Statistical analysis of otosclerosis surgery performed by Jean Marquet

Author(s): Marquet, T., Govaerts, P., Offeciers, E.

Journal/Book: Ann Otol Rhinol Laryngol. 1994; 103: 4507 Laclede Ave, St Louis, MO 63108. Annals Publ Co. 945-951.

Abstract: The early and long-term hearing results of 1,681 primary otosclerosis operations performed by the same surgeon, Jean Marquet, were reviewed retrospectively and analyzed with very strict statistical standards. Significantly better short- and long-term results were achieved with the stapedotomy technique compared to total stapedectomy, mainly at the higher frequencies (4 and 8 kHz) important for speech discrimination. Whatever technique was used to open the footplate (micropick microdrill, or laser), no statistical audiometric difference could be found. The results were equal whether or not the stapedial tendon was preserved. Perioperative problems like pronounced oozing, difficult anatomic relationships, and accidental perilymph aspiration could affect hearing at higher frequencies. The calibrated hole technique was equally as good as conventional oval window sealing in sealing of the fenestra to prevent fistula. The stapedotomy technique was found the safest, having fewer complications.

Note: Article T Somers, Univ Instelling Antwerp, Sint Augustinus Med Inst, Dept Otolaryngol Head & Neck Surg, B-2610 Wilrijk, Belgium

Keyword(s): otosclerosis; stapedotomy; stapes surgery; total stapedectomy; TOTAL STAPEDECTOMY; STAPEDOTOMY

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