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High-frequency hearing, tinnitus, and patient satisfaction with stapedotomy: A randomized prospective study.

Bagger-Sjöbäck D, Strömbäck K, Hultcrantz M, Papatziamos G, Smeds H, Danckwardt-Lillieström N, Tideholm B, Johansson A, Hellström S, Hakizimana P, Fridberger A - Sci Rep (2015)

Bottom Line: Young patients were significantly more likely to experience reduction of tinnitus and patients whose tinnitus became better were also more satisfied with the outcome of the operation.These findings have practical importance for patients and their surgeons.Young patients can be advised that surgery is likely to be beneficial for their tinnitus, but a less positive message should be conveyed to older patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Karolinska University Hospital, Stockholm, Sweden.

ABSTRACT
Otosclerosis is a common disorder that leads to conductive hearing loss. Most patients with otosclerosis also have tinnitus, and surgical treatment is known to improve hearing as well as tinnitus. Some patients however experience worsening of tinnitus after the operation, but there are no known factors that allow surgeons to predict who will be at risk. In this prospective observational study on 133 patients undergoing stapedotomy, we show that postoperative air conduction thresholds at very high stimulus frequencies predict improvement of tinnitus, as assessed with proportional odds logistic regression models. Young patients were significantly more likely to experience reduction of tinnitus and patients whose tinnitus became better were also more satisfied with the outcome of the operation. These findings have practical importance for patients and their surgeons. Young patients can be advised that surgery is likely to be beneficial for their tinnitus, but a less positive message should be conveyed to older patients.

No MeSH data available.


Related in: MedlinePlus

(a) Change in air conduction thresholds 6 weeks after surgery. As in Fig. 2, the size of the dots correspond to number of patients. Horizontal lines denote the mean; vertical lines represent one standard deviation. (b) Change in average hearing thresholds across the frequencies 10 to 14 kHz as a function of patient age. (c) Surgically-induced hearing changes according to patient sex. Means ± standard deviation; size of dots correspond to number of patients. Red represents women, blue dots men.
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f3: (a) Change in air conduction thresholds 6 weeks after surgery. As in Fig. 2, the size of the dots correspond to number of patients. Horizontal lines denote the mean; vertical lines represent one standard deviation. (b) Change in average hearing thresholds across the frequencies 10 to 14 kHz as a function of patient age. (c) Surgically-induced hearing changes according to patient sex. Means ± standard deviation; size of dots correspond to number of patients. Red represents women, blue dots men.

Mentions: Surgery was associated with a large gain of hearing at low frequencies, but this benefit decreased with stimulus frequency (Fig. 3a). Hence, 80% of patients (115 out of 144) had measurable air conduction thresholds at 10 kHz before surgery, but only 74% had detectable thresholds after surgery. The fraction of patients with measurable hearing thresholds changed from 65% to 57% at 12 kHz, and from 36 to 33% at 14 kHz.


High-frequency hearing, tinnitus, and patient satisfaction with stapedotomy: A randomized prospective study.

Bagger-Sjöbäck D, Strömbäck K, Hultcrantz M, Papatziamos G, Smeds H, Danckwardt-Lillieström N, Tideholm B, Johansson A, Hellström S, Hakizimana P, Fridberger A - Sci Rep (2015)

(a) Change in air conduction thresholds 6 weeks after surgery. As in Fig. 2, the size of the dots correspond to number of patients. Horizontal lines denote the mean; vertical lines represent one standard deviation. (b) Change in average hearing thresholds across the frequencies 10 to 14 kHz as a function of patient age. (c) Surgically-induced hearing changes according to patient sex. Means ± standard deviation; size of dots correspond to number of patients. Red represents women, blue dots men.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4544016&req=5

f3: (a) Change in air conduction thresholds 6 weeks after surgery. As in Fig. 2, the size of the dots correspond to number of patients. Horizontal lines denote the mean; vertical lines represent one standard deviation. (b) Change in average hearing thresholds across the frequencies 10 to 14 kHz as a function of patient age. (c) Surgically-induced hearing changes according to patient sex. Means ± standard deviation; size of dots correspond to number of patients. Red represents women, blue dots men.
Mentions: Surgery was associated with a large gain of hearing at low frequencies, but this benefit decreased with stimulus frequency (Fig. 3a). Hence, 80% of patients (115 out of 144) had measurable air conduction thresholds at 10 kHz before surgery, but only 74% had detectable thresholds after surgery. The fraction of patients with measurable hearing thresholds changed from 65% to 57% at 12 kHz, and from 36 to 33% at 14 kHz.

Bottom Line: Young patients were significantly more likely to experience reduction of tinnitus and patients whose tinnitus became better were also more satisfied with the outcome of the operation.These findings have practical importance for patients and their surgeons.Young patients can be advised that surgery is likely to be beneficial for their tinnitus, but a less positive message should be conveyed to older patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Karolinska University Hospital, Stockholm, Sweden.

ABSTRACT
Otosclerosis is a common disorder that leads to conductive hearing loss. Most patients with otosclerosis also have tinnitus, and surgical treatment is known to improve hearing as well as tinnitus. Some patients however experience worsening of tinnitus after the operation, but there are no known factors that allow surgeons to predict who will be at risk. In this prospective observational study on 133 patients undergoing stapedotomy, we show that postoperative air conduction thresholds at very high stimulus frequencies predict improvement of tinnitus, as assessed with proportional odds logistic regression models. Young patients were significantly more likely to experience reduction of tinnitus and patients whose tinnitus became better were also more satisfied with the outcome of the operation. These findings have practical importance for patients and their surgeons. Young patients can be advised that surgery is likely to be beneficial for their tinnitus, but a less positive message should be conveyed to older patients.

No MeSH data available.


Related in: MedlinePlus