PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS

çanakcı, hasan; CENGİZ, CEYHUN; TULACI, KAMİL GÖKÇE; Tulaci, Tugba; YAZICI, Haşmet; ARSLAN, ERHAN

PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS

Kamil Gökçe TULACI, (Balıkesir Üniversitesi, Tıp Fakültesi, Kulak Burun Boğaz ve Baş Boyun Cerrahisi Anabilim Dalı, Balıkesir, Türkiye)

Erhan ARSLAN, (Balıkesir Üniversitesi, Tıp Fakültesi, Kulak Burun Boğaz ve Baş Boyun Cerrahisi Anabilim Dalı, Balıkesir, Türkiye)

Hasan ÇANAKCI, (Balıkesir Üniversitesi, Tıp Fakültesi, Kulak Burun Boğaz ve Baş Boyun Cerrahisi Anabilim Dalı, Balıkesir, Türkiye)

Tugba TULACI, (Balıkesir Atatürk Şehir Hastanesi, Kulak Burun Boğaz ve Baş Boyun Cerrahisi Kliniği, Balıkesir, Türkiye)

Ceyhun CENGİZ, (Bozok Üniversitesi, Tıp Fakültesi, Kulak Burun Boğaz ve Baş boyun Cerrahisi Anabilim Dalı, Yozgat, Türkiye)

Haşmet YAZICI (Balıkesir Üniversitesi, Tıp Fakültesi, Kulak Burun Boğaz ve Baş Boyun Cerrahisi Anabilim Dalı, Balıkesir, Türkiye)

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Yıl: 2020 Cilt: 19 Sayı: 4 Sayfa Aralığı: 363 - 373 Metin Dili: İngilizce İndeks Tarihi: 27-06-2021

PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS

Öz:

Aim: To investigate predictors of postoperative hearing outcomes in endoscopic stapedotomy. Methods: Patients who underwent endoscopic stapedotomy for otosclerosis and met the inclusion criteria were included in this retrospective study. Patients were divided into two groups according to postoperative functional success. Group 1 included patients whose postoperative air bone gap (ABG) was ≤10 dB, and Group 2 included patients whose postoperative ABG was >10 dB. Logistic regression analysis were used to evaluate possible factors affecting postoperative hearing outcomes and receiver operating characteristics (ROC) analysis were used to identify the best cut-off threshold for predicting functional success. Results: In both groups, statistically significant improvement was observed in mean air conduction (AC) threshold and mean ABG values after operation ( AC Group1: p<0.001, Group 2: p=0.023, ABG group1: p<0.001, group 2: p=0.002). Group 1's mean preoperative ABG and preoperative AC thresholds were significantly lower than those of Group 2 (p<0.001 and p<0.001, respectively). Preoperative AC thresholds and preoperative ABGs were found to be significant predictors of functional success. For AC: The area under the curve (AUC) = 0.913, 95% confidence interval (CI): 0.823-1.000, p < 0.001, and for ABG: AUC = 0.890, 95% CI: 0.753-1.000, p < 0.001. The best cut-off thresholds in predicting the functional success of the operation were found to be 47.5 dB and 32.0 dB respectively for preoperative AC and preoperative ABG. Conclusion: Lower preoperative ABGs and lower AC thresholds were found to be independent predictors of successful hearing outcomes for endoscopic stapedotomy.

Anahtar Kelime:

OTOSKLEROZ HASTALARINDA ENDOSKOPİK STAPEDOTOMİ CERRAHİSİNDE BAŞARIYI ETKİLEYEN FAKTÖRLERİN DEĞERLENDİRİLMESİ

Öz:

Amaç: Endoskopik stapedotomide postoperatif işitme sonuçlarının prediktörlerini araştırmaktır. Yöntem: Bu retrospektif çalışmaya otoskleroz nedeniyle endoskopik stepedotomi yapılan ve dahil edilme kriterlerini sağlayan hastalar dahil edilmiştir. Hastalar postoperatif fonksiyonel başarıya göre iki gruba ayrıldı. Grup 1'e ameliyat sonrası hava kemik aralığı (HKA) ≤ 10 dB olan hastalar, Grup 2'ye ise ameliyat sonrası HKA'sı > 10 dB olan hastalar dahil edildi. Cerrahi sonrası işitme sonuçlarını etkileyen olası faktörlerin değerlendirilmesi için lojistik regresyon analizi, fonksiyonel başarıyıtahmin etmek için en iyi kesme (cut off) noktalarının belirlenmesi için ise alıcı işlem karakteristiği eğrisi (ROC) analizi kullanıldı. Bulgular: Her iki grupta da operasyon sonrasında hava yolu (HY) işitme eşiklerinde ve HKA ortalamalarında istatistiksel olarak anlamlıiyileşme gözlendi (HY Grup 1: p <0,001, Grup 2: p = 0,023, HKA Grup 1: p <0,001, Grup 2: p = 0.002). Grup 1 in ortalama preoperatif HKA değerleri ve preoperatif HY işitme eşikleri grup 2 den istatistiksel olarak anlamlı derecede daha düşük idi (sırasıyla p <0,001 ve p <0,001). Preoperatif HY eşikleri ve preoperatif HKA endoskopik stapedotominin fonksiyonel başarısı için prediktif faktör olarak saptandı (HY için: Eğri altındaki alan (AUC) = 0,913, % 95 güven aralığı (CI): 0,823-1,000, p <0,001 ve HKA için: AUC = 0,890,% 95 CI: 0,753-1,000, p <0,001). Operasyonun fonksiyonel başarısını öngörmede en iyi kesim noktası, preoperatif HY ve HKA için sırasıyla 47,5 dB ve 32,0 dB olarak bulundu. Sonuç: Ameliyat öncesi düşük HKA ve düşük HY işitme eşikleri, endoskopik stapedotomi için başarılı işitme sonuçlarının bağımsız prediktif faktörleri olarak bulunmuştur.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	TULACI K, ARSLAN E, çanakcı h, Tulaci T, CENGİZ C, YAZICI H (2020). PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. , 363 - 373.
Chicago	TULACI KAMİL GÖKÇE,ARSLAN ERHAN,çanakcı hasan,Tulaci Tugba,CENGİZ CEYHUN,YAZICI Haşmet PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. (2020): 363 - 373.
MLA	TULACI KAMİL GÖKÇE,ARSLAN ERHAN,çanakcı hasan,Tulaci Tugba,CENGİZ CEYHUN,YAZICI Haşmet PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. , 2020, ss.363 - 373.
AMA	TULACI K,ARSLAN E,çanakcı h,Tulaci T,CENGİZ C,YAZICI H PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. . 2020; 363 - 373.
Vancouver	TULACI K,ARSLAN E,çanakcı h,Tulaci T,CENGİZ C,YAZICI H PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. . 2020; 363 - 373.
IEEE	TULACI K,ARSLAN E,çanakcı h,Tulaci T,CENGİZ C,YAZICI H "PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS." , ss.363 - 373, 2020.
ISNAD	TULACI, KAMİL GÖKÇE vd. "PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS". (2020), 363-373.

APA	TULACI K, ARSLAN E, çanakcı h, Tulaci T, CENGİZ C, YAZICI H (2020). PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. KBB-Forum, 19(4), 363 - 373.
Chicago	TULACI KAMİL GÖKÇE,ARSLAN ERHAN,çanakcı hasan,Tulaci Tugba,CENGİZ CEYHUN,YAZICI Haşmet PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. KBB-Forum 19, no.4 (2020): 363 - 373.
MLA	TULACI KAMİL GÖKÇE,ARSLAN ERHAN,çanakcı hasan,Tulaci Tugba,CENGİZ CEYHUN,YAZICI Haşmet PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. KBB-Forum, vol.19, no.4, 2020, ss.363 - 373.
AMA	TULACI K,ARSLAN E,çanakcı h,Tulaci T,CENGİZ C,YAZICI H PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. KBB-Forum. 2020; 19(4): 363 - 373.
Vancouver	TULACI K,ARSLAN E,çanakcı h,Tulaci T,CENGİZ C,YAZICI H PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS. KBB-Forum. 2020; 19(4): 363 - 373.
IEEE	TULACI K,ARSLAN E,çanakcı h,Tulaci T,CENGİZ C,YAZICI H "PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS." KBB-Forum, 19, ss.363 - 373, 2020.
ISNAD	TULACI, KAMİL GÖKÇE vd. "PREDICTORS OF POSTOPERATIVE HEARING OUTCOMES AFTER ENDOSCOPIC STAPEDOTOMY SURGERY FOR OTOSCLEROSIS". KBB-Forum 19/4 (2020), 363-373.