دورية أكاديمية
أعرض في EDS

Oval and round window reinforcement surgery leads to improvements in sound tolerance and quality of life for hyperacusis patients.

التفاصيل البيبلوغرافية
العنوان: Oval and round window reinforcement surgery leads to improvements in sound tolerance and quality of life for hyperacusis patients.
المؤلفون: Young A; Ear Research foundation, 1901 Floyd Street, Sarasota, FL 34239, United States of America., Holmes S; Ear Research foundation, 1901 Floyd Street, Sarasota, FL 34239, United States of America., Nayak N; Ear Research foundation, 1901 Floyd Street, Sarasota, FL 34239, United States of America., Silverstein H; Ear Research foundation, 1901 Floyd Street, Sarasota, FL 34239, United States of America. Electronic address: Hsilverste@aol.com.
المصدر: American journal of otolaryngology [Am J Otolaryngol] 2024 May-Jun; Vol. 45 (3), pp. 104231. Date of Electronic Publication: 2024 Mar 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Saunders Country of Publication: United States NLM ID: 8000029 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-818X (Electronic) Linking ISSN: 01960709 NLM ISO Abbreviation: Am J Otolaryngol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Cherry Hill, N. J., Saunders.
مواضيع طبية MeSH: Quality of Life* , Hyperacusis*/surgery , Round Window, Ear*/surgery, Humans ; Male ; Female ; Retrospective Studies ; Adult ; Middle Aged ; Treatment Outcome ; Aged ; Otologic Surgical Procedures/methods
مستخلص: Purpose: Hyperacusis is an audiological disorder in which patients become persistently sensitive and intolerant to everyday environmental sounds. For those patients that fail conservative options, a minimally invasive surgical procedure has been developed.
Materials & Methods: Retrospective case series of 73 adult patients with hyperacusis who underwent oval and round window reinforcement surgery between 1/2017-6/2023. Small pieces of temporalis fascia were used to reinforce the round and oval windows. Patients were separated into two groups based on their preoperative speech Loudness Discomfort Level (LDL). Patients with a preoperative speech LDL ≤ 70 dB were placed in the "low LDL group" whereas patients with a preoperative speech LDL >70 dB were placed in the "high LDL group." Preoperative and one-week postoperative audiogram and speech LDLs were compared. Quality of life was assessed using the Glasgow Benefit Inventory (GBI) survey.
Results: 73 patients met inclusion criteria - 21 patients in the low LDL group and 52 in the high LDL group. Patients in the high LDL group significantly improved their LDLs by an average of 3.5 dB (P < 0.0001). 42 patients (80.8 %) in the high LDL group had improvement and would recommend the surgery for hyperacusis. Patients in the low LDL group significantly improved their LDL by an average of 12.9 dB (P = 0.032). Ten patients (47.6 %) from the low LDL group experienced improvement and would recommend hyperacusis surgery.
Conclusion: Many patients with hyperacusis who undergo oval and round window reinforcement can receive significant improvement in sound tolerance and quality of life. Patients with a pre-op speech LDL > 70 dB have the greatest potential for improvement with surgery (80.8 %), probably because their hyperacusis was less severe. In the high LDL group(>70dB) the improvement in 1-10 scale went from 8.6 pre-op to 2.4 post op. In the low LDL group(<70dB) went from 9.2 pre-op to 6.8 post-op. These findings were consistent with the GBI results.
(Copyright © 2024. Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Hyperacusis; Oval and round window reinforcement
تواريخ الأحداث: Date Created: 20240321 Date Completed: 20240505 Latest Revision: 20240505
رمز التحديث: 20240506
DOI: 10.1016/j.amjoto.2024.104231
PMID: 38513514
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-818X
DOI:10.1016/j.amjoto.2024.104231