OTOSCLEROSIS SURGERY STUDY

We studied 134 ears with clinical otosclerosis operated on from 1984 to 2000, focusing on clinical features and hearing improvement. Male patients numbered 48 (53 ears) and female 73 (82 ears). The male to female ratio was 1 : 1.5. Small fenestra stapedectomy was conducted on 118 ears, partial stape...

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Published inJIBI INKOKA TEMBO Vol. 45; no. 1; pp. 44 - 48
Main Authors Kojima, Hiromi, Tanaka, Yasuhiro, Miyazaki, Hidemi, Moriyama, Hiroshi, Yabe, Takeshi
Format Journal Article
LanguageJapanese
Published Society of Oto-rhino-laryngology Tokyo 2002
耳鼻咽喉科展望会
Subjects
hearing improvemant
otosclerosis
small fenestra stape-dectomy
アブミ骨手術
耳硬化症
聴力改善
Online AccessGet full text
ISSN0386-9687
1883-6429
DOI10.11453/orltokyo1958.45.44

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Abstract We studied 134 ears with clinical otosclerosis operated on from 1984 to 2000, focusing on clinical features and hearing improvement. Male patients numbered 48 (53 ears) and female 73 (82 ears). The male to female ratio was 1 : 1.5. Small fenestra stapedectomy was conducted on 118 ears, partial stapedectomy on 11 and total stapedectomy on 5. Some 97% of operations were successful based on the guideline in reporting hearing results in middle ear and mastoid surgery (2000). We feel that a guideline is needed in stapes surgery. No serious complications were seen.
AbstractList We studied 134 ears with clinical otosclerosis operated on from 1984 to 2000, focusing on clinical features and hearing improvement.Male patients numbered 48 (53 ears) and female 73 (82 ears). The male to female ratio was 1 : 1.5.Small fenestra stapedectomy was conducted on 118 ears, partial stapedectomy on 11 and total stapedectomy on 5.Some 97% of operations were successful based on the guideline in reporting hearing results in middle ear and mastoid surgery (2000). We feel that a guideline is needed in stapes surgery.No serious complications were seen. 術後すくなくとも6ヵ月以上, 聴力検査を施行しえた耳硬化症手術例134耳について検討した。男性48例53耳, 女性73例82耳であった。施行術式はSmall fenestra stapedectomy 118耳, partial stapedectomy 11耳, total stapedectomy 5耳であった。術前術後の骨導値は有意差をみとめなかった。日本耳科学会聴力改善判定基準 (2000) に照らし合わせると97%が成功例であった。アブミ骨手術は聴力改善が比較的得やすい手術であるために別の視点からの判定基準が必要と思われた。
We studied 134 ears with clinical otosclerosis operated on from 1984 to 2000, focusing on clinical features and hearing improvement. Male patients numbered 48 (53 ears) and female 73 (82 ears). The male to female ratio was 1 : 1.5. Small fenestra stapedectomy was conducted on 118 ears, partial stapedectomy on 11 and total stapedectomy on 5. Some 97% of operations were successful based on the guideline in reporting hearing results in middle ear and mastoid surgery (2000). We feel that a guideline is needed in stapes surgery. No serious complications were seen.
Author Miyazaki, Hidemi
Tanaka, Yasuhiro
Kojima, Hiromi
Moriyama, Hiroshi
Yabe, Takeshi
Author_FL 宮崎 日出海
森山 寛
小島 博己
矢部 武
田中 康広
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  fullname: Kojima, Hiromi
  organization: Department of Otorhinolaryngology, The Jikei University School of Medicine
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  fullname: Tanaka, Yasuhiro
  organization: Department of Otorhinolaryngology, The Jikei University School of Medicine
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  fullname: Miyazaki, Hidemi
  organization: Department of Otorhinolaryngology, The Jikei University School of Medicine
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  fullname: Moriyama, Hiroshi
  organization: Department of Otorhinolaryngology, The Jikei University School of Medicine
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  fullname: Yabe, Takeshi
  organization: Department of Otorhinolaryngology, The Jikei University School of Medicine
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References 4) 八木聰明, 馬場俊吉 : 耳硬化症50耳の術後聴力変化-周波数ごとの検討-.耳鼻臨床85 : 545-549, 1992.
14) Wiet RW, Harvey SA, Bauer GP : Complications in stapes surgery. Options for prevention and management. Otolaryngol Clin North Am 26 : 471-490, 1993.
6) Carhart R : Clinical application of bone conduction audirnetory. Arch Otolaryngol 51 : 798-808, 1950.
3) 森山寛, 山本悦生, 湯浅涼 : 聴力改善の成績判定について (2000年).Otology Japan 11 : 62-63, 2001.
1) 森山寛, 井上秀朗, 矢部武, 青木基, 本多芳男 : 耳硬化症手術例の検討-small fenestra stapedectomyの試み-.耳展 00 : 665-670, 1988.
10) 小寺一興 : アブミ骨手術後の聴力悪化.JOHNS9 : 1415-1419, 1993.
9) Mann W, Amedee RG, Fuerest G, Tabb HG : Hearing loss as a complication of stapes surgery. Otolaryngol Head Neck Surg 115 : 324- 328, 1996.
7) 植田広海, 宮沢享二, 柳田則之 : 耳硬化症術後聴力成績の周波数別検討-年齢・性別検討-.日耳鼻101 : 185-191, 1998.
16) 東野哲也 : 耳鼻咽喉科・頭頸部外科領域の新しい器械, 器具-スキ-タ-ドリル.耳喉頭頸73 : 107-113, 2001.
13) 坪井陽子, 松元一郎, 森満保, 東野哲也, 牧野浩二 : 耳硬化症手術の検討-術式による術後成績について-.耳鼻 42 : 833-839, 1996.
8) 宿久修, 小宗静男, 井上裕章, 平川直也, 小宮山荘太郎, 他 : 耳硬化症の治療成績と病理所見.耳鼻43 : 482-486, 1997.
11) 小宗静男 : 耳硬化症-聴力成績・術中術後合併症とその対策-.耳鼻臨床93 : 995-1003, 2000.
15) Shabana YK, Allam H, Pedersen B : Laser Stapedotomy. J Laryngol Otol 113 : 413-416, 1999.
12) 小寺一興, 矢部多加夫 : 人工アブミ骨の種類と特徴.JOHNS 11 : 1807-1811, 1995.
5) 清水義貴, 西原信成, 佐藤英光, 暁清文 : 耳硬化症の手術成績耳鼻臨床93 : 1007-1012, 2000.
2) 矢部武, 森山寛 : 耳硬化症手術例の検討耳展37 : 348-354, 1994.
References_xml – reference: 12) 小寺一興, 矢部多加夫 : 人工アブミ骨の種類と特徴.JOHNS 11 : 1807-1811, 1995.
– reference: 3) 森山寛, 山本悦生, 湯浅涼 : 聴力改善の成績判定について (2000年).Otology Japan 11 : 62-63, 2001.
– reference: 15) Shabana YK, Allam H, Pedersen B : Laser Stapedotomy. J Laryngol Otol 113 : 413-416, 1999.
– reference: 5) 清水義貴, 西原信成, 佐藤英光, 暁清文 : 耳硬化症の手術成績耳鼻臨床93 : 1007-1012, 2000.
– reference: 8) 宿久修, 小宗静男, 井上裕章, 平川直也, 小宮山荘太郎, 他 : 耳硬化症の治療成績と病理所見.耳鼻43 : 482-486, 1997.
– reference: 2) 矢部武, 森山寛 : 耳硬化症手術例の検討耳展37 : 348-354, 1994.
– reference: 11) 小宗静男 : 耳硬化症-聴力成績・術中術後合併症とその対策-.耳鼻臨床93 : 995-1003, 2000.
– reference: 6) Carhart R : Clinical application of bone conduction audirnetory. Arch Otolaryngol 51 : 798-808, 1950.
– reference: 4) 八木聰明, 馬場俊吉 : 耳硬化症50耳の術後聴力変化-周波数ごとの検討-.耳鼻臨床85 : 545-549, 1992.
– reference: 1) 森山寛, 井上秀朗, 矢部武, 青木基, 本多芳男 : 耳硬化症手術例の検討-small fenestra stapedectomyの試み-.耳展 00 : 665-670, 1988.
– reference: 16) 東野哲也 : 耳鼻咽喉科・頭頸部外科領域の新しい器械, 器具-スキ-タ-ドリル.耳喉頭頸73 : 107-113, 2001.
– reference: 13) 坪井陽子, 松元一郎, 森満保, 東野哲也, 牧野浩二 : 耳硬化症手術の検討-術式による術後成績について-.耳鼻 42 : 833-839, 1996.
– reference: 7) 植田広海, 宮沢享二, 柳田則之 : 耳硬化症術後聴力成績の周波数別検討-年齢・性別検討-.日耳鼻101 : 185-191, 1998.
– reference: 14) Wiet RW, Harvey SA, Bauer GP : Complications in stapes surgery. Options for prevention and management. Otolaryngol Clin North Am 26 : 471-490, 1993.
– reference: 9) Mann W, Amedee RG, Fuerest G, Tabb HG : Hearing loss as a complication of stapes surgery. Otolaryngol Head Neck Surg 115 : 324- 328, 1996.
– reference: 10) 小寺一興 : アブミ骨手術後の聴力悪化.JOHNS9 : 1415-1419, 1993.
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Snippet We studied 134 ears with clinical otosclerosis operated on from 1984 to 2000, focusing on clinical features and hearing improvement. Male patients numbered 48...
We studied 134 ears with clinical otosclerosis operated on from 1984 to 2000, focusing on clinical features and hearing improvement.Male patients numbered 48...
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StartPage 44
SubjectTerms hearing improvemant
otosclerosis
small fenestra stape-dectomy
アブミ骨手術
耳硬化症
聴力改善
Title OTOSCLEROSIS SURGERY STUDY
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