Hearing improvement after stapedotomy using teflon loop prosthesis.

Shakeel Ahmed; Nusrat Raza; Liaqat Ali; Saadat Ullah; Shahid Iqbal

doi:10.2006/jcpsp.659661

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PubMed · 17007756

Hearing improvement after stapedotomy using teflon loop prosthesis.

Shakeel Ahmed·Nusrat Raza·Liaqat Ali·Saadat Ullah·Shahid Iqbal

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Abstract

OBJECTIVE: To assess hearing improvement after stapedotomy for otosclerosis using teflon loop prosthesis. DESIGN: Quasy experimental study. PLACE AND DURATION OF STUDY: January 2001 to May 2003 in the Otorhinolaryngology Department, CMH, Rawalpindi. PATIENTS AND METHODS: Thirty diagnosed cases of otosclerosis were included in the study. Ear with greater air-bone gap was selected and stapedotomy was done using teflon loop prosthesis (size 4 - 4.5 mm). Mild vertigo occurred during immediate postoperative period, which subsided with Inj. Prochlorperazine. Patients were followed-up postsurgically at one month, two months, four months, six months and one year and postoperative air-bone gap was calculated. RESULTS: Out of 30 cases, there were 24 males and 06 females. The age ranged from 18 to 50 years. Twenty-one (70%) patients had bilateral hearing loss and 09 (30%) had tinnitis also. Pre-operative audiograms showed conductive deafness. Carhart's notch was present in 10 (33.3%) cases. Tympanogram revealed loss of stapedial reflex. Postoperatively good hearing improvement was seen in 56.7% (postoperative air-bone gap closure upto 10 dB), fair improvement in 30% (postoperative air bone gap closure from 11 to 20 dB) and poor results in 10% (postoperative air-bone gap more than 21 dB) cases. One patient developed dead ear. CONCLUSION: Stapedotomy using teflon loop prosthesis for otosclerosis is an effective method to restore hearing. Complications are uncommon.

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Adolescent Adult Female Hearing Loss, Sensorineural Humans Male Middle Aged Ossicular Prosthesis Otosclerosis Polytetrafluoroethylene Stapes Surgery Journal Article

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Shakeel Ahmed, Nusrat Raza, Liaqat Ali, Saadat Ullah, Shahid Iqbal. 2006. Hearing improvement after stapedotomy using teflon loop prosthesis.. https://doi.org/10.2006/jcpsp.659661

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