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A retrospective study on the outcomes of stapedotomy with vein graft interposition and vein graft surround techniques

Published online by Cambridge University Press:  05 April 2023

S Colvin Open the ORCID record for S Colvin [Opens in a new window] ,
A Lepcha ,
A M Augustine ,
A Philip  and
M D Mammen
S Colvin*
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
A Lepcha
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
A M Augustine
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
A Philip
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
M D Mammen
Affiliation:
Department of ENT, Christian Medical College, Vellore, India
*
Corresponding author: Dr S Colvin; Email: swetacolvin@gmail.com
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Abstract

Objective

This study evaluated audiological outcomes of stapedotomy using two different techniques, vein graft interposition and vein graft surround, for sealing the stapes fenestra.

Method

A retrospective study of 130 patients who underwent stapedotomy for otosclerosis was performed. A total of 84 patients underwent the vein graft surround procedure and 46 underwent the vein graft interposition procedure. Post-operative hearing outcome was compared between them.

Results

A total of 55 of 130 patients had a post-operative air–bone gap of less than 10 dB. A total of 57 patients had an air–bone gap within 20 dB. The average air–bone gap was 13.16 dB at 3 months with a mean improvement of 22.06 dB (11.98 dB for vein graft interposition and 13.80 dB for vein graft surround; p = 0.79).

Conclusion

There was no significant difference in hearing outcome between the two techniques. The vein graft interposition technique is preferred for large fenestra or stapedectomy cases and in cerebrospinal fluid gusher cases. The vein graft surround technique is easier to perform and preferred in small fenestra stapedotomy.

Keywords

Otosclerosisstapesstapes surgeryhearing lossaudiometry
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 9 , September 2023 , pp. 1048 - 1053
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr S Colvin takes responsibility for the integrity of the content of the paper

References

Bittermann, AJ, Vincent, R, Rovers, MM, Van der Heijden, GJ, Tange, RA, Dreschler, WA et al. A nonrandomized comparison of stapes surgery with and without a vein graft in patients with otosclerosis. Otol Neurotol 2013;34:827–31CrossRefGoogle ScholarPubMed
Karosi, T, Sziklai, I. Etiopathogenesis of otosclerosis. Eur Arch Otorhinolaryngol 2010;267:1337–49CrossRefGoogle ScholarPubMed
Thomas, JP, Minovi, A, Dazert, S. Current aspects of etiology, diagnosis and therapy of otosclerosis. Otolaryngol Pol 2011;65:162–70CrossRefGoogle ScholarPubMed
Shea, JJ Jr. A personal history of stapedectomy. Am J Otol 1998;19:S2–12Google ScholarPubMed
Das, UC, Ross, A, Chary, G. Annular ligament reconstruction - a better technique in the surgical treatment of stapes fixation. Indian J Otolaryngol Head Neck Surg 2004;56:88–90CrossRefGoogle ScholarPubMed
Incesulu, A, Häusler, R. Advantages and risks of various sealing procedures of the oval window: vein graft, adipose tissue, gelfoam, merogel. Adv Otorhinolaryngol 2007;65:206–9Google ScholarPubMed
Vincent, R, Wegner, I, Vonck, BM, Bittermann, AJ, Kamalski, DM, Grolman, W. Primary stapedotomy in children with otosclerosis: a prospective study of 41 consecutive cases. Laryngoscope 2016;126:442–6CrossRefGoogle ScholarPubMed
Causse, JB, Causse, JR. Technique for otosclerosis. Am J Otol 1984;5:392–6Google ScholarPubMed
Wiet, RJ, Battista, RA, Wiet, RM, Sabin, AT. Hearing outcomes in stapes surgery: a comparison of fat, fascia, and vein tissue seals. Otolaryngol Head Neck Surg 2013;148:115–20CrossRefGoogle ScholarPubMed
Schmerber, S, Cuisnier, O, Charachon, R, Lavieille, JP. Vein versus tragal perichondrium in stapedotomy. Otol Neurotol 2004;25:694–8CrossRefGoogle ScholarPubMed
Salib, RJ, Oates, J. KTP laser fine fenestra stapedotomy with vein graft interposition in the surgical management of otosclerosis. Surgeon 2003;1:269–72CrossRefGoogle ScholarPubMed
Salvador, P, Costa, R, Silva, F, Fonseca, R. Primary stapedotomy: influence of prosthesis diameter on hearing outcome. Acta Otorrinolaringol Esp (Engl Ed) 2021;72:238–45CrossRefGoogle ScholarPubMed
Javed, F, Leong, AC, Fairley, JW. Superficial temporal vein graft in stapedotomy: a functional and aesthetic alternative. Clin Otolaryngol 2008;33:120–3CrossRefGoogle ScholarPubMed
Meltzer, P, Cawthorne, T, Derlacki, E, Goodhill, V, Guilford, F, House, H et al. Panel on techniques and results of stapes surgery. Arch Otolaryngol 1963;78:546–73CrossRefGoogle ScholarPubMed
Shea, JJ Jr. Forty years of stapes surgery. Am J Otol 1998;19:52–5Google ScholarPubMed
Sheehy, JL, Perkins, JH. Stapedectomy: gelfoam compared with tissue grafts. Laryngoscope 1976;86:436–44CrossRefGoogle ScholarPubMed
Perkins, R, Curto, F Jr. Laser stapedotomy: a comparative study of prostheses and seals. Laryngoscope 1992;102:1321–7CrossRefGoogle ScholarPubMed
Bartel, R, Huguet, G, Cruellas, F, Hamdan, M, Gonzalez-Compta, X, Cisa, E. Laser vs drill for footplate fenestration during stapedotomy: a systematic review and meta-analysis of hearing results. Eur Arch Otorhinolaryngol 2021;278:9–14CrossRefGoogle ScholarPubMed
Parida, PK, Kalaiarasi, R, Gopalakrishnan, S. Diode laser stapedotomy vs conventional stapedotomy in otosclerosis: a double-blinded randomized clinical trial. Otolaryngol Head Neck Surg 2016;154:1099–105CrossRefGoogle ScholarPubMed
Raj, P, Gupta, A, Mittal, R. Nitinol piston versus conventional Teflon piston in the management of otosclerosis: a comparative study. Indian J Otol 2017;23:78–82CrossRefGoogle Scholar
Cheng, HCS, Agrawal, SK, Parnes, LS. Stapedectomy versus stapedotomy. Otolaryngol Clin North Am 2018;51:375–92CrossRefGoogle ScholarPubMed
Persson, P, Harder, H, Magnuson, B. Hearing results in otosclerosis surgery after partial stapedectomy, total stapedectomy and stapedotomy. Acta Otolaryngol 1997;117:94–9CrossRefGoogle ScholarPubMed
Shea, JJ. Thirty years of stapes surgery. J Laryngol Otol 1988;102:14–9CrossRefGoogle ScholarPubMed
Sarkar, S, Banerjee, S, Chakravarty, S, Singh, R, Sikder, B, Bera, SP. Endoscopic stapes surgery: our experience in thirty two patients. Clin Otolaryngol 2013;38:157–60CrossRefGoogle ScholarPubMed
Naik, C, Nemade, S. Endoscopic stapedotomy: our view point. Eur Arch Otorhinolaryngol 2016;273:37–41CrossRefGoogle ScholarPubMed
Daneshi, A, Jahandideh, H. Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients. Eur Arch Otorhinolaryngol 2016;273:631–4CrossRefGoogle ScholarPubMed
Bianconi, L, Gazzini, L, Laura, E, De Rossi, S, Conti, A, Marchioni, D. Endoscopic stapedotomy: safety and audiological results in 150 patients. Eur Arch Otorhinolaryngol 2020;277:85–92CrossRefGoogle ScholarPubMed
Lin, KF, Selesnick, S. Stapedotomy with adipose tissue seal: hearing outcomes, incidence of sensorineural hearing loss, and comparison to alternative techniques. Otol Neurotol 2016;37:851–8CrossRefGoogle ScholarPubMed
Adedeji, TO, Indorewala, S, Indorewala, A, Nemade, G. Stapedotomy and its effect on hearing – our experience with 54 cases. Afr Health Sci 2016;16:276–81CrossRefGoogle ScholarPubMed
Virk, JS, Singh, A, Lingam, RK. The role of imaging in the diagnosis and management of otosclerosis. Otol Neurotol 2013;34:e55–60CrossRefGoogle ScholarPubMed