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10.1097/MAO.0000000000001214

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suck abstract from ncbi


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pmid27668792
      Otol+Neurotol 2016 ; 37 (10 ): 1482-1488
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  • Minimally Invasive Surgery for the Treatment of Hyperacusis #MMPMID27668792
  • Silverstein H ; Ojo R ; Daugherty J ; Nazarian R ; Wazen J
  • Otol Neurotol 2016[Dec]; 37 (10 ): 1482-1488 PMID27668792 show ga
  • OBJECTIVE: To evaluate the efficacy of a minimally invasive surgical procedure in patients with severe hyperacusis. STUDY DESIGN: Prospective, longitudinal design. SETTING: Tertiary referral center. PATIENTS: Adult patients with history of severe hyperacusis. INTERVENTION: Using a transcanal approach, the round and oval window was reinforced with temporalis fascia or tragal perichondrium in six subjects (nine ears) and was subdivided into two groups (unilateral or bilateral reinforcement procedure). MAIN OUTCOME MEASURES: Pre- and postoperative noise tolerance was measured using uncomfortable loudness level (ULL) test scores. In addition, a self-report hyperacusis questionnaire (HQ) was used to assess hypersensitivity to sound before and after the intervention. RESULTS: Analysis of the data reveals improved postoperative mean ULL test scores of 14?dB (confidence interval [CI], 70-98?dB) in the unilateral group. For the bilateral group, improved mean scores were 13?dB (CI, 63-88?dB) in the first ear and 8?dB (CI, 71-86?dB) for the second ear. Further, a negative linear trend was observed in the mean subjective scores for the HQ when both groups measures were analyzed together decreasing from a mean score of 32.0 (standard deviation [SD]?=?3.32) preoperative to a mean score of 11.5 (SD?=?7.42) after surgery. Postoperatively, the patients reported no change in hearing and improved quality of life after the procedure. CONCLUSION: The results suggest that reinforcement of the round and oval window with temporalis fascia or tragal perichondrium may offer significant benefit for individuals with severe hyperacusis that has not responded to traditional therapy. ULL scores and self-report measures postoperatively demonstrate improved noise tolerance, high patient satisfaction, and enhanced quality of life.
  • |Aged [MESH]
  • |Female [MESH]
  • |Hearing [MESH]
  • |Hearing Tests [MESH]
  • |Humans [MESH]
  • |Hyperacusis/*surgery [MESH]
  • |Middle Aged [MESH]
  • |Minimally Invasive Surgical Procedures/*methods [MESH]
  • |Otologic Surgical Procedures/*methods [MESH]
  • |Patient Satisfaction [MESH]
  • |Prospective Studies [MESH]
  • |Quality of Life [MESH]
  • |Surveys and Questionnaires [MESH]


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