Open AccessBalance after stapedectomy
Author(s) -
Mona Hamdy,
Mostafa El khousht,
Gamal Mohamed Elserafy,
Ahmed M. Saad,
Mohamed Saeed El Deeb
Publication year - 2022
Publication title -
international journal of health sciences (ijhs) (en línea)
Language(s) - English
Resource type - Journals
eISSN - 2550-6978
pISSN - 2550-696X
DOI - 10.53730/ijhs.v6ns1.5143
Subject(s) - stapedectomy , medicine , otosclerosis , posturography , vestibular system , bone conduction , prospective cohort study , surgery , balance (ability) , sensorineural hearing loss , cohort , audiology , hearing loss , physical therapy
Objective: To investigate the impact of stapedectomy on the vestibular system and analyze the relation of the vestibular changes to the operational and audiological properties.Patients and Methods: This is a prospective Cohort study including 50 otosclerosis patients underwent stapedectomy operation. Who were frequented on the ENT outpatient clinic of Elgalaa Military Medical Complex. The patients were investigated preoperatively, one week and one month postoperatively. Results: Preoperative and postoperative audiological assessment revealed that pure tone average was improved in 49 patients (98%) and remained constant in 1 patient (2%), no sensorineural hearing loss occurs among the study patients. After the first post-operative week, 2 patients (4%) showed decreased pure tone average scores that improved 1 month postoperatively to more than the pre-operative scores. Bone conduction average threshold was improved in 39 patients (78%), remained constant in 4 patients (8%) and decreased in 7 patients (14%). Sensory Organization Test (SOT) composite and vestibular scores at the first postoperative week testing improved in only 1 patient (2%) and diminished in 49 patients (98%) with stastically insignificant difference. However; at One month postoperatively, they recovered at least to preoperative level. Neither patient characteristics, nor audiological findings were found to be correlated with vestibular changes.