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Stapedectomy in Patients With Small Air‐Bone Gaps
Author(s) -
Lippy William H.,
Burkey John M.,
Schuring Arnold G.,
Rizer Franklin M.
Publication year - 1997
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199707000-00016
Subject(s) - stapedectomy , otosclerosis , bone conduction , medicine , surgery , stapes surgery , audiology
Controversy exists concerning stapedectomy for patients with small air‐bone gaps. The purpose of this study was to examine the results for patients who had a stapedectomy to correct a small (10 dB or less) air‐bone gap. One hundred fifty‐four patients with suspected otosclerosis were explored and a stapedectomy was performed in 136 (88.3%) of these cases. The mean pure‐tone average (PTA) improved 16.7 dB and overclosed the preoperative bone conduction PTA by 8.1 dB. The majority of the stapedectomy patients (89.7%) had a PTA closure greater than or equal to 0 dB. These results showed that stapedectomy can be an effective procedure for eliminating and overclosing even small air‐bone gaps due to otosclerosis.