PMID- 31356485
OWN - NLM
STAT- MEDLINE
DCOM- 20200610
LR  - 20200610
IS  - 1537-4505 (Electronic)
IS  - 1531-7129 (Linking)
VI  - 40
IP  - 8
DP  - 2019 Sep
TI  - Outcomes of Primary Pediatric Stapedotomy.
PG  - 1054-1058
LID - 10.1097/MAO.0000000000002331 [doi]
AB  - OBJECTIVE: To review a single institution experience with pediatric stapedotomy 
      for juvenile otosclerosis (JO), congenital stapes footplate fixation (CSFF), or 
      tympanosclerosis. STUDY DESIGN: Retrospective chart review. SETTING: Tertiary 
      referral center. PATIENTS: Pediatric patients undergoing surgery for stapes 
      fixation from 2001 to 2017. MAIN OUTCOME MEASURES: Hearing result based on 
      preoperative, first postoperative, and final postoperative pure-tone average 
      air-bone gap (PTA-ABG). Age, sex, diagnosis, procedure performed, prosthesis, and 
      ossicular anomalies were considered. RESULTS: A total of 59 children (4-16 years 
      of age) underwent surgery for stapes fixation (67 ears), with an average 
      postoperative audiogram out to 2.88 years. Final postoperative ABG for 
      tympanosclerosis (30.4 dB +/- 10.9 dB) showed some improvement but the outcome was 
      significantly worse than in CSFF (21.0 dB +/- 11.4 dB) (p = 0.020) and JO 
      (22.8 dB +/- 14.9 dB). CONCLUSION: Our data suggest, that in our clinic, surgery 
      for stapes fixation is safe to perform in children. While we achieved desirable 
      results for JO and CSFF, patients with tympanosclerosis showed a statistically 
      worse hearing outcome. Tympanosclerosis deserves special consideration and may be 
      better served with a malleovestibulopexy, total ossicular replacement prosthesis 
      (TORP), or amplification in lieu of traditional stapes surgery.
FAU - Page, Joshua Cody
AU  - Page JC
AD  - Division of Otology and Neurotology, Department of Otolaryngology-Head and Neck 
      Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
FAU - Gau, Victoria L
AU  - Gau VL
FAU - Allsopp, Tristan
AU  - Allsopp T
FAU - King, DeAnne
AU  - King D
FAU - Jervis-Bardy, Joshua
AU  - Jervis-Bardy J
FAU - Dornhoffer, John L
AU  - Dornhoffer JL
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Otol Neurotol
JT  - Otology & neurotology : official publication of the American Otological Society, 
      American Neurotology Society [and] European Academy of Otology and Neurotology
JID - 100961504
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Hearing Loss, Conductive/surgery
MH  - Humans
MH  - Male
MH  - Postoperative Complications/epidemiology/etiology
MH  - Retrospective Studies
MH  - Stapes Surgery/*methods
MH  - *Treatment Outcome
EDAT- 2019/07/30 06:00
MHDA- 2020/06/11 06:00
CRDT- 2019/07/30 06:00
PHST- 2019/07/30 06:00 [pubmed]
PHST- 2020/06/11 06:00 [medline]
PHST- 2019/07/30 06:00 [entrez]
AID - 10.1097/MAO.0000000000002331 [doi]
PST - ppublish
SO  - Otol Neurotol. 2019 Sep;40(8):1054-1058. doi: 10.1097/MAO.0000000000002331.