今日の臨床サポート 今日の臨床サポート
関連論文:
img  1:  Decision making in advanced otosclerosis: an evidence-based strategy.
 
著者: Paul Merkus, Maarten C van Loon, Conrad F Smit, Cas Smits, Adrianus F C de Cock, Erik F Hensen
雑誌名: Laryngoscope. 2011 Sep;121(9):1935-41. doi: 10.1002/lary.21904. Epub 2011 Aug 16.
Abstract/Text OBJECTIVES/HYPOTHESIS: To propose an evidence-based strategy for the management of patients with advanced otosclerosis accompanied by severe to profound hearing loss.
STUDY DESIGN: Systematic review of the literature and development of treatment guidelines.
METHODS: A systematic review was conducted on (advanced) otosclerosis and cochlear implantation or stapedotomy. We focused on hearing results, radiological findings, and surgical complications. Based on the results of the literature review and our own experience, we suggest a strategy to make decisions for the treatment of patients with advanced otosclerosis.
RESULTS: In cases of severe mixed hearing loss due to advanced otosclerosis, hearing aids may not result in optimal hearing rehabilitation, and cochlear implantation can be considered. However, there could be specific surgical dilemmas concerning cochlear implantation in advanced otosclerosis due to otospongiotic foci around, and otosclerotic foci within, the cochlea. Decision making in these patients can be difficult, especially because a stapedotomy may still be an effective treatment next to hearing aids. An algorithm is presented, based on the speech discrimination score, computed tomography classification and the air-bone gap, which will guide the surgeon to either cochlear implantation, stapedotomy, or a hearing aid and follow-up.
CONCLUSIONS: To achieve optimal hearing with minimal disadvantages in patients with otosclerosis and severe to profound hearing loss, an algorithm can help in the selection of patients for either cochlear implantation, stapedotomy, or hearing aids and follow-up.

Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
PMID 22024848  Laryngoscope. 2011 Sep;121(9):1935-41. doi: 10.1002/lary.21904. Epub 2011 Aug 16.
戻る

さらなるご利用にはご登録が必要です。

こちらよりご契約または優待日間無料トライアルお申込みをお願いします。

(※トライアルご登録は1名様につき、一度となります)


ご契約の場合はご招待された方だけのご優待特典があります。

以下の優待コードを入力いただくと、

契約期間が通常12ヵ月のところ、14ヵ月ご利用いただけます。

優待コード: (利用期限:まで)

ご契約はこちらから