Open AccessPredictors for Outcomes in Pediatric Stapedectomy
Author(s) -
Zang Richard,
Neilan Ryan E,
Isaacson Brandon,
Roland Peter S.,
Lee Kenneth H.,
Kutz J. Walter
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811416318a185
Subject(s) - stapedectomy , footplate , medicine , otosclerosis , surgery , fixation (population genetics) , audiogram , stapes , prosthesis , retrospective cohort study , hearing loss , audiology , population , middle ear , mechanical engineering , environmental health , engineering
Objective Identify predictive factors for successful stapedectomy in children under 17 years old. Method A retrospective chart review was performed from January 1, 1999 until January 1, 2011, to identify patients under 17 years old who underwent a stapedectomy. Age, gender, pre‐ and postoperative audiograms, intraoperative findings including cause of stapes fixation, type of prosthesis used, and complications were recorded. Results Eighteen children were identified who had undergone a stapedectomy. The cause of fixation included otosclerosis (n = 7), congenital footplate fixation (n = 9), and unknown cause (n = 2). The overall mean preoperative air‐bone gap (ABG) was 35.7 dB (±10.4), compared with a postoperative mean ABG of 15.1 (±15.6) ( P < 000.1). The mean postoperative ABG of 14.5 (±5.3) in the congenital footplate fixation group was lower than the mean postoperative ABG of 24.25 dB (±5.8) in children with otosclerosis, although this did not reach statistical significance ( P = 0.236). One patient developed profound sensorineural hearing loss three weeks after surgery. Conclusion Pediatric stapedectomy has comparable results with stapedectomy in adults regardless of the cause of stapes fixation.