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Tinnitus evolution after stapedotomy
Scientific Posters
Discrimination and of Metz recruitment did not show a significant difference between P and C. A significant difference was observed between P and C in terms of the simultaneous presence of an otologic complaint and of an audiometric alteration. Conclusion: Autoimmune sensorineural hearing loss exists and seems to be of low incidence even among patients with well-established autoimmune diseases, suggesting that the inner ear is protected in relation to the other organs. P040 Is Posterior Laryngitis A Reliable Sign of Laryngopharyngeal Reflux? Ching-Wen Hsu MD (presenter); Tuan-Jen Fang MD; Hsueh-Yu Li MD; Ming-Ju Chiang MD Taoyuan Taiwan (Republic of China); Taipei Taiwan (Republic of China); Taipei Taiwan (Republic of China); Taipei Taiwan (Republic of China)
Objectives: To find potential laryngopharyngeal reflux (LPR) from patients with chronic laryngitis, we exerted on correlating the subjectively fiberoptic laryngoscopic findings with objective 24-hour pH monitoring data to see if posterior laryngitis could be pathognomonic to LPR. Methods: Thirty consecutive patients with chronic laryngitis presenting to the Department of Otolaryngology (ChangGung Memorial Hospital, Taiwan) between June 2000 and February 2001 were prospectively enrolled in this study. All the patients underwent fiberoptic laryngoscopic examination and ambulatory 24-hour pH monitoring with dual-probe catheter. The mainstay of the fiberoptic laryngoscopic examination is to identify the presence of posterior laryngitis. The definition of posterior laryngitis included erythema and edema of arytenoids, hypertrophic mucosa of interarytenoid area, or pachydermia laryngis. Concerning 24-hour pH monitoring, the proximal probe of the catheter was placed at hypopharynx as possible so that the distal probe could be placed 5 cm above the lower esophageal sphincter by selecting catheters with different sensor distances. Results: The age range of the patients was 25 to 73 years (mean, 45 years), and the male/female ratio was 1:1. According to fiberoptic laryngoscopic examination, posterior laryngitis was present in 12 patients (40%) and 5 of them (42%) were noticed to have LPR by 24-hour pH monitoring. On the contrary, 12 (67%) of the remaining 18 patients without laryngoscopic evidence of posterior laryngitis were found to have LPR by 24-hour pH monitoring. The relationship between the presence of posterior laryngitis and LPR had no statistical significance (P ⬍ 0.05). Conclusion: In this study, posterior laryngitis was not a reliable sign for the diagnosis of LPR. The subjective laryngeal manifestation and objective 24-hour pH monitoring could be distinct and integral part in the presenting
of LPR. More precise findings in the fiberoptic laryngoscopy should be traced for the screen examination to diagnose the LPR. P041 Tinnitus Evolution after Stapedotomy Adriana Silva Lima MD (presenter); Tanit Ganz Sanchez MD PhD; Renata Marcondes MD; Ricardo Ferreira Bento MD PhD Sao Paulo Brazil; Sao Paulo Brazil; Jundiai Brazil; Sao Paulo Brazil
Objectives: The main objective of stapedotomy is to improve hearing loss in patients with otospongiosis. Nevertheless, some patients present major annoyance with the tinnitus than with the hearing loss itself and push the physician about the result of the surgery upon the tinnitus. The objective of this study is to evaluate the tinnitus evolution after stapedotomy. Methods: 23 consecutive patients with tinnitus and hearing loss due to otospongiosis underwent stapedotomy. All patients answered a medical and audiological protocol about tinnitus before and after stapedotomy. Tinnitus annoyance was evaluated according to the visual analogue scale. In addition, analyses of the pure-tone thresholds for air conduction at 0.5, 1, 2, and 4 KHz after and before stapedotomy were also performed. Postoperative gap was calculated as the difference between postoperative air and bone conduction in the four frequencies. Results: The mean score of tinnitus annoyance postoperatively (1.56) was significantly different in comparison to the preoperative one (8.34). Clinically, 96% of patients had satisfactory control (improvement or abolition) of tinnitus after stapedotomy. Regarding the hearing loss, all patients clinically improved after surgery. The audiometry revealed improvement in all the analyzed frequencies, and the air-bone gap was less than 10 dB in 17 cases (74%). Conclusion: Stapedotomy tends to present good results in tinnitus control as well as in hearing loss in patients with otospongiosis. P042 Quality of Life of Prosthetic Ear Implant Patients: A Retrospective Questionnaire Study Mohammed A J Abu-Bakra MD; Perumkulam S Arunachalam FRCS(Ed) (presenter); Frank Martin FRCS Sunderland United Kingdom; Gosforth United Kingdom; Middlesbrough United Kingdom
Objectives: A prosthetic ear implant is a recognized surgical intervention for congenital malformations associated with an absent or deformed pinna. It encompasses a boneanchored auricular prosthesis individually modified for each patient. The aim of this study is to assess the impact of this intervention on the quality of life of patients. Methods: Twelve consecutive patients with prosthetic ear implants (2 females and 10 males; mean age, 36.4 years) were
POSTERS
P224
Otolaryngology– Head and Neck Surgery August 2003
Discrimination and of Metz recruitment did not show a significant difference between P and C. A significant difference was observed between P and C in terms of the simultaneous presence of an otologic complaint and of an audiometric alteration. Conclusion: Autoimmune sensorineural hearing loss exists and seems to be of low incidence even among patients with well-established autoimmune diseases, suggesting that the inner ear is protected in relation to the other organs. P040 Is Posterior Laryngitis A Reliable Sign of Laryngopharyngeal Reflux? Ching-Wen Hsu MD (presenter); Tuan-Jen Fang MD; Hsueh-Yu Li MD; Ming-Ju Chiang MD Taoyuan Taiwan (Republic of China); Taipei Taiwan (Republic of China); Taipei Taiwan (Republic of China); Taipei Taiwan (Republic of China)
Objectives: To find potential laryngopharyngeal reflux (LPR) from patients with chronic laryngitis, we exerted on correlating the subjectively fiberoptic laryngoscopic findings with objective 24-hour pH monitoring data to see if posterior laryngitis could be pathognomonic to LPR. Methods: Thirty consecutive patients with chronic laryngitis presenting to the Department of Otolaryngology (ChangGung Memorial Hospital, Taiwan) between June 2000 and February 2001 were prospectively enrolled in this study. All the patients underwent fiberoptic laryngoscopic examination and ambulatory 24-hour pH monitoring with dual-probe catheter. The mainstay of the fiberoptic laryngoscopic examination is to identify the presence of posterior laryngitis. The definition of posterior laryngitis included erythema and edema of arytenoids, hypertrophic mucosa of interarytenoid area, or pachydermia laryngis. Concerning 24-hour pH monitoring, the proximal probe of the catheter was placed at hypopharynx as possible so that the distal probe could be placed 5 cm above the lower esophageal sphincter by selecting catheters with different sensor distances. Results: The age range of the patients was 25 to 73 years (mean, 45 years), and the male/female ratio was 1:1. According to fiberoptic laryngoscopic examination, posterior laryngitis was present in 12 patients (40%) and 5 of them (42%) were noticed to have LPR by 24-hour pH monitoring. On the contrary, 12 (67%) of the remaining 18 patients without laryngoscopic evidence of posterior laryngitis were found to have LPR by 24-hour pH monitoring. The relationship between the presence of posterior laryngitis and LPR had no statistical significance (P ⬍ 0.05). Conclusion: In this study, posterior laryngitis was not a reliable sign for the diagnosis of LPR. The subjective laryngeal manifestation and objective 24-hour pH monitoring could be distinct and integral part in the presenting
of LPR. More precise findings in the fiberoptic laryngoscopy should be traced for the screen examination to diagnose the LPR. P041 Tinnitus Evolution after Stapedotomy Adriana Silva Lima MD (presenter); Tanit Ganz Sanchez MD PhD; Renata Marcondes MD; Ricardo Ferreira Bento MD PhD Sao Paulo Brazil; Sao Paulo Brazil; Jundiai Brazil; Sao Paulo Brazil
Objectives: The main objective of stapedotomy is to improve hearing loss in patients with otospongiosis. Nevertheless, some patients present major annoyance with the tinnitus than with the hearing loss itself and push the physician about the result of the surgery upon the tinnitus. The objective of this study is to evaluate the tinnitus evolution after stapedotomy. Methods: 23 consecutive patients with tinnitus and hearing loss due to otospongiosis underwent stapedotomy. All patients answered a medical and audiological protocol about tinnitus before and after stapedotomy. Tinnitus annoyance was evaluated according to the visual analogue scale. In addition, analyses of the pure-tone thresholds for air conduction at 0.5, 1, 2, and 4 KHz after and before stapedotomy were also performed. Postoperative gap was calculated as the difference between postoperative air and bone conduction in the four frequencies. Results: The mean score of tinnitus annoyance postoperatively (1.56) was significantly different in comparison to the preoperative one (8.34). Clinically, 96% of patients had satisfactory control (improvement or abolition) of tinnitus after stapedotomy. Regarding the hearing loss, all patients clinically improved after surgery. The audiometry revealed improvement in all the analyzed frequencies, and the air-bone gap was less than 10 dB in 17 cases (74%). Conclusion: Stapedotomy tends to present good results in tinnitus control as well as in hearing loss in patients with otospongiosis. P042 Quality of Life of Prosthetic Ear Implant Patients: A Retrospective Questionnaire Study Mohammed A J Abu-Bakra MD; Perumkulam S Arunachalam FRCS(Ed) (presenter); Frank Martin FRCS Sunderland United Kingdom; Gosforth United Kingdom; Middlesbrough United Kingdom
Objectives: A prosthetic ear implant is a recognized surgical intervention for congenital malformations associated with an absent or deformed pinna. It encompasses a boneanchored auricular prosthesis individually modified for each patient. The aim of this study is to assess the impact of this intervention on the quality of life of patients. Methods: Twelve consecutive patients with prosthetic ear implants (2 females and 10 males; mean age, 36.4 years) were
POSTERS
P224
Otolaryngology– Head and Neck Surgery August 2003