguları, uygulanan ameliyat yöntemleri, kullanılan protezler, işitmedeki kazanç ve değişiklikler ile karşılaşılan komplikasyonlar değerlendirildi. Ameliyat öncesi ve sonrası hava-kemik yolu eşikleri karşılaştırılarak fonksiyonel kazanç oranları hesaplandı.Bulgular: Elli otoskleroz hastasının 54 kulağına stapedotomi ameliyatı uygulandı. Ameliyat sonrasında hastaların hava yolu işitme eşikleri ve hava-kemik aralıklarında istatistiksel olarak anlamlı oranda azalma saptandı. Ameliyat sonrası 46 hastada (%85.1) fonksiyonel başarı elde edildi. Hastaların birinde inkus dislokasyonu, üçünde korda timpani hasarı, birinde yüzen taban ve iki hastada da total sensörinöral işitme kaybı gözlendi. Beş hastada da geçici vertigo şikayeti gözlendi.Sonuç: Klasik yöntemle uygulanan stapedotomi, yüksek başarı oranı ve düşük komplikasyon oranları ile başarılı bir tedavi yöntemidir. Ameliyatın nadir de olsa ciddi morbiditeye neden olan komplikasyonlarının olabileceği akılda tutulmalı ve medikolegal sorunlar ile karşılaşmamak için hastalar ameliyat öncesi bilgilendirilmelidir.
Objectives: This study aims to evaluate the surgical method, hearing results and complications of patients undergoing surgery for otosclerosis, in the light of literature.Patients and Methods: We retrospectively examined the records of 50 patients (21 males, 33 females; mean age 38±15 years; range 18 to 67 years) who were diagnosed with otosclerosis and underwent surgery in our clinic between June 2010 and June 2015. We evaluated the examination findings of the patients, surgical procedures applied, prostheses that were used, gains and changes in hearing, and complications. The rates of functional gain were calculated by comparing pre- and postoperative air-bone conduction thresholds.Results: Stapedotomy surgery was applied to 54 ears of 50 otosclerosis patients. Statistically significant reduction was detected in airway hearing thresholds and in air-bone gaps of patients following the surgery. After surgery, functional success was accomplished in 46 patients (85.1%). We observed incus dislocation in one patient, chorda tympani injury in three, floating base in one, and total sensorineural hearing loss in two patients. We also observed temporary vertigo complaint in five patients.Conclusion: Stapedotomy applied with the conventional method is a successful method of treatment with high success rate and low complication rates. It should be kept in mind that there may be rare complications of the surgery causing serious morbidity, and patients should be informed prior to surgery to avoid medicolegal problems.
Objectives: This study aims to evaluate the surgical method, hearing results and complications of patients undergoing surgery for otosclerosis, in the light of literature.Patients and Methods: We retrospectively examined the records of 50 patients (21 males, 33 females; mean age 38±15 years; range 18 to 67 years) who were diagnosed with otosclerosis and underwent surgery in our clinic between June 2010 and June 2015. We evaluated the examination findings of the patients, surgical procedures applied, prostheses that were used, gains and changes in hearing, and complications. The rates of functional gain were calculated by comparing pre- and postoperative air-bone conduction thresholds.Results: Stapedotomy surgery was applied to 54 ears of 50 otosclerosis patients. Statistically significant reduction was detected in airway hearing thresholds and in air-bone gaps of patients following the surgery. After surgery, functional success was accomplished in 46 patients (85.1%). We observed incus dislocation in one patient, chorda tympani injury in three, floating base in one, and total sensorineural hearing loss in two patients. We also observed temporary vertigo complaint in five patients.Conclusion: Stapedotomy applied with the conventional method is a successful method of treatment with high success rate and low complication rates. It should be kept in mind that there may be rare complications of the surgery causing serious morbidity, and patients should be informed prior to surgery to avoid medicolegal problems.
Açıklama
Anahtar Kelimeler
Kulak, Burun, Boğaz
Kaynak
Kulak Burun Boğaz Uygulamaları
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
3
