Advanced Otosclerosis: Stapes Surgery or Cochlear Implantation?

Adrien Eshraghi, Kadri Ila, Emre Ocak, Fred F Telischi

Research output: Contribution to journalReview article

7 Scopus citations

Abstract

Diagnosis and treatment of advanced otosclerosis can be controversial. In 1961, House and Sheehy defined advanced otosclerosis as hearing loss in air conduction threshold by 85 dB with nonmeasurable bone conduction. Recently, the definition of advanced otosclerosis is mostly based on the decrease of speech recognition. There are some treatment modalities: stapes surgery and hearing aids, cochlear implantation, or direct acoustic cochlear implant. The authors propose a new algorithm for treatment. If the patient is treated with cochlear implantation, the surgeon should be cautious for facial nerve stimulation after surgery because it is the most prevalent complication.

Original languageEnglish (US)
Pages (from-to)429-440
Number of pages12
JournalOtolaryngologic Clinics of North America
Volume51
Issue number2
DOIs
StatePublished - Apr 1 2018

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Keywords

  • Advanced otosclerosis
  • Cochlear implant
  • Facial nerve stimulation
  • Hearing loss
  • Stapedotomy

ASJC Scopus subject areas

  • Otorhinolaryngology

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