Document Detail

Patients' perceived outcomes after stapedectomy for otosclerosis.
MedLine Citation:
PMID:  11107689     Owner:  NLM     Status:  MEDLINE    
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.
S E Meyer; C A Megerian
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  79     ISSN:  0145-5613     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-27     Completed Date:  2000-12-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  846-8, 851-2, 854 passim     Citation Subset:  IM    
Department of Communication Disorders, Worcester State College, MA 01602, USA.
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MeSH Terms
Audiometry, Pure-Tone*
Hearing Loss, Conductive* / psychology,  rehabilitation,  surgery
Otosclerosis / surgery*
Patient Satisfaction*
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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