ABSTRACT
Objective To preliminarily explore the clinical significance of word recognition scores in evalua_ting the curative effects of sudden hearing loss .Methods Pure tone averages (PTA) and word recognition scores (WRS) in 11 cases of sudden hearing loss were obtained on the pre-treatment day and the post -treatment day , and the results were compared .ResuIts The average PTA of 11 cases was 62 .27 ± 15 .36 dB HL on the pre-treat_ment day ,and 60 .23 ± 14 .32 dB HL on the post -treatment day .The average WRS in 11 cases was 42 .91% ± 30 .83% on the pre-treatment day ,and 72 .73% ± 26 .72% on the post-treatment day .There were no significant differences in PTA and the intensity of the sound for testing WRS before and after treatment(P> 0 .05) ,and the difference of the WRS between the pre -treatment and the post -treatment day was statistically significant(P<0 .05) .ConcIusion The WRS could be used in evaluating the curative effect of sudden hearing loss ,which is a sup_plement for PTA .
ABSTRACT
BACKGROUND AND OBJECTIVES: Bondy operation is a type of modified radical mastoidectomy whose operation window is through an external auditory canal via removal of superior and posterior walls without management of the middle ears. However, the usefulness of this operation is unclear. This study aimed to review our clinical experience of modified Bondy operations and to clarify its usefulness. MATERIALS AND METHODS: Fifteen patients underwent a modified Bondy operation at the Department of Ajou University Hospital between 1996 and 2010. Their clinical data were retrospectively reviewed including age, gender, chief complaint, diagnosis, pure tone average (PTA, a mean threshold of 0.5, 1, 2, and 3 kHz before and 3 months after the operation), otoscopic finding, temporal bone computed tomography, and recurrence rate. RESULTS: The mean age of the 15 patients was 35.3+/-14 (range 18-65) years. Post-operative diagnosis of all cases was cholesteatoma (nine attic, three external auditory canal, one sinus, and two recurrent). Pre- and postoperative PTAs were 27.4+/-18.3 dBHL and 26.0+/-10.7 dBHL, respectively (p=0.72). No postoperative recurrence or complications were noted over at least a 3-month follow-up. CONCLUSIONS: Modified Bondy operation is a good option to preserve hearing and prevent recurrence after operations in cases of cholesteatoma with relatively preserved middle ears.
Subject(s)
Humans , Cholesteatoma , Ear Canal , Ear, Middle , Hearing , Recurrence , Retrospective Studies , Temporal BoneABSTRACT
BACKGROUND AND OBJECTIVES: Bondy operation is a type of modified radical mastoidectomy whose operation window is through an external auditory canal via removal of superior and posterior walls without management of the middle ears. However, the usefulness of this operation is unclear. This study aimed to review our clinical experience of modified Bondy operations and to clarify its usefulness. MATERIALS AND METHODS: Fifteen patients underwent a modified Bondy operation at the Department of Ajou University Hospital between 1996 and 2010. Their clinical data were retrospectively reviewed including age, gender, chief complaint, diagnosis, pure tone average (PTA, a mean threshold of 0.5, 1, 2, and 3 kHz before and 3 months after the operation), otoscopic finding, temporal bone computed tomography, and recurrence rate. RESULTS: The mean age of the 15 patients was 35.3+/-14 (range 18-65) years. Post-operative diagnosis of all cases was cholesteatoma (nine attic, three external auditory canal, one sinus, and two recurrent). Pre- and postoperative PTAs were 27.4+/-18.3 dBHL and 26.0+/-10.7 dBHL, respectively (p=0.72). No postoperative recurrence or complications were noted over at least a 3-month follow-up. CONCLUSIONS: Modified Bondy operation is a good option to preserve hearing and prevent recurrence after operations in cases of cholesteatoma with relatively preserved middle ears.
Subject(s)
Humans , Cholesteatoma , Ear Canal , Ear, Middle , Hearing , Recurrence , Retrospective Studies , Temporal BoneABSTRACT
Evaluar eficacia del procedimiento quirúrgico de descompresión del saco endolinfático (DSE) en mejoramiento de calidad de vida de los pacientes con enfermedad de Meniere intervenidos con DSE utilizando como criterios principales la evaluación de la audición y del vértigo en pacientesatendidos en el Centro Médico Imbanaco entre 2003 y 2007. Materiales y métodos: Estudio de intervención retrospectivo, comparativa (antes-después) en 30 pacientes operados de DSE, se evaluó audición y calidad de vida desde el aspecto de la funcionalidad. Resultados: Mejoría en la calidad de vida de los pacientes operados en los cuales la media de la encuesta del nivel funcional fue de 1.63 mientras que la prequirúrgica fue de 4.06 (p=0.00). No se presentaron cambios significativos en la audición siendo la media de la prequirúrgica de 40.6 y la post de 42.1.
Objective: To evaluate the efficacy of the surgical decompression of the endolymphatic sac (ESD) for the improvement of the quality of life of patients with Menieres disease using the patients vertigo control and hearing assessment as the main criteria in patients that have been operated on. Materials and methods: We performed a retrospective interventional study, comparative (beforeafter) in 30 patients with ESD at the Imbanaco Medical Center between 2003 and 2007. The quality of life and hearing preservation was assessed from the aspect of functionality. Results: Improvement in the quality of life was evident in patients who were operated on. The average functional level at the survey was 1.63 after the surgical intervention while the preoperative average was 4.06 (p=0.00). There were no significant changes in the hearing level being the preoperative mean of 40.6 and thepostoperative 42.1.