Outcome of Stapes Surgery in Otosclerotic Patients with Tinnitus | ||
| Egyptian Journal of Neck Surgery and Otorhinolaryngology | ||
| Articles in Press, Accepted Manuscript, Available Online from 02 August 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejnso.2025.404501.1127 | ||
| Authors | ||
| Ahmed Ragab Sayed* 1; husain farid weshahy1; Mohamed Hosameldeen shokry1; Shimaa Ibrahem Mohammed1; Doaa Araby Mohamed1; Amira Mohammad Oseily2 | ||
| 1Otorhinolaryngology Department , Faculty of Medicine, Assiut University , Assiut , Egypt | ||
| 2Audio-Vestibular Unit, ENT department, Assiut University, Assiut, Egypt | ||
| Abstract | ||
| Introduction: The faulty remodeling process primarily affects the stapes in otosclerosis eventually causing it to become fixed and unable to vibrate properly. As a result, sound transmission is disrupted, leading to progressive hearing loss and tinnitus. Stapedectomy replaces the fixed stapes with a prosthesis, has shown promise in restoring hearing and alleviating tinnitus in many patients. Objective: The aim of the present study is to detect impact of stapes surgery in otosclerotic patients with tinnitus using tinnitogram and tinnitus handicap questionnaire Arabic version. Patients and methods: This randomized controlled trial was conducted on 32 patient with otosclerosis attending Assiut University Hospital and underwent stapedectomy operation from a period of June 2022 to October 2024. All patients included in this study underwent a comprehensive evaluation both preoperatively and three months postoperatively. Pure-tone audiometry was performed at both time points to assess changes in hearing thresholds. Additionally, each patient completed a tinnitogram and the Tinnitus Handicap Inventory (THI) before and after surgery to evaluate the presence and impact of tinnitus Results: In 27 out of 32 patients (84.4%) in our study there was postoperative AB gap measurements <20 dB, Our findings suggest improvement in tinnitus symptoms post-surgery. In our study there is significant difference between pre-operative and post-operative quality of life evaluated by tinnitus handicap questionnaire Conclusion: Stapes surgery is an effective intervention for otosclerosis patients, significantly improving hearing outcomes and reducing tinnitus severity in most cases. Keywords: otosclerosis, conductive hearing loss, tinnitus, stapes surgery. | ||
| Keywords | ||
| otosclerosis; conductive hearing loss; tinnitus; stapes surgery | ||
|
Statistics Article View: 59 |
||
