Outcomes in primary and revision surgery for pediatric onset stapedial pathology.

Document Type

Article

Publication Date

3-1-2022

Publication Title

American journal of otolaryngology

Abstract

OBJECTIVES: To analyze audiometric outcomes of surgery for pediatric onset stapedial pathology (POSP).

STUDY DESIGN: Retrospective cohort study.

SETTING: Single-institution database.

METHODS: Retrospective analysis of 809 stapes procedures performed at a single high-volume tertiary referral otology practice, 75 of which were POSP cases.

RESULTS: Oval window drillout for thick footplate and aborting the procedure were more common in POSP cases compared to the rest of the cohort (28.0% versus 9.8% [p < .001] and 5.3% versus 1.2% [p = .007], respectively). Postoperative complications were rare. Postoperative Air-Bone Gap (pABG) closure to ≤20 dB was significantly lower in the POSP group (80.0% versus 89.0%, p = .021). Rates of sensorineural hearing loss (SNHL) were not different between the two groups. Poor audiometric outcomes in the POSP group were largely driven by revision cases; pABG≤10 dB was 60.3% in primary cases but only 11.8% in revisions (p < .001), and postoperative SNHL was significantly higher in revisions (29.4% versus 0.0%, p < .001). In multivariate analysis, POSP was not a predictor of successful closure of the pABG at either level, nor did it predict significant postoperative SNHL.

CONCLUSIONS: Surgery for pediatric onset stapedial pathology had significantly worse audiometric outcomes, particularly in revision cases, as compared to the rest of the cohort.

Volume

43

Issue

2

First Page

103362

DOI

10.1016/j.amjoto.2021.103362

ISSN

1532-818X

PubMed ID

34972000

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