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High-frequency hearing, tinnitus, and patient satisfaction with stapedotomy: A randomized prospective study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
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2015 (English)In: Scientific Reports, ISSN 2045-2322, Vol. 5, 13341Article in journal (Refereed) Published
Abstract [en]

Otosclerosis is a common disorder that leads to conductive hearing loss. Most patients with otosclerosis also have tinnitus, and surgical treatment is known to improve hearing as well as tinnitus. Some patients however experience worsening of tinnitus after the operation, but there are no known factors that allow surgeons to predict who will be at risk. In this prospective observational study on 133 patients undergoing stapedotomy, we show that postoperative air conduction thresholds at very high stimulus frequencies predict improvement of tinnitus, as assessed with proportional odds logistic regression models. Young patients were significantly more likely to experience reduction of tinnitus and patients whose tinnitus became better were also more satisfied with the outcome of the operation. These findings have practical importance for patients and their surgeons. Young patients can be advised that surgery is likely to be beneficial for their tinnitus, but a less positive message should be conveyed to older patients.

Place, publisher, year, edition, pages
2015. Vol. 5, 13341
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URN: urn:nbn:se:uu:diva-261950DOI: 10.1038/srep13341ISI: 000359839200001PubMedID: 26293121OAI: diva2:852610
AFA InsuranceSwedish Research Council, K2014-63X-14061-14-5Stockholm County CouncilForte, Swedish Research Council for Health, Working Life and Welfare, 2006-1526
Available from: 2015-09-09 Created: 2015-09-07 Last updated: 2015-09-09Bibliographically approved

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