Inner Ear Effects of Canal Wall Down Mastoidectomy
Objective. To evaluate the inner ear effects of canal wall down (CWD) mastoidectomy without ossiculoplasty in the treatment of chronic otitis media (COM) with regard to sensorineural hearing loss (SNHL) and reported tinnitus and dizziness-related disability. Setting. Tertiary care academic medical c...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2012-04, Vol.146 (4), p.621-626 |
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| container_title | Otolaryngology-head and neck surgery |
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| creator | Leonetti, John P. Kircher, Matthew L. Jaber, James J. Benscoter, Brent J. Marmora, Joseph J. Feustel, Paul J. |
| description | Objective. To evaluate the inner ear effects of canal wall down (CWD) mastoidectomy without ossiculoplasty in the treatment of chronic otitis media (COM) with regard to sensorineural hearing loss (SNHL) and reported tinnitus and dizziness-related disability.
Setting. Tertiary care academic medical center.
Subjects and Methods. Prospective study of 86 patients treated by CWD mastoidectomy without ossiculoplasty for COM with or without cholesteatoma. Standard patient workup included preoperative audiogram and completion of 2 surveys: Dizziness Handicap Inventory (DHI) and Tinnitus Handicap Inventory (THI). Patients underwent repeat audiogram, DHI, and THI surveys at 4 to 6 months postoperatively. Preoperative and postoperative data were analyzed.
Results. No significant SNHL occurred after CWD mastoidectomy. Thirteen patients (13/34 [38%]) had DHI improvement greater than 18 points, indicating a significant improvement in dizziness-related disability. Three patients developed new-onset postoperative dizziness complaints. Twenty patients (20/43 [46.5%]) had THI improvement greater than 7 points, indicating a significant improvement in tinnitus-related disability. Five patients developed new-onset postoperative tinnitus complaints. The odds ratio for improving DHI and THI scores after surgery was 6.6 (1.8 to 25.0) and 4.2 (95% confidence interval, 1.45% to 12.2%), respectively.
Conclusion. In this study, CWD mastoidectomy without ossiculoplasty in the treatment of COM did not cause significant SNHL. In addition, using the DHI and THI measures, patient-perceived disability from dizziness and tinnitus, respectively, was shown to decrease after mastoid surgery. |
| doi_str_mv | 10.1177/0194599811432103 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_964199671</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0194599811432103</sage_id><sourcerecordid>964199671</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3855-2e29dc16e6d29fec70491c22822cb345d272b2ced122dcb9652977b177e09fc23</originalsourceid><addsrcrecordid>eNqFkL1PwzAQxS0EoqWwM6FsTAHfJbHjEfpBKxW6gBgtx3FQqiQucaOq_z2uUhiQEMPphvd7T3ePkGugdwCc31MQcSJEChBHCDQ6IUOggocsBX5Khgc5POgDcuHcmlLKGOfnZICINGIpGxJcNI1pg6nyUxRGb11gi2CsGlUF76qqgondNcGzcltb5l629f6SnBWqcubquEfkbTZ9Hc_D5eppMX5YhjpKkyREgyLXwAzLUfhkTmMBGjFF1FkUJzlyzFCbHBBznQmWoOA8828ZKgqN0Yjc9rmb1n52xm1lXTptqko1xnZOChaDEIyDJ2lP6tY615pCbtqyVu1eApWHouTvorzl5hjeZbXJfwzfzXgg7YFdWZn9v4FyNX95nEHCaeKtYW916sPIte1a36b7-5Yvq0h9Ow</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>964199671</pqid></control><display><type>article</type><title>Inner Ear Effects of Canal Wall Down Mastoidectomy</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SAGE Complete</source><creator>Leonetti, John P. ; Kircher, Matthew L. ; Jaber, James J. ; Benscoter, Brent J. ; Marmora, Joseph J. ; Feustel, Paul J.</creator><creatorcontrib>Leonetti, John P. ; Kircher, Matthew L. ; Jaber, James J. ; Benscoter, Brent J. ; Marmora, Joseph J. ; Feustel, Paul J.</creatorcontrib><description>Objective. To evaluate the inner ear effects of canal wall down (CWD) mastoidectomy without ossiculoplasty in the treatment of chronic otitis media (COM) with regard to sensorineural hearing loss (SNHL) and reported tinnitus and dizziness-related disability.
Setting. Tertiary care academic medical center.
Subjects and Methods. Prospective study of 86 patients treated by CWD mastoidectomy without ossiculoplasty for COM with or without cholesteatoma. Standard patient workup included preoperative audiogram and completion of 2 surveys: Dizziness Handicap Inventory (DHI) and Tinnitus Handicap Inventory (THI). Patients underwent repeat audiogram, DHI, and THI surveys at 4 to 6 months postoperatively. Preoperative and postoperative data were analyzed.
Results. No significant SNHL occurred after CWD mastoidectomy. Thirteen patients (13/34 [38%]) had DHI improvement greater than 18 points, indicating a significant improvement in dizziness-related disability. Three patients developed new-onset postoperative dizziness complaints. Twenty patients (20/43 [46.5%]) had THI improvement greater than 7 points, indicating a significant improvement in tinnitus-related disability. Five patients developed new-onset postoperative tinnitus complaints. The odds ratio for improving DHI and THI scores after surgery was 6.6 (1.8 to 25.0) and 4.2 (95% confidence interval, 1.45% to 12.2%), respectively.
Conclusion. In this study, CWD mastoidectomy without ossiculoplasty in the treatment of COM did not cause significant SNHL. In addition, using the DHI and THI measures, patient-perceived disability from dizziness and tinnitus, respectively, was shown to decrease after mastoid surgery.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1177/0194599811432103</identifier><identifier>PMID: 22203686</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; canal wall down mastoidectomy ; Cholesteatoma, Middle Ear - surgery ; Chronic Disease ; dizziness ; Dizziness - etiology ; Dizziness - surgery ; Female ; hearing loss ; Hearing Loss, Sensorineural - etiology ; Humans ; inner ear ; Male ; Mastoid - surgery ; mastoidectomy ; Middle Aged ; Otitis Media - surgery ; otologic surgery ; Otologic Surgical Procedures - adverse effects ; Otologic Surgical Procedures - instrumentation ; Postoperative Complications - diagnosis ; Prospective Studies ; Psychometrics ; Surveys and Questionnaires ; tinnitus ; Tinnitus - etiology ; Tinnitus - surgery ; Treatment Outcome ; vertigo</subject><ispartof>Otolaryngology-head and neck surgery, 2012-04, Vol.146 (4), p.621-626</ispartof><rights>American Academy of Otolaryngology—Head and Neck Surgery Foundation 2012</rights><rights>2012 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3855-2e29dc16e6d29fec70491c22822cb345d272b2ced122dcb9652977b177e09fc23</citedby><cites>FETCH-LOGICAL-c3855-2e29dc16e6d29fec70491c22822cb345d272b2ced122dcb9652977b177e09fc23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0194599811432103$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0194599811432103$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,1411,21798,27901,27902,43597,43598,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22203686$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leonetti, John P.</creatorcontrib><creatorcontrib>Kircher, Matthew L.</creatorcontrib><creatorcontrib>Jaber, James J.</creatorcontrib><creatorcontrib>Benscoter, Brent J.</creatorcontrib><creatorcontrib>Marmora, Joseph J.</creatorcontrib><creatorcontrib>Feustel, Paul J.</creatorcontrib><title>Inner Ear Effects of Canal Wall Down Mastoidectomy</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Objective. To evaluate the inner ear effects of canal wall down (CWD) mastoidectomy without ossiculoplasty in the treatment of chronic otitis media (COM) with regard to sensorineural hearing loss (SNHL) and reported tinnitus and dizziness-related disability.
Setting. Tertiary care academic medical center.
Subjects and Methods. Prospective study of 86 patients treated by CWD mastoidectomy without ossiculoplasty for COM with or without cholesteatoma. Standard patient workup included preoperative audiogram and completion of 2 surveys: Dizziness Handicap Inventory (DHI) and Tinnitus Handicap Inventory (THI). Patients underwent repeat audiogram, DHI, and THI surveys at 4 to 6 months postoperatively. Preoperative and postoperative data were analyzed.
Results. No significant SNHL occurred after CWD mastoidectomy. Thirteen patients (13/34 [38%]) had DHI improvement greater than 18 points, indicating a significant improvement in dizziness-related disability. Three patients developed new-onset postoperative dizziness complaints. Twenty patients (20/43 [46.5%]) had THI improvement greater than 7 points, indicating a significant improvement in tinnitus-related disability. Five patients developed new-onset postoperative tinnitus complaints. The odds ratio for improving DHI and THI scores after surgery was 6.6 (1.8 to 25.0) and 4.2 (95% confidence interval, 1.45% to 12.2%), respectively.
Conclusion. In this study, CWD mastoidectomy without ossiculoplasty in the treatment of COM did not cause significant SNHL. In addition, using the DHI and THI measures, patient-perceived disability from dizziness and tinnitus, respectively, was shown to decrease after mastoid surgery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>canal wall down mastoidectomy</subject><subject>Cholesteatoma, Middle Ear - surgery</subject><subject>Chronic Disease</subject><subject>dizziness</subject><subject>Dizziness - etiology</subject><subject>Dizziness - surgery</subject><subject>Female</subject><subject>hearing loss</subject><subject>Hearing Loss, Sensorineural - etiology</subject><subject>Humans</subject><subject>inner ear</subject><subject>Male</subject><subject>Mastoid - surgery</subject><subject>mastoidectomy</subject><subject>Middle Aged</subject><subject>Otitis Media - surgery</subject><subject>otologic surgery</subject><subject>Otologic Surgical Procedures - adverse effects</subject><subject>Otologic Surgical Procedures - instrumentation</subject><subject>Postoperative Complications - diagnosis</subject><subject>Prospective Studies</subject><subject>Psychometrics</subject><subject>Surveys and Questionnaires</subject><subject>tinnitus</subject><subject>Tinnitus - etiology</subject><subject>Tinnitus - surgery</subject><subject>Treatment Outcome</subject><subject>vertigo</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkL1PwzAQxS0EoqWwM6FsTAHfJbHjEfpBKxW6gBgtx3FQqiQucaOq_z2uUhiQEMPphvd7T3ePkGugdwCc31MQcSJEChBHCDQ6IUOggocsBX5Khgc5POgDcuHcmlLKGOfnZICINGIpGxJcNI1pg6nyUxRGb11gi2CsGlUF76qqgondNcGzcltb5l629f6SnBWqcubquEfkbTZ9Hc_D5eppMX5YhjpKkyREgyLXwAzLUfhkTmMBGjFF1FkUJzlyzFCbHBBznQmWoOA8828ZKgqN0Yjc9rmb1n52xm1lXTptqko1xnZOChaDEIyDJ2lP6tY615pCbtqyVu1eApWHouTvorzl5hjeZbXJfwzfzXgg7YFdWZn9v4FyNX95nEHCaeKtYW916sPIte1a36b7-5Yvq0h9Ow</recordid><startdate>201204</startdate><enddate>201204</enddate><creator>Leonetti, John P.</creator><creator>Kircher, Matthew L.</creator><creator>Jaber, James J.</creator><creator>Benscoter, Brent J.</creator><creator>Marmora, Joseph J.</creator><creator>Feustel, Paul J.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201204</creationdate><title>Inner Ear Effects of Canal Wall Down Mastoidectomy</title><author>Leonetti, John P. ; Kircher, Matthew L. ; Jaber, James J. ; Benscoter, Brent J. ; Marmora, Joseph J. ; Feustel, Paul J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3855-2e29dc16e6d29fec70491c22822cb345d272b2ced122dcb9652977b177e09fc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>canal wall down mastoidectomy</topic><topic>Cholesteatoma, Middle Ear - surgery</topic><topic>Chronic Disease</topic><topic>dizziness</topic><topic>Dizziness - etiology</topic><topic>Dizziness - surgery</topic><topic>Female</topic><topic>hearing loss</topic><topic>Hearing Loss, Sensorineural - etiology</topic><topic>Humans</topic><topic>inner ear</topic><topic>Male</topic><topic>Mastoid - surgery</topic><topic>mastoidectomy</topic><topic>Middle Aged</topic><topic>Otitis Media - surgery</topic><topic>otologic surgery</topic><topic>Otologic Surgical Procedures - adverse effects</topic><topic>Otologic Surgical Procedures - instrumentation</topic><topic>Postoperative Complications - diagnosis</topic><topic>Prospective Studies</topic><topic>Psychometrics</topic><topic>Surveys and Questionnaires</topic><topic>tinnitus</topic><topic>Tinnitus - etiology</topic><topic>Tinnitus - surgery</topic><topic>Treatment Outcome</topic><topic>vertigo</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leonetti, John P.</creatorcontrib><creatorcontrib>Kircher, Matthew L.</creatorcontrib><creatorcontrib>Jaber, James J.</creatorcontrib><creatorcontrib>Benscoter, Brent J.</creatorcontrib><creatorcontrib>Marmora, Joseph J.</creatorcontrib><creatorcontrib>Feustel, Paul J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leonetti, John P.</au><au>Kircher, Matthew L.</au><au>Jaber, James J.</au><au>Benscoter, Brent J.</au><au>Marmora, Joseph J.</au><au>Feustel, Paul J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inner Ear Effects of Canal Wall Down Mastoidectomy</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2012-04</date><risdate>2012</risdate><volume>146</volume><issue>4</issue><spage>621</spage><epage>626</epage><pages>621-626</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Objective. To evaluate the inner ear effects of canal wall down (CWD) mastoidectomy without ossiculoplasty in the treatment of chronic otitis media (COM) with regard to sensorineural hearing loss (SNHL) and reported tinnitus and dizziness-related disability.
Setting. Tertiary care academic medical center.
Subjects and Methods. Prospective study of 86 patients treated by CWD mastoidectomy without ossiculoplasty for COM with or without cholesteatoma. Standard patient workup included preoperative audiogram and completion of 2 surveys: Dizziness Handicap Inventory (DHI) and Tinnitus Handicap Inventory (THI). Patients underwent repeat audiogram, DHI, and THI surveys at 4 to 6 months postoperatively. Preoperative and postoperative data were analyzed.
Results. No significant SNHL occurred after CWD mastoidectomy. Thirteen patients (13/34 [38%]) had DHI improvement greater than 18 points, indicating a significant improvement in dizziness-related disability. Three patients developed new-onset postoperative dizziness complaints. Twenty patients (20/43 [46.5%]) had THI improvement greater than 7 points, indicating a significant improvement in tinnitus-related disability. Five patients developed new-onset postoperative tinnitus complaints. The odds ratio for improving DHI and THI scores after surgery was 6.6 (1.8 to 25.0) and 4.2 (95% confidence interval, 1.45% to 12.2%), respectively.
Conclusion. In this study, CWD mastoidectomy without ossiculoplasty in the treatment of COM did not cause significant SNHL. In addition, using the DHI and THI measures, patient-perceived disability from dizziness and tinnitus, respectively, was shown to decrease after mastoid surgery.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>22203686</pmid><doi>10.1177/0194599811432103</doi><tpages>6</tpages></addata></record> |
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| ispartof | Otolaryngology-head and neck surgery, 2012-04, Vol.146 (4), p.621-626 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SAGE Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over canal wall down mastoidectomy Cholesteatoma, Middle Ear - surgery Chronic Disease dizziness Dizziness - etiology Dizziness - surgery Female hearing loss Hearing Loss, Sensorineural - etiology Humans inner ear Male Mastoid - surgery mastoidectomy Middle Aged Otitis Media - surgery otologic surgery Otologic Surgical Procedures - adverse effects Otologic Surgical Procedures - instrumentation Postoperative Complications - diagnosis Prospective Studies Psychometrics Surveys and Questionnaires tinnitus Tinnitus - etiology Tinnitus - surgery Treatment Outcome vertigo |
| title | Inner Ear Effects of Canal Wall Down Mastoidectomy |
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