Advanced Otosclerosis: Stapes Surgery or Cochlear Implantation?

Adrien A Eshraghi; Kadri Ila; Emre Ocak; Fred F Telischi

doi:10.1016/j.otc.2017.11.012

Advanced Otosclerosis: Stapes Surgery or Cochlear Implantation?

Otolaryngol Clin North Am. 2018 Apr;51(2):429-440. doi: 10.1016/j.otc.2017.11.012.

Authors

Adrien A Eshraghi¹, Kadri Ila², Emre Ocak², Fred F Telischi²

Affiliations

¹ Department of Otolaryngology, University of Miami Miller School of Medicine, 1600 Northwest 10th Avenue, Miami, FL 33136, USA. Electronic address: aeshraghi@med.miami.edu.
² Department of Otolaryngology, University of Miami Miller School of Medicine, 1600 Northwest 10th Avenue, Miami, FL 33136, USA.

PMID: 29502727
DOI: 10.1016/j.otc.2017.11.012

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.

Keywords: Advanced otosclerosis; Cochlear implant; Facial nerve stimulation; Hearing loss; Stapedotomy.

Publication types

Review

MeSH terms

Bone Conduction / physiology
Cochlear Implantation / methods*
Cochlear Implants*
Combined Modality Therapy
Hearing Loss, Mixed Conductive-Sensorineural / therapy*
Humans
Magnetic Resonance Imaging
Otosclerosis / diagnostic imaging
Otosclerosis / pathology
Otosclerosis / therapy*
Speech Perception
Stapes Surgery / methods*
Tomography, X-Ray Computed
Treatment Outcome