Outcomes of Stapedotomy Using Hyaluronic Acid Gel Versus Gelfoam as a Sealing Material | ||||
| Zagazig University Medical Journal | ||||
| Volume 30, Issue 6, September 2024, Page 2250-2258 PDF (932.49 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2024.295337.3430 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Toqa Ibrahiem Soliman Ibrahiem  1; Atef Taha Elbahrawy 2; Magdy Bedir Albaramawy1; Amany Mohamed Abd Al Badea1
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| 1Otolaryngology Department, Faculty of Medicine, Zagazig university | ||||
| 2Professor of ENT, Faculty of Medicine, Zagazig University | ||||
| Abstract | ||||
| Background: The ideal substance to seal the vestibulotomy site after stapes surgery is a topic of debate. Otology surgeons have historically sealed the oval window with a variety of materials. These consist of blood clots, vascular grafts, adipose tissue, gelatin sponge (Gelfoam), and perichondrium. Objectives: The present work aims to evaluate hearing outcomes and post-operative vestibular symptoms when hyaluronic acid gel (HAG) or gel foam is used as a sealing agent in stapedotomy. Subjects and methods: This randomized comprehensive clinical trial was performed on 58 patients in Zagazig University hospitals, all complaining of hearing loss. The cases were divided equally into Group (1) hyaluronic acid gel and Group (2) Gelfoam. All study populations were subjected to whole history taking, full ear-nose-throat (ENT) and otoscopic examination, routine laboratory investigations, pure tone and speech audiometry, stapedial reflex, tympanogram, and CT scanning. Results: Non-significant differences were found between groups for pre and post-operative tinnitus. There was a statistically non-significant variance between both groups regarding pre and post-operative ABG. Statistically significant differences were found between pre- and post-operative vertigo in each group (p<0.001), with non-statistically significant variation between both groups. Conclusion: This study revealed that using either HAG or Gel foam to seal the stapedotomy, hearing results, and post-operative tinnitus might be the same. However, post-operative vertigo was comparable with the upper hand for HAG to decrease post-operative vertigo. As a result, HAG is advised as a secure sealing, easily used material following otosclerosis stapedotomy | ||||
| Keywords | ||||
| Stapedotomy; Hyaluronic Acid; Sealing Material | ||||
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