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2015 ; 5
(ä): 13341
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High-frequency hearing, tinnitus, and patient satisfaction with stapedotomy: A
randomized prospective study
#MMPMID26293121
Bagger-Sjöbäck D
; Strömbäck K
; Hultcrantz M
; Papatziamos G
; Smeds H
; Danckwardt-Lillieström N
; Tideholm B
; Johansson A
; Hellström S
; Hakizimana P
; Fridberger A
Sci Rep
2015[Aug]; 5
(ä): 13341
PMID26293121
show ga
Otosclerosis is a common disorder that leads to conductive hearing loss. Most
patients with otosclerosis also have tinnitus, and surgical treatment is known to
improve hearing as well as tinnitus. Some patients however experience worsening
of tinnitus after the operation, but there are no known factors that allow
surgeons to predict who will be at risk. In this prospective observational study
on 133 patients undergoing stapedotomy, we show that postoperative air conduction
thresholds at very high stimulus frequencies predict improvement of tinnitus, as
assessed with proportional odds logistic regression models. Young patients were
significantly more likely to experience reduction of tinnitus and patients whose
tinnitus became better were also more satisfied with the outcome of the
operation. These findings have practical importance for patients and their
surgeons. Young patients can be advised that surgery is likely to be beneficial
for their tinnitus, but a less positive message should be conveyed to older
patients.