Document Detail


Congenital absence of the oval window: diagnosis, surgery, and audiometric outcomes.
MedLine Citation:
PMID:  18199954     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review the surgical management and outcomes of patients with congenital absence of the oval window (CAOW) undergoing the oval window drill-out (OWD) procedure. STUDY DESIGN AND SETTING: A retrospective chart review of patients with CAOW seen in a tertiary care otologic practice between 1991 and 2006. PATIENTS/INTERVENTION: Patients with CAOW undergoing OWD procedure. MAIN OUTCOME MEASURES: Findings at surgery and preoperative and postoperative audiometric outcomes (air and bone conduction thresholds; speech reception threshold). RESULTS: Seventeen ears underwent OWD for CAOW. Four cases were aborted. For the 13 subject ears, average 1-month postoperative 4-tone air conduction and speech reception thresholds were significantly lower than preoperative thresholds. Long-term follow-up (average, 20 months) air conduction and speech reception thresholds were also significantly lower but showed a slight worsening of thresholds compared with the 1-month postoperative results. Speech discrimination scores and bone conduction thresholds remained stable. CONCLUSION: OWD may be a viable operation for patients with CAOW, although longer follow-up is needed. Given the mixed hearing results in the current patient series, we have tempered our enthusiasm for this operation. Technically challenging, this procedure nevertheless can improve patients' hearing with minimal morbidity. Revision surgery did not result in improved outcome.
Authors:
Alessandro de Alarcon; Robert A Jahrsdoerfer; Bradley W Kesser
Related Documents :
23354624 - Impact of anticancer treatment on recurrent obstruction in covered metallic stents for ...
23461074 - The clinical course of sarcoidosis: presentation, diagnosis, and treatment in a large w...
17473694 - Cranial nerve involvement in malignant external otitis: implications for clinical outcome.
24419064 - Five-year safety evaluation of maraviroc in hiv-1-infected treatment-experienced patients.
12100914 - A prospective, multicenter, randomized, double-blind study comparing ertapenem and ceft...
23997964 - Effects of low-level laser therapy, 660 nm, in experimental septic arthritis.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology     Volume:  29     ISSN:  1531-7129     ISO Abbreviation:  Otol. Neurotol.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-17     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  23-8     Citation Subset:  IM    
Affiliation:
University of Virginia, Department of Otolaryngology-Head and Neck Surgery, Charlottesville, Virginia 22908-0713, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Audiometry, Pure-Tone
Bone Conduction
Child
Child, Preschool
Ear Canal / surgery
Female
Humans
Incus / radiography,  surgery
Male
Malleus / radiography,  surgery
Otologic Surgical Procedures*
Oval Window, Ear / abnormalities*,  surgery*
Retrospective Studies
Stapes / radiography
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Management of chronic otitis by middle ear obliteration with blind sac closure of the external audit...
Next Document:  Meniett device for Ménière's disease: use and compliance at 3 to 5 years.