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Objectives: To compare hearing outcome and surgical complications between endoscopic classic and reversal stapedotomies.
Patients And Methods: A prospective single blinded randomized clinical study carried out on 60 patients with otosclerosis who were randomized into two groups; each containing 30 patients. Patients in group 1 underwent endoscopic classic stapedotomy. Patients in group 2 underwent endoscopic reversal stapedotomy. Both groups were compared as regards hearing outcome and surgical complications.
Results: The difference in the hearing outcome between the two groups was statistically non-significant. Post-operative closure of the air bone gap (ABG) within 10 dB was attained in 76.67% and 80% of patients in groups 1 and 2, respectively. The differences in the surgical complications between the two studied groups were statistically non-significant.
Conclusion: Endoscopic classic and reversal stapedotomies are comparable to each other as regards hearing outcome and surgical complications. The authors recommend further studies with relatively larger sample size.
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http://dx.doi.org/10.1007/s00405-023-07880-7 | DOI Listing |
Introduction: Some medical conditions may be associated with increased risks of collision and poor performance while driving. Traffic crashes could result in fatalities and injuries. The Australian national medical guidelines do not provide specific instructions for all medical conditions.
View Article and Find Full Text PDFJMIR Res Protoc
September 2025
School of Rehabilitation Science, University of Saskatchewan, Saskatoon, SK, Canada.
Background: In Canada, the Indigenous population is the youngest and fastest growing, yet ongoing health disparities for Indigenous peoples are widely recognized. There is a concerning lack of research on childhood disabilities and health conditions in Indigenous populations in Canada. For children with disabilities and chronic health conditions, ongoing access to rehabilitation services, such as occupational therapy, physical therapy, speech-language pathology, and audiology, is critical in promoting positive health and developmental outcomes.
View Article and Find Full Text PDFJ Craniofac Surg
September 2025
Division of Plastic and Reconstructive Surgery Medical Center, Los Angeles, CA.
Auricular reconstruction is essential for restoring facial symmetry and achieving a well-contoured, natural-appearing ear. Traditional methods using autologous costal cartilage often delay reconstruction until around age 10, when sufficient rib cartilage is available, which can pose physical and psychological challenges for pediatric patients. Porous high-density polyethylene (PHDPE) implants offer significant advantages, including the ability to perform reconstruction earlier, reduced morbidity, improved ear definition, and the possibility of a single-stage outpatient procedure.
View Article and Find Full Text PDFOphthalmic Plast Reconstr Surg
September 2025
Department of Ophthalmology, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, U.S.A.
Purpose: To evaluate the efficacy and safety of teprotumumab for the treatment of thyroid eye disease in geriatric patients.
Methods: This was a multicenter cohort study of patients aged 75 and older, treated between February 2020 and September 2023 across 10 tertiary institutions. Patients were included if they had moderate-to-severe thyroid eye disease and at least 1 infusion of teprotumumab.
Cureus
August 2025
Anatomy, All India Institute of Medical Sciences, Bibinagar, Hyderabad, IND.
This systematic review investigates the influence of fenestration size and prosthesis diameter on hearing outcomes in patients undergoing primary stapedotomy for otosclerosis. A total of 11 studies were included, comprising randomized controlled trials, cohort studies, and one cross-sectional study, with follow-up durations ranging from three months to one year. Fenestration sizes most commonly ranged from 0.
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