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Objective: To examine the relationship between different surgical factors and frequency-specific hearing results following surgery for chronic ear disorders.
Methods: We reviewed retrospectively data of 246 patients with chronic ear diseases who had surgery between January 2019 and December 2020. Seventy-three patients did not fulfil the criteria and were excluded. Air-conduction threshold, bone-conduction threshold and air-bone gap were tested at 250-4000 Hz, respectively. Frequency-specific results were investigated in relation to various surgical factors.
Results: The radical mastoidectomy group and tympanoplasty group significantly improved in air-conduction threshold changes at every frequency. In the tympanoplasty group, air-bone gap at all frequencies except 4000 significantly improved. Air-conduction threshold improved at low and middle frequencies when ossicular reconstruction was conducted. In all groups, bone-conduction threshold data revealed significant improvements at 500, 1000, and 2000 Hz.
Conclusions: Hearing improved significantly post-operatively in air-conduction threshold and air-bone gap test, mainly at low and middle frequencies. Bone-conduction threshold improved significantly at 500-2000 Hz.
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http://dx.doi.org/10.1017/S0022215124000677 | DOI Listing |
Int J Audiol
September 2025
Otolaryngology-Head and Neck Surgery, ENT Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Objective: Evaluate the audiological outcomes of the Cochlear Osia 2 Bone Conduction System implanted in children ages 5-11 years old.
Design: A pivotal, prospective, open-label, multicentre clinical trial to expand access to the Osia 2 system to children ages 5-11 years old.
Study Sample: Children aged 5-11 years old who presented with either (1) a conductive or mixed hearing loss where the pure tone average bone conduction threshold (measured at 500, 1000, 2000, and 3000 Hz) was ≤ 55 dB HL or (2) single-sided deafness where the ear to be implanted had a profound sensorineural hearing loss and the pure tone average air conduction threshold (measured at 500, 1000, 2000, and 3000 Hz) in the contralateral ear was ≤ 20 dB HL.
Biomedicines
August 2025
Department of Otorhinolaryngology, School of Medicine, Gaziantep University, 27310 Gaziantep, Turkey.
This study aimed to evaluate the clinical and hearing outcomes of patients with cholesteatomatous chronic otitis media using the ChOLE classification system and to assess its utility in predicting recurrence, guiding surgical approach, and anticipating hearing recovery. This retrospective study included 130 patients (141 ears) who underwent surgery for cholesteatoma between 2011 and 2020. Data were collected from surgical notes, imaging studies, and audiological evaluations.
View Article and Find Full Text PDFZhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
July 2025
Clinical Audiology Center, Department of Otolaryngology Head and Neck Surgery, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250023, China.
To evaluate the sound localization ability of patients with different degrees of unilateral conductive hearing loss (UCHL) in quiet and noisy environments, and to explore the changes and characteristics of sound localization. This was a cross-sectional study. 41 patients with UCHL were hospitalized in Shandong Provincial ENT Hospital from January to April 2024, including 22 males and 19 females, aged 18-55 years old, with an average age of 36.
View Article and Find Full Text PDFEur Arch Otorhinolaryngol
August 2025
ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Objectives: This study aims to present a rare case of unilateral pulsatile tinnitus (PT) induced by a contralateral dural arteriovenous fistula (DAVF) in a patient with ipsilateral otosclerosis-induced mixed hearing loss, highlighting the diagnostic challenges and management implications.
Methods: A 71-year-old female presented with persistent right-sided PT and hearing loss. Clinical examination, audiological assessments, contrast-enhanced computed tomography, magnetic resonance (MR) angiography, hearing tests, and transcanal recording were performed.
Cureus
July 2025
Department of Otolaryngology - Head and Neck Surgery, School of Medicine, Fujita Health University, Toyoake, JPN.
Stapediovestibular luxations are often caused by trauma to the external ear canal. Sealing the oval window while leaving the stapes in the vestibule is a safer procedure than stapedectomy, considering the risk of additional inner ear damage, but it risks recurrence. We report a rare case of oval window rupture recurrence 25 years after initial surgery and introduce a new method using cartilage to seal the oval window.
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