| Patients' perceived outcomes after stapedectomy for otosclerosis. | |
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MedLine Citation:
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PMID: 11107689 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We conducted a retrospective study of 29 patients who had undergone stapedectomy for otosclerosis to determine how well their subjective perceptions of hearing improvement correlated with objective audiometric measurements. Patients expressed their assessments of hearing function by completing two versions of the Hearing Disability and Handicap Scale (HDHS). One version of the HDHS was based on patients' retrospective recollections of their hearing impairment prior to surgery, and the other reflected their assessment of their current function. We evaluated these HDHS data both separately and in conjunction with pre- and postoperative audiometric findings. Following surgery, the group's mean pure-tone average improved significantly, from 58 to 27 dB--that is, the average patient had a moderately severe hearing loss preoperatively and only a mild hearing loss postoperatively. Significant improvement was also reflected in the difference between the mean pre- and postoperative HDHS scores, although some patients indicated that they experienced almost no improvement. Overall, our findings indicated that there was a relationship between objective and subjective assessments of hearing improvement following surgery, but that it was weak. Although most patients perceived significant improvement, the degree of that perceived improvement cannot be predicted from the pure-tone audiogram. We conclude, therefore, that a significant difference between audiometric findings and HDHS self-assessments is useful in identifying patients who might benefit from additional counseling and/or aural rehabilitation. |
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Authors:
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S E Meyer; C A Megerian |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Ear, nose, & throat journal Volume: 79 ISSN: 0145-5613 ISO Abbreviation: Ear Nose Throat J Publication Date: 2000 Nov |
Date Detail:
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Created Date: 2000-12-27 Completed Date: 2000-12-27 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7701817 Medline TA: Ear Nose Throat J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 846-8, 851-2, 854 passim Citation Subset: IM |
Affiliation:
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Department of Communication Disorders, Worcester State College, MA 01602, USA. smeyer@worcester.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Audiometry, Pure-Tone* Female Hearing Loss, Conductive* / psychology, rehabilitation, surgery Humans Male Otosclerosis / surgery* Patient Satisfaction* Questionnaires Recovery of Function Retrospective Studies Severity of Illness Index Stapes Surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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