Home

Features of diagnosis and surgical treatment of otosclerosis in the PSMU clinic of otolaryngologic diseases

Written by Gilifanov Е.А.

  UDK: 616.284-004-07-089.844 | Pages: 62–65 | Full text PDF | Open PDF 

Annotation:

Objective. The study objective is to analyze the difficulties arising during the operation on the stapes.
Methods. Carried out the analysis of 86 kofosurgical interventions performed to the extent of small fenestral stapedectomy according to Causse. The closest audiological results were evaluated in 50 cases.
Results. Difficulties that could affect the results of surgical treatment were registered in 24 cases (27.9 %) and divided into two groups: preoperative and intraoperative. The first group (9 episodes) included a narrow auditory meatus, a short neck, an overhang of the facial nerve canal, a thick foot plate. The second group (15 episodes) includes insufficient anesthesia, «floating stapes», stapedectomy, anvil dislocation, bleeding, psychoemotional instability. The closest audiological results of 50 operations presented after 2 months showed excellent results in 82 %, good results in 14 %, satisfactory results in 4 % of cases.
Conclusions. A thorough preoperative examination of the patient, including a computer tomography of the temporal bone, an audiologic examination, a good theoretical and technical training of the surgeon, is the key to restoring or improving hearing in people with otosclerosis. The technique of operation on the Causse allows to obtain excellent and good results in 96 % of observations.

Links to authors:
Е.А. Gilifanov
Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690950 Russian Federation)


1. Azorceva E.A., Zubareva A.A, Filimonov V.N. Surgically significant features of the anatomical structure of the labyrinth wall of the tympanic cavity in patients with otosclerosis, revealed by the data of cone-beam computed tomography// Russian Otorhinolaryngology. 2016. No. 3. P. 11–15.
2. Bodrova I.V. Kulakova L.A. Specification of anatomo-topographic features of the window area of the vestibule before stapedoplasty according to the data of multispiral computed tomography // Bulletin of Siberian Medicine. 2012. No. 5. P. 39–44.
3. Vishnjakov V.V., Svistushkin V.M., Sin›kov Je.V. Modern high-energy laser technologies in the surgical treatment of patients with otosclerosis // Herald of otorhinolaryngology. 2017. No. 1. P. 56–58.
4. Gilifanov E.A., Ardeeva L.B., Fomina S.L. [et al.]. To the 55th anniversary of the department and clinic of otorhinolaryngology of the Pacific State Medical University // Herald of otorhinolaryngology. 2016. No. 4. P. 78–82.
5. Gilifanov E.A. Ichenko V.B., Lepejko B.A. [et al.]. The incidence rates of hospitalized otorhinolaryngological patients (according to the data of the ENT department of Municipal Clinical Hospital № 1 in Vladivostok) from 2006 to 2008 // Herald of Otorhinolaryngology. 2009. No. 5 (Suppl.). P. 14–15.
6. Elovikov A.M., Lilenko S.V. Results of surgical treatment of various stages of otosclerosis. // Russian Otorhinolaryngology. 2014. No. 4. P. 49–52.
7. Kiselev A.S. Triumph and tragedy (from the history of world otho-surgery) // Journal of Ear, Nasal, and Throat Diseases. 2012. No. 6. P. 65–74.
8. Korvjakov V.S., Diab H.M., Dajhes N.A. [et al.]. Some features of stapedoplasty in patients with otosclerosis // Russian Otorhinolaryngology. 2016. No. 2. P. 50–53.
9. Krjukov A.I., Garov E.V. Zelenkova V.N. [et al.]. Results of piston stapedoplasty with laser assist in otosclerosis // Herald of Otorhinolaryngology. 2013. No. 2. P. 17–20.
10. Ponamarev A.F., Rapovka V.G., Sobolevskaja O.A. Pages of the history of surgery in the Primorye Territory // Pacific Medical Journal. 2013. No. 3. P. 99–102.
11. Tos M. Manual on the surgery of the middle ear. Surgical solution with conductive hearing loss / Trans. by ed. A.V. Starokhi. Tomsk: Siberian State Medical University, 2012. 274 p.
12. Shumatov V.B., Krukovich E.V., Nevzorova V.A. [et al.]. Pacific State Medical University – a strategic center for the development of medical education and science in the Far East // Pacific Medical Journal. 2013. No. 4. P. 6–9.
13. Justicz N., Strickland K.F., Motamedi K.K. [et al.]. Review of a single surgeon›s stapedotomy cases performed with a nickel titanium prosthesis over a 14-year period // Acta Otolaryngol. 2017. Vol. 137, No. 4. Р. 442–446.
14. Parra C., Trunet S., Granger B. [et al.]. Imaging criteria to predict surgical difficulties during stapes surgery // Otol. Neurotol. 2017. Vol. 38, No. 6. Р. 815–821.
15. Strömbäck K., Lundman L., Bjorsne A. [et al.]. Stapes surgery in Sweden: evaluation of a national-based register // Eur. Arch. Otorhinolaryngol. 2017. Vol. 274, No. 6. Р. 2421–2427.

PUBLISHER: "MEDITSYNA DV"

Founded in 1997  |  Editions in a year: 4, Articles in one issue: 30 |  ISSN of print version: 1609-1175  |  Ind.: 18410 (Agency "Rospechat’")  |  Edition: 1000 c.