caa a22 4500 606184015 CHVBK 20210128100824.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00405-014-2958-x doi (NATIONALLICENCE)springer-10.1007/s00405-014-2958-x Delaying partial stapedectomy for otosclerosis: effects on long-term hearing outcomes following surgery [Elektronische Daten] [Anastasios Maniakas, Jade Nehme, Jean-Jacques Dufour, Issam Saliba] The purpose of this study is to evaluate hearing outcomes following partial stapedectomy according to age at the time of surgery and evaluate functional hearing at ≥10 years' follow-up, and to assess the effect of delay in surgery on overall functional hearing outcomes. Data were collected from patients operated upon for otosclerosis by a single surgeon from 1990 to 1999. Pure-tone air (PTA), pure-tone bone (PTB), air-bone gap (ABG), air-conduction at 8kHz (AC 8), bone-conduction at 4kHz (BC4) and speech discrimination score (SDS) were compared between patients <45 and ≥45 years old, as well as correlated with overall age preoperatively, short term (4 months) and long term (>10years), postoperatively. Forty-five patients were included with a mean follow-up of 12.6 years. Mean preoperative ABG and AC 8 values were significantly different between the two age groups (p=0.002; p=0.010, respectively). No values remained significantly different between the two age groups at the long-term follow-up. ABG values correlated with age preoperatively (p=0.001), although no correlation was seen short- and long-term postoperatively (p=0.980; p=0.495, respectively). Mean PTA, PTB, and ABG values showed a significant improvement in both groups preoperatively to short-term postoperatively (p<0.001). Although mean PTA values decreased significantly from short- to long-term follow-ups in both groups (p=0.033; p=0.020), the improvement from the preoperative state remained significant (p<0.001). Regardless of age at the time of surgery, long-term hearing levels will evolve similarly in patients <45 and ≥45 years old. Furthermore, no difference will be seen in hearing measurements between the two age groups at ≥10 years postoperatively. Delaying a surgery would thus not affect overall long-term hearing outcomes. Springer-Verlag Berlin Heidelberg, 2014 Otosclerosis nationallicence Partial stapedectomy nationallicence Follow-up study nationallicence Hearing outcome nationallicence Maniakas Anastasios Division of Otolaryngology Head and Neck Surgery, Montreal University Hospital Center (CHUM), Hôpital Notre Dame, 1560 Sherbrooke Street East, H2L 4M1, Montreal, QC, Canada aut Nehme Jade Division of Otolaryngology Head and Neck Surgery, Montreal University Hospital Center (CHUM), Hôpital Notre Dame, 1560 Sherbrooke Street East, H2L 4M1, Montreal, QC, Canada aut Dufour Jean-Jacques Division of Otolaryngology Head and Neck Surgery, Montreal University Hospital Center (CHUM), Hôpital Notre Dame, 1560 Sherbrooke Street East, H2L 4M1, Montreal, QC, Canada aut Saliba Issam Division of Otolaryngology Head and Neck Surgery, Montreal University Hospital Center (CHUM), Hôpital Notre Dame, 1560 Sherbrooke Street East, H2L 4M1, Montreal, QC, Canada aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/7(2015-07-01), 1605-1611 0937-4477 272:7<1605 2015 272 405 https://doi.org/10.1007/s00405-014-2958-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-2958-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Maniakas Anastasios Division of Otolaryngology Head and Neck Surgery, Montreal University Hospital Center (CHUM), Hôpital Notre Dame, 1560 Sherbrooke Street East, H2L 4M1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Nehme Jade Division of Otolaryngology Head and Neck Surgery, Montreal University Hospital Center (CHUM), Hôpital Notre Dame, 1560 Sherbrooke Street East, H2L 4M1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Dufour Jean-Jacques Division of Otolaryngology Head and Neck Surgery, Montreal University Hospital Center (CHUM), Hôpital Notre Dame, 1560 Sherbrooke Street East, H2L 4M1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Saliba Issam Division of Otolaryngology Head and Neck Surgery, Montreal University Hospital Center (CHUM), Hôpital Notre Dame, 1560 Sherbrooke Street East, H2L 4M1, Montreal, QC, Canada aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/7(2015-07-01), 1605-1611 0937-4477 272:7<1605 2015 272 405