Semaan MT, Gehani NC, Tummala N, Coughlan C, Fares SA, Hsu DP, Murray GS, Lippy WH, Megerian CA. Cochlear implantation outcomes in patients with far advanced otosclerosis.
Am J Otolaryngol 2012;
33:608-14. [PMID:
22762960 DOI:
10.1016/j.amjoto.2012.05.001]
[Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2012] [Accepted: 05/19/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVES
To compare hearing outcomes in patients with far advanced otosclerosis (FAO) undergoing cochlear implantation to an age-matched group of controls, to describe the effects of cochlear ossification on hearing, and to review the adverse effects of implantation in patients with FAO.
HYPOTHESIS
Hearing performance in patients with FAO after cochlear implantation is comparable to similarly treated postlingually deafened adults without FAO. Ossification or retrofenestral otosclerosis does not predict poor hearing outcomes. Modiolar-hugging technology reduces postoperative facial nerve stimulation.
STUDY DESIGN
Retrospective chart review.
SETTING
Academic neurotologic tertiary referral center.
PATIENTS
Thirty patients with FAO, who metaudiological criteria for cochlear implantation, were compared to 30 age-matched controls, postlingually deafened by non-otosclerotic causes.
MAIN OUTCOME MEASURES
Audiometric pre- and postoperative speech reception threshold, word, and sentence scores were analyzed. The presence of retrofenestral findings on computed tomography or intraoperative cochlear ossification were noted.
RESULTS
In the FAO group, radiographic abnormalities were noted in 26.4% of patients. Intraoperative ossification requiring drillout was seen in 29.4% of patients. None developed postoperative facial nerve stimulation. There was no difference between the FAO and control groups in the mean short-term and long-term postoperative speech reception threshold, word, and sentence scores (P = .77). The presence of radiographic abnormalities did not predict hearing outcome. Intraoperative cochlear ossification was not associated with worse short-term word and sentence scores (P = .58 and 0.79, respectively), and for the long-term hearing outcome (P = .24).
CONCLUSIONS
In patients with FAO, effective and safe hearing rehabilitation can be accomplished with cochlear implantation.
Collapse