Long-Term Results of Bone Cement in Stapes Surgery
NCT06221007
Ear Diseases, Otorhinolaryngologic Diseases
Denizli, Turkey (Türkiye)
View Trial DetailsNCT Number: NCT02901093
Sensorineural complications of stapes surgery are rare but potentially serious. Imaging is usually performed to identify an underlying cause, such as excessive intravestibular penetration of the prosthesis or pneumolabyrinth suggesting perilymphatic fistula.
Unfortunately, there is very little data in an unselected series of uneventful patients.
The aim of this study is to analyze the depth of prosthesis penetration within the vestibule and the rate of pneumolabyrinth the day or the day after the procedure by performing a Cone Beam CT (CBCT) of the temporal bone in a cohort of unselected patients, and to correlate imaging findings to clinical outcome. This prospective monocentric study is conducted in a tertiary referral medical center. A CBCT is performed in 80 consecutive patients having undergone stapes surgery for otosclerosis, the day or the day after the procedure. Penetration length and location of the prosthesis within the vestibule, as well as presence or absence of a pneumolabyrinth are recorded, and compared to clinical data (vertigo, nystagmus, hearing measurement).
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Notify Me18 year and older
All sexes
Observational
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Time frame: 1 day after surgery
computerized tomography with cone beam
Time frame: 1 day after surgery
computerized tomography with cone beam
Time frame: 1 day after surgery
computerized tomography with cone beam
Time frame: 1 day after surgery
clinical assessment
Time frame: 1 day after surgery
clinical assessment
Time frame: between baseline and 1 day after surgery
measured at 250, 500, 1000, 2000, 3000, 4 000 Hz
Time frame: 7 days, 1 month and 3 months after surgery
Time frame: 7 days, 1 month and 3 months after surgery
Time frame: baseline, 1 month and 3 months after surgery
audiometry: Speech Discrimination Score at a standard presentation level of 60 decibels (SDS60) expressed in percentages
Time frame: baseline, 1 month and 3 months after surgery
audiometry: Speech Reception Threshold at 50% (SRT50) and/or 100% (SRT100) expressed in dB
Fondation Ophtalmologique Adolphe de Rothschild
Network
Early Postoperative Imaging of the Labyrinth by Cone Beam CT After Stapes Surgery for Otosclerosis With Correlation to Audiovestibular Outcome
Acronym: QUIPROCOS
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