Postoperative Audiometric Results of Patients with Otosclerosis in relation with High-resolution Computed Tomography and Intraoperative Macroscopic Findings

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dc.authoridDERE, HACI HUSEYIN/0000-0003-0750-9590
dc.contributor.authorKarakus, Mehmet Fatih
dc.contributor.authorColak, Mustafa
dc.contributor.authorOzcan, Kursat Murat
dc.contributor.authorIkinciogullari, Aykut
dc.contributor.authorEnsari, Serdar
dc.contributor.authorDere, Haci Huseyin
dc.date.accessioned2024-09-29T16:07:49Z
dc.date.available2024-09-29T16:07:49Z
dc.date.issued2021
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjective: To analyse postoperative audiological findings in fenestral otosclerosis patients treated with stapedotomy, focal location-extensiveness findings on temporal high-resolution computed tomography (HRCT), and intraoperative macroscopic stapes footplate findings. Moreover, preoperative audiological findings were compared with HRCT and intraoperative macroscopic findings. Study Design: An observational study. Place and Duration of Study: Department of Otorhinolaryngology, University of Health Sciences, Ankara Numune Training and Research Hospital, Turkey from January 2015 to January 2018. Methodology: Patients were classified according to the temporal bone HRCT findings into three groups based on otosclerotic focus location and extensiveness. Macroscopic classification was based on the intraoperative findings of blue and white footplate. Patients with obliterative otosclerosis were not included in the study. Preoperative and postoperative audiological findings as well as surgical success were investigated. Findings were compared with HRCT and macroscopic classification groups. Results: Postoperative air bone gap (ABG) increased as HRCT class increased from 0 to 3, meaning a more extensive otosclerotic focus (p=0.002). The comparison of the audiological outcomes, in accordance with the intraoperative findings, revealed that the postoperative air conduction pure-tone averages (AC PTA), ABG and ABG difference were higher in the white footplate group, with statistically significant differences compared to blue footplate group (p = 0.039, p = 0.001 and p=0.029, respectively). Conclusion: Postoperative audiological findings were found to be correlated with intraoperative and HRCT findings. A white footplate seen at surgery or a more extensive otosclerotic focus on temporal HRCT indicates a suboptimal audiological outcome. HRCT findings should be taken into account when planning the surgery.en_US
dc.identifier.doi10.29271/jcpsp.2021.08.969
dc.identifier.endpage974en_US
dc.identifier.issn1022-386X
dc.identifier.issn1681-7168
dc.identifier.issue8en_US
dc.identifier.pmid34320717en_US
dc.identifier.scopus2-s2.0-85112012427en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage969en_US
dc.identifier.urihttps://doi.org/10.29271/jcpsp.2021.08.969
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7199
dc.identifier.volume31en_US
dc.identifier.wosWOS:000678080000017en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherColl Physicians & Surgeons Pakistanen_US
dc.relation.ispartofJcpsp-Journal of the College of Physicians and Surgeons Pakistanen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectOtosclerosisen_US
dc.subjectTemporal bone HRCTen_US
dc.subjectFootplate coloren_US
dc.subjectStapedotomyen_US
dc.subjectAudiometryen_US
dc.titlePostoperative Audiometric Results of Patients with Otosclerosis in relation with High-resolution Computed Tomography and Intraoperative Macroscopic Findingsen_US
dc.typeArticleen_US

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