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Treatment of moderate‑to‑severe otosclerosis with simultaneous piston surgery and incus vibroplasty

Chan‑Jung Changa, Yu‑Hsuan Wena,b, Chuan‑Hung Suna, Millo Achille Beltramec, Hung‑Pin Wub,d*

aDepartment of Otolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan, bSchool of Medicine, Tzu Chi University, Hualien, Taiwan, cDepartment of Otorhinolaryngology, Central Clinic, Rovereto, Trento, Italy, dDepartment of Otolaryngology, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan
 
 

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Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation

 

 

Abstract
 
Objective: Whereas the nature of otosclerosis has been extensively investigated, treatment modalities in advanced otosclerosis with the sensorineural hearing loss (SNHL) are relatively unexplored. Materials and Methods: This article presents a retrospective case series study of nine patients who received a one‑stage piston coupled with Vibrant Soundbridge® vibroplasty in treating otosclerosis with moderate‑to‑severe SNHL. Results: The findings suggest that hearing loss could be restored across frequencies and no significant change in the bone‑conduction threshold were measured. Conclusion: One‑stage piston surgery coupled with incus vibroplasty is a safe procedure and has sufficient efficacy to restore hearing loss in patients with otosclerosis with moderate‑to‑severe SNHL.

 

Keywords: Mixed hearing loss, Otosclerosis, Vibrant Soundbridge

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