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Outcomes in paediatric patients undergoing stapedotomy

Published online by Cambridge University Press:  21 October 2024

David Lehmann Open the ORCID record for David Lehmann [Opens in a new window] ,
Ewen Chao ,
Robert Saadi ,
Madelyn Wang  and
Huseyin Isildak
David Lehmann
Affiliation:
Stony Brook University Hospital, New York, USA
Ewen Chao
Affiliation:
Stony Brook University Hospital, New York, USA
Robert Saadi
Affiliation:
Arkansas Children's Hospital, Little Rock, Arkansas, USA
Madelyn Wang
Affiliation:
Stony Brook University Hospital, New York, USA
Huseyin Isildak*
Affiliation:
Stony Brook University Hospital, New York, USA
*
Corresponding author: Huseyin Isildak; Email: [email protected]
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Abstract

Objectives

This study aimed to describe outcomes of paediatric stapes surgery at an academic tertiary care centre.

Methods

Electronic medical records of patients younger than 21 years who underwent stapedotomy between September 2013 and July 2020 were reviewed.

Results

A total of 17 patients (7 male, 10 female) were included in our study; 14 underwent surgery on one ear while 3 underwent surgery on both ears (20 ears total). Mean pre-operative air-bone gap was 34.5 dB (standard deviation, 11). At three months, the mean post-operative air-bone gap was 20.6 dB (standard deviation, 10.2), with a mean improvement of 17 dB (standard deviation, 12.1). Sixty-four per cent of patients had closure of their air-bone gap to 20 dB or less. A negative correlation between pre-operative body-mass index and post-operative air-bone gap was statistically significant (n = 14, p = 0.03, r = -0.57 [95% confidence interval -0.85, -0.04]).

Conclusion

Paediatric stapedotomy can be effective and safe. In this cohort, age was not correlated with improvement in air-bone gap; pre-operative body mass index was significantly correlated with post-operative air-bone gap.

Keywords

hearing lossotologymiddle ear surgeryotosclerosisaudiology
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 3
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Huseyin Isildak takes responsibility for the integrity of the content of the paper

Presented as a poster at the Combined Otolaryngology Spring Meetings (COSM), 3–7 May 2023, Boston, Massachusetts, USA.

References

Bachor, E, Just, T, Wright, CG, Pau, HW, Karmody, CS. Fixation of the stapes footplate in children: a clinical and temporal bone histopathologic study. Otol Neurotol 2005;26:866–73Google Scholar
Carlson, ML, Van Abel, KM, Pelosi, S, Beatty, CW, Haynes, DS, Wanna, GB, et al. Outcomes comparing primary pediatric stapedectomy for congenital stapes footplate fixation and juvenile otosclerosis. Otol Neurotol 2013;34:816–20Google Scholar
Massey, BL, Hillman, TA, Shelton, C. Stapedectomy in congenital stapes fixation: are hearing outcomes poorer? Otolaryngol Head Neck Surg 2006;134:816–8Google Scholar
Daniel, A, Budiono, G, Rao, A, Low, GKK, Ellis, MP, Lee, J. Juvenile otosclerosis and congenital stapes footplate fixation. A systematic review and meta-analysis of surgical outcomes and management. Int J Pediatr Otorhinolaryngol 2023;166:111418Google Scholar
Asik, B, Binar, M, Serdar, M, Satar, B. A meta-analysis of surgical success rates in congenital stapes fixation and juvenile otosclerosis. Laryngoscope 2016;126:191–8Google Scholar
Schwam, ZG, Schettino, A, Bojrab, DI, Babu, SC, Michaelides, EM, Schutt, CA. Outcomes in primary and revision surgery for pediatric onset stapedial pathology. Am J Otolaryngol 2022;43:103362Google Scholar
Millman, B, Giddings, NA, Cole, JM. Long-term follow-up of stapedectomy in children and adolescents. Otolaryngol Head Neck Surg 1996;115:78–81Google Scholar
Cole, JM. Surgery for otosclerosis in children. Laryngoscope 1982;92:859–62Google Scholar
Marinelli, JP, Totten, DJ, Chauhan, KK, Lohse, CM, Grossardt, BR, Vrabec, JT, et al. The rise and fall of otosclerosis: a population-based study of disease incidence spanning 70 years. Otol Neurotol 2020;41:e1082–90Google Scholar
De Bruijn, AJ, Tange, RA, Dreschler, WA. Efficacy of evaluation of audiometric results after stapes surgery in otosclerosis. II. A method for reporting results from individual cases. Otolaryngol Head Neck Surg 2001;124:84–9Google Scholar
Gerard, J-M, Serry, P, Gersdorff, MC. Outcome and lack of prognostic factors in stapes surgery. Otol Neurotol 2008;29:290–4Google Scholar
Patel, S, Benyo, S, Saadi, R, Liaw, J, King, TS, Isildak, H. Predictive patient factors for poor outcomes following stapedotomy for otosclerosis. Otol Neurotol 2022;43:619–24Google Scholar
Yen, Y-C, Lin, C, Weng, S-F, Lin, Y-S. Higher risk of developing sudden sensorineural hearing loss in patients with chronic otitis media. JAMA Otolaryngol Head Neck Surg 2015;141:429–35Google Scholar
Gadkaree, SK, Weitzman, RE, Yu, PK, Miller, AL, Ren, Y, Corrales, CE. The role of body mass index on hearing outcomes after stapes surgery. Otol Neurotol 2020;41:21–4Google Scholar
Vanderwall, C, Randall Clark, R, Eickhoff, J, Carrel, AL. BMI is a poor predictor of adiposity in young overweight and obese children. BMC Pediatr 2017;17:135Google Scholar