Advanced Otosclerosis Stapes Surgery or Cochlear Implantation?

Eshraghi A. A., Ila K., Ocak E., Telischi F. F.

OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA, cilt.51, sa.2, ss.429-440, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 51 Sayı: 2
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1016/j.otc.2017.11.012
  • Dergi Adı: OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.429-440
  • Ankara Üniversitesi Adresli: Hayır

Özet

Diagnosis and treatment of advanced otosclerosis can be controversial. In 1961, House and Sheehy defined advanced otosclerosis as hearing loss in air conduction threshold by 85 dB with nonmeasurable bone conduction. Recently, the definition of advanced otosclerosis is mostly based on the decrease of speech recognition. There are some treatment modalities: stapes surgery and hearing aids, cochlear implantation, or direct acoustic cochlear implant. The authors propose a new algorithm for treatment. If the patient is treated with cochlear implantation, the surgeon should be cautious for facial nerve stimulation after surgery because it is the most prevalent complication.