Skip to main content

Determination of Endoscopic Stapedotomy Technique and Its Audiological Outcome | Chapter 22 | New Horizons in Medicine and Medical Research Vol. 1

 Background: Sudan has been performing endoscopic stapedotomy for otosclerosis since 2011, with a growing number of patients. In this prospective hospital-based study, which spans from November 2016 to November 2020, the clinic-demographic characteristics of otosclerosis, as well as the surgical method and hearing result following endoscopic stapedotomy, are discussed.

The total number of patients enrolled in the trial was 91. With a female to male ratio of 1.1:1, females were 48 and males were 43. The participants' ages ranged from 19 to 52, with a mean age of 30.6 7 SD years. The most common symptom was reduced hearing in all patients (100 percent); it was bilateral in 82 patients (90 percent), followed by tinnitus in 80 patients (88 percent), and vertigo in two patients (2.2 percent). Only two patients (2.2 percent) mentioned their family history. Audiological evaluation by pure tone audiogram (PTA) for each ear (total of 182) found that conductive hearing loss (CHL) was the most prevalent form of hearing loss in 148 ears (81.3%), mixed type in 30 ears (16.5%), and normal in four ears (2.2%).

Endoscopic stapedotomy was performed on 74 patients; it was a safe procedure with only a few complications: one gusher and one revision, and no facial nerve injury. During the first year, the majority of difficulties occurred. The average air bone gap (ABG) increase was 23.3 7.2 decibels, the average air conduction (AC) gain was 18.3 dB, and the Carhart notch vanished in 79.5 percent of the cases.

Conclusions: Endoscopic stapedotomy is a safe and effective treatment with a steep learning curve and a good outcome in terms of hearing. The increase in the air bone gap (ABG) was equivalent to that seen in other research.

Author(S) Details

Nazik E. Abdullah
Department of Otorhinolaryngology H&N Surgery, Faculty of Medicine, University of Khartoum, P.O.Box-102, Qasr Street, Khartoum, Sudan.

Tarig A. Nafie
ENT Khartoum Teaching Hospital, Qasr street, Khartoum, Sudan.

Ahmed F. Mohammed
Aldoha Specialised ENT Hospital, Mohamed Najeeb Street, Khartoum, Sudan.

Alwaleed A. Abdelmomin
Aldoha Specialised ENT Hospital, Mohamed Najeeb Street, Khartoum, Sudan.

Hashim I. Yagi
Department of Otorhinolaryngology H&N Surgery, Faculty of Medicine, University of Khartoum, P.O.Box-102, Qasr Street, Khartoum, Sudan.

Azza M. Ahmed
Aldoha Specialised ENT Hospital, Mohamed Najeeb Street, Khartoum, Sudan.

View Book:- https://stm.bookpi.org/NHMMR-V1/article/view/6187

Labels:

Comments

Post a Comment

Popular posts from this blog

A Prospective Study about Safety and Efficacy of Perioperative Lidocaine Infusion | Chapter 09 | New Horizons in Medicine and Medical Research Vol. 8

 Opioids cause clinically significant side effects such as respiratory depression, immunosuppression, muscle rigidity, negative inotropism, nausea, vomiting, hyperalgesia, urine retention, postoperative ileus, and drowsiness. Perioperative opioids are a major contributor to the United States' and other countries' opioid epidemics. Non-opioid analgesics, particularly lidocaine, are becoming more common for perioperative use as a result of this. A total of 185 adult patients were randomly assigned to one of two groups: control group I (105 patients) [fentanyl group] or group ii (80 patients) [opioid-free anaesthesia group]. Lidocaine 1.5 mg/kg bolus followed by 1.5 mg/kg/h infusion intraoperatively, and 1.5-2 mg/kg/h infusion for 2-8 hours postoperatively were given to patients in both groups at anaesthetic induction. Intraoperatively, both groups received analgesic adjuvants such as diclofenac 75 mg, paracetamol 1 gm, and mgso4 30-50 mg/kg. If the mean arterial pressure (map)
Post a Comment
Read more

A Brief Study of Middleware Technologies: Programming Applications and Management Systems | Chapter 15 | Novel Research Aspects in Mathematical and Computer Science Vol. 1

  Many platforms, services, applications, hardware, and operating systems are connected through the middleware layer. Because the middleware layer abstracts much low-level complexity and makes applications and software systems portable, it allows disparate systems to interface and function together in harmony. Middleware technologies enable software engineers to swiftly construct software systems and applications, allowing developers to focus on more important tasks. This chapter examines several types of middleware systems and discusses middleware capabilities, middleware operation, middleware's function in cloud-based systems, and the best middleware platforms to use. Middleware systems are widely utilised and can be found in practically any software system or application. Middleware programmes provide as a link between many sorts of systems and protocols. They serve as a mechanism for various systems. To successfully exchange information, it runs on a variety of operating system
Post a Comment
Read more

Ethnopharmacological Survey among Traditional Medicine Practitioners in Abidjan (Côte d'Ivoire) for the Management of Pathologies such as Malaria, ENT Diseases, Diarrhea, Typhoid Fever and Anemia | Chapter 05 | New Horizons in Medicine and Medical Research Vol. 8

 Traditional Medicine Practitioners (TMPs) of Côte d'Ivoire are familiar with the therapeutic herbs. Medicinal plants have been shown to be useful in the treatment of common diseases such as malaria (KROA, 2004) and diabetes (N'GUESSAN et al, 2013) in several studies and scientific study. In the Abidjan District, the current policy is to integrate traditional medicine and pharmacopoeia into the national health system in order to improve population health coverage, particularly in the management of commonly encountered diseases such as malaria, ENT diseases, diarrhoea, typhoid fever, and anaemia. This research aims to increase the use of traditional medicine and pharmacopoeia in the national health system. Over the course of three months, fifty (50) PMTs in the District of Abidjan participated in this study. Plant therapists accounted for 30 of the 50 PMTs polled at the end of the study, or 60%. Traditional medicine centres use 61 types of medicinal plants from 36 famili
Post a Comment
Read more