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Otosclerose: resultados audiométricos 5 anos após cirurgia estapédica
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Orientador(es)
Resumo(s)
Objetivo: Avaliar os resultados audiométricos, 5 anos após
estapedectomia, numa série de 85 ouvidos.
Desenho do estudo: Retrospetivo
Materiais e métodos: Análise dos resultados audiométricos obtidos
aos 5 anos após estapedectomia e comparação com os valores do
pré-operatório e pós-operatório precoce.
Resultados: Cinco anos após estapedectomia observou-se
encerramento do gap aero-ósseo para valores ≤ 10 dB em 74% dos
ouvidos. Nove doentes foram submetidos a revisão cirúrgica. Seis
apresentavam gap aero-ósseo > 20 dB, recusando revisão cirúrgica.
O gap aero-ósseo médio aos 5 anos era de 7,17 dB, representando
um ganho auditivo de 21,28 dB em relação ao pré-operatório e um
aumento do gap de 2,85 dB em relação ao pós-operatório precoce.
Conclusões: Os nossos resultados audiométricos 5 anos após
estapedectomia são satisfatórios e coincidentes com a literatura.
A estapedectomia representa uma solução eficaz na otosclerose
apresentando, na grande maioria dos casos, resultados estáveis ao
longo do tempo.
Objective: To evaluate the audiometric results 5 years after stapedectomy, in a series of 85 ears. Study Design: Retrospective Materials and methods: Analysis of audiometric results obtained 5 years after stapedectomy and comparison with the values from preoperative and early postoperative period. Results: Five years after stapedectomy closure of the air-bone gap (ABG) to ≤ 10 dB was obtained in 74% of cases. Nine patients underwent surgical revision. Six had an ABG > 20 dB, refusing surgical revision. The average ABG at 5 years was 7.17 dB, representing a hearing gain of 21.28 dB with respect to the preoperative period and an increase of 2.85 dB in the ABG with respect to early postoperative period. Conclusions: Our results audiometric 5 years after stapedectomy are satisfactory and consistent with the literature. Stapedectomy represents an effective solution in otosclerosis presenting, in most cases, stable results over time.
Objective: To evaluate the audiometric results 5 years after stapedectomy, in a series of 85 ears. Study Design: Retrospective Materials and methods: Analysis of audiometric results obtained 5 years after stapedectomy and comparison with the values from preoperative and early postoperative period. Results: Five years after stapedectomy closure of the air-bone gap (ABG) to ≤ 10 dB was obtained in 74% of cases. Nine patients underwent surgical revision. Six had an ABG > 20 dB, refusing surgical revision. The average ABG at 5 years was 7.17 dB, representing a hearing gain of 21.28 dB with respect to the preoperative period and an increase of 2.85 dB in the ABG with respect to early postoperative period. Conclusions: Our results audiometric 5 years after stapedectomy are satisfactory and consistent with the literature. Stapedectomy represents an effective solution in otosclerosis presenting, in most cases, stable results over time.
Descrição
Palavras-chave
Otosclerose Cirurgia estapédica
Contexto Educativo
Citação
Rev Port Otorrinol Cirur Cerv Fac. 2015 Mar;53(2):87-90
Editora
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia Cérvico-Facial