KBB-Forum 2004 , Cilt 3, Sayı 1


Dr. Gürol GÜLTEKİN, Dr. Levent OLGUN, Dr. Tolga KANDOĞAN, Dr. Zafer ERYILMAZ, Dr. Uğur ÇERÇİ, Dr. Levent AYDAR
SSK, KBB, İzmir, Türkiye In this study, otosclerosis patients who had surgical therapy were are retrospectively evaluated. The surgical techniques applied and their outcomes are discussed.

Material & Method243 patients, who were operated between January 1996 and December 2000, and had their last check-up are included in this study. Patients that required revision surgery are excluded. Four groups are formed according the surgery technique applied: a) wide fenestra stapedotomy, b) small fenestra stapedotomy, c) stapedectomy, and d) stapedoplasty.

Protheses with a diameter of 0.6 mm are used in wide fenestra stapedotomy, and those with a diameter of 0.4 mm in small fenestra stapedotomy. In audiological evaluation, the air and bone conduction thresholds and air-bone gaps are measured. In measuring the air-bone gap, the mean values at 500Hz, 1000Hz and 2000Hz are used.

ResultsNone of the surgical techniques is statistically superior in terms of hearing improvement.

Conclusion There is not a generally accepted surgical technique, but if properly applied, all have satisfactory outcomes. Keywords : otosclerosis, stapedectomy, stapedotomy, stapedoplasty