[Comparative evaluation of vertigo in patients after stapedotomy and stapedectomy].
Identifieur interne : 000481 ( Main/Corpus ); précédent : 000480; suivant : 000482[Comparative evaluation of vertigo in patients after stapedotomy and stapedectomy].
Auteurs : Kinga Harmat ; Gergely Thurén ; Lászl Simon ; Nelli Nepp ; Adrienn Németh ; Imre Gerlinger ; Péter BakSource :
- Orvosi hetilap [ 0030-6002 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- methods : Stapes Surgery.
- physiology : Hearing.
- surgery : Vertigo.
- Humans, Postoperative Period, Treatment Outcome, Vestibular Function Tests.
Abstract
INTRODUCTION AND AIM
The reason of gradually developing conductive hearing loss in otosclerotic patients is the ossification of the stapes footplate to the surrounding bony structures and the therapy of stapes fixation is mainly surgical. In stapedotomy the footplate of the stapes is fenestrated with laser and microdrill in a diameter of 0.8 mm, whereas in stapedectomy there is complete removal of the footplate followed by the reconstruction of the ossicular chain. In the early postoperative period, temporary vertigo is frequently recorded which significantly influences the recovery.
METHOD
In the Department of Otorhinolaryngology, University of Pécs both stapedectomy and stapedotomy were performed on a daily basis between 01.02.2010 and 15.03.2012. Our study focused on comparing the degree of postoperative vertigo after the two types of surgery. We hypothesized that the smaller fenestration of the stapes footplate during stapedotomy limits exposure to the inner ear reducing the severity of dizziness. Vertigo was evaluated subjectively with a retrospective questionnaire and objectively with static posturography.
RESULTS
On the 1st postoperative day, significantly fewer patients reported vertigo in the stapedotomy group and with significantly lower intensity. Results of the questionnaire regarding the later postoperative period showed no significant differences between the groups. Based on the analysis of the posturography test results, no significant difference was detected between the postoperative stability of the two groups. Results of the questionnaire and the posturography showed no correlation. Posturography test results did not confirm the presence of subjective vertigo.
CONCLUSION
Many factors may play a role in the development of vertigo after stapes surgery, but the type of intervention does not influence it. Orv Hetil. 2017; 158(38): 1503-1511.
DOI: 10.1556/650.2017.30843
PubMed: 28920722
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pubmed:28920722Le document en format XML
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Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.</nlm:affiliation></affiliation></author><author><name sortKey="Nepp, Nelli" sort="Nepp, Nelli" uniqKey="Nepp N" first="Nelli" last="Nepp">Nelli Nepp</name><affiliation><nlm:affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</nlm:affiliation></affiliation></author><author><name sortKey="Nemeth, Adrienn" sort="Nemeth, Adrienn" uniqKey="Nemeth A" first="Adrienn" last="Németh">Adrienn Németh</name><affiliation><nlm:affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</nlm:affiliation></affiliation></author><author><name sortKey="Gerlinger, Imre" sort="Gerlinger, Imre" uniqKey="Gerlinger I" first="Imre" last="Gerlinger">Imre Gerlinger</name><affiliation><nlm:affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</nlm:affiliation></affiliation></author><author><name sortKey="Bak, Peter" sort="Bak, Peter" uniqKey="Bak P" first="Péter" last="Bak">Péter Bak</name><affiliation><nlm:affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28920722</idno><idno type="pmid">28920722</idno><idno type="doi">10.1556/650.2017.30843</idno><idno type="wicri:Area/Main/Corpus">000481</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000481</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Comparative evaluation of vertigo in patients after stapedotomy and stapedectomy].</title><author><name sortKey="Harmat, Kinga" sort="Harmat, Kinga" uniqKey="Harmat K" first="Kinga" last="Harmat">Kinga Harmat</name><affiliation><nlm:affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</nlm:affiliation></affiliation></author><author><name sortKey="Thuren, Gergely" sort="Thuren, Gergely" uniqKey="Thuren G" first="Gergely" last="Thurén">Gergely Thurén</name><affiliation><nlm:affiliation>Arc-, Állcsont- és Szájsebészeti Osztály, Markusovszky Egyetemi Oktatókórház Szombathely.</nlm:affiliation></affiliation></author><author><name sortKey="Simon, Laszl" sort="Simon, Laszl" uniqKey="Simon L" first="Lászl" last="Simon">Lászl Simon</name><affiliation><nlm:affiliation>Anatómiai, Szövet- és Fejlődéstani Intézet, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.</nlm:affiliation></affiliation></author><author><name sortKey="Nepp, Nelli" sort="Nepp, Nelli" uniqKey="Nepp N" first="Nelli" last="Nepp">Nelli Nepp</name><affiliation><nlm:affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</nlm:affiliation></affiliation></author><author><name sortKey="Nemeth, Adrienn" sort="Nemeth, Adrienn" uniqKey="Nemeth A" first="Adrienn" last="Németh">Adrienn Németh</name><affiliation><nlm:affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</nlm:affiliation></affiliation></author><author><name sortKey="Gerlinger, Imre" sort="Gerlinger, Imre" uniqKey="Gerlinger I" first="Imre" last="Gerlinger">Imre Gerlinger</name><affiliation><nlm:affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</nlm:affiliation></affiliation></author><author><name sortKey="Bak, Peter" sort="Bak, Peter" uniqKey="Bak P" first="Péter" last="Bak">Péter Bak</name><affiliation><nlm:affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Orvosi hetilap</title><idno type="ISSN">0030-6002</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Hearing (physiology)</term><term>Humans (MeSH)</term><term>Postoperative Period (MeSH)</term><term>Stapes Surgery (methods)</term><term>Treatment Outcome (MeSH)</term><term>Vertigo (surgery)</term><term>Vestibular Function Tests (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Stapes Surgery</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Hearing</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Vertigo</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Postoperative Period</term><term>Treatment Outcome</term><term>Vestibular Function Tests</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION AND AIM</b></p><p>The reason of gradually developing conductive hearing loss in otosclerotic patients is the ossification of the stapes footplate to the surrounding bony structures and the therapy of stapes fixation is mainly surgical. In stapedotomy the footplate of the stapes is fenestrated with laser and microdrill in a diameter of 0.8 mm, whereas in stapedectomy there is complete removal of the footplate followed by the reconstruction of the ossicular chain. In the early postoperative period, temporary vertigo is frequently recorded which significantly influences the recovery.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>In the Department of Otorhinolaryngology, University of Pécs both stapedectomy and stapedotomy were performed on a daily basis between 01.02.2010 and 15.03.2012. Our study focused on comparing the degree of postoperative vertigo after the two types of surgery. We hypothesized that the smaller fenestration of the stapes footplate during stapedotomy limits exposure to the inner ear reducing the severity of dizziness. Vertigo was evaluated subjectively with a retrospective questionnaire and objectively with static posturography.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>On the 1st postoperative day, significantly fewer patients reported vertigo in the stapedotomy group and with significantly lower intensity. Results of the questionnaire regarding the later postoperative period showed no significant differences between the groups. Based on the analysis of the posturography test results, no significant difference was detected between the postoperative stability of the two groups. Results of the questionnaire and the posturography showed no correlation. Posturography test results did not confirm the presence of subjective vertigo.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Many factors may play a role in the development of vertigo after stapes surgery, but the type of intervention does not influence it. Orv Hetil. 2017; 158(38): 1503-1511.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28920722</PMID><DateCompleted><Year>2017</Year><Month>11</Month><Day>16</Day></DateCompleted><DateRevised><Year>2017</Year><Month>11</Month><Day>28</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0030-6002</ISSN><JournalIssue CitedMedium="Print"><Volume>158</Volume><Issue>38</Issue><PubDate><Year>2017</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Orvosi hetilap</Title><ISOAbbreviation>Orv Hetil</ISOAbbreviation></Journal><ArticleTitle>[Comparative evaluation of vertigo in patients after stapedotomy and stapedectomy].</ArticleTitle><Pagination><MedlinePgn>1503-1511</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1556/650.2017.30843</ELocationID><Abstract><AbstractText Label="INTRODUCTION AND AIM" NlmCategory="OBJECTIVE">The reason of gradually developing conductive hearing loss in otosclerotic patients is the ossification of the stapes footplate to the surrounding bony structures and the therapy of stapes fixation is mainly surgical. In stapedotomy the footplate of the stapes is fenestrated with laser and microdrill in a diameter of 0.8 mm, whereas in stapedectomy there is complete removal of the footplate followed by the reconstruction of the ossicular chain. In the early postoperative period, temporary vertigo is frequently recorded which significantly influences the recovery.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">In the Department of Otorhinolaryngology, University of Pécs both stapedectomy and stapedotomy were performed on a daily basis between 01.02.2010 and 15.03.2012. Our study focused on comparing the degree of postoperative vertigo after the two types of surgery. We hypothesized that the smaller fenestration of the stapes footplate during stapedotomy limits exposure to the inner ear reducing the severity of dizziness. Vertigo was evaluated subjectively with a retrospective questionnaire and objectively with static posturography.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">On the 1st postoperative day, significantly fewer patients reported vertigo in the stapedotomy group and with significantly lower intensity. Results of the questionnaire regarding the later postoperative period showed no significant differences between the groups. Based on the analysis of the posturography test results, no significant difference was detected between the postoperative stability of the two groups. Results of the questionnaire and the posturography showed no correlation. Posturography test results did not confirm the presence of subjective vertigo.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Many factors may play a role in the development of vertigo after stapes surgery, but the type of intervention does not influence it. Orv Hetil. 2017; 158(38): 1503-1511.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Harmat</LastName><ForeName>Kinga</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thurén</LastName><ForeName>Gergely</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Arc-, Állcsont- és Szájsebészeti Osztály, Markusovszky Egyetemi Oktatókórház Szombathely.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Simon</LastName><ForeName>László</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Anatómiai, Szövet- és Fejlődéstani Intézet, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nepp</LastName><ForeName>Nelli</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Németh</LastName><ForeName>Adrienn</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gerlinger</LastName><ForeName>Imre</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bakó</LastName><ForeName>Péter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Munkácsy Mihály u. 2., 7621.</Affiliation></AffiliationInfo></Author></AuthorList><Language>hun</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Posztoperatív vertigo vizsgálata stapedotomián és stapedectomián átesett betegeknél.</VernacularTitle></Article><MedlineJournalInfo><Country>Hungary</Country><MedlineTA>Orv Hetil</MedlineTA><NlmUniqueID>0376412</NlmUniqueID><ISSNLinking>0030-6002</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006309" MajorTopicYN="N">Hearing</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011184" MajorTopicYN="N">Postoperative Period</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013201" MajorTopicYN="N">Stapes Surgery</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">otosclerosis</Keyword><Keyword MajorTopicYN="N">postoperative complications</Keyword><Keyword MajorTopicYN="N">posztoperatív komplikáció</Keyword><Keyword MajorTopicYN="N">stapedectomia</Keyword><Keyword MajorTopicYN="N">stapedotomia</Keyword><Keyword MajorTopicYN="N">stapes mobilization</Keyword><Keyword MajorTopicYN="N">stapes surgery</Keyword><Keyword MajorTopicYN="N">vertigo</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>11</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28920722</ArticleId><ArticleId IdType="doi">10.1556/650.2017.30843</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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