Distorted sound perception and subjective benefit after stapedotomy – a prospective single-centre study.

Objective: To evaluate the quality of perceived sound after stapedotomy over a 1-year follow-up period focussing on incidence of dysacusis, particularly distorted sound perception (DSP). DSP was assessed by (i) determination of the frequencies and hearing level that such perceptions are elicited by...

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Published in:International Journal of Audiology Vol. 58; no. 6; pp. 333 - 339
Main Authors: Bächinger, David, Röösli, Christof, Kesterke, Rahel, Dalbert, Adrian, Péus, Dominik, Veraguth, Dorothe, Pfiffner, Flurin, Huber, Alexander
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Jun2019
Online Access:View this record in EBSCOhost
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        14992027
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      jtl: International Journal of Audiology
      issn: 14992027
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      dt: Jun2019
      vid: 58
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        136271048
        136271048
        136271048
        10.1080/14992027.2018.1560509
        136271048
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        atl: Distorted sound perception and subjective benefit after stapedotomy – a prospective single-centre study.
      aug:
        au:
          Bächinger, David
          Röösli, Christof
          Kesterke, Rahel
          Dalbert, Adrian
          Péus, Dominik
          Veraguth, Dorothe
          Pfiffner, Flurin
          Huber, Alexander
        affil: University of Zürich, Switzerland
      sug:
        subj:
          Otosclerosis Surgery
          Stapedius Surgery
          Postoperative Period
          Loudness Perception Evaluation
          Perceptual Distortion Evaluation
          Human
          Prospective Studies
          Evoked Potentials, Auditory
          Psychoacoustics Methods
          Self Report
          Questionnaires
          Descriptive Statistics
          Bone Conduction Evaluation
          Auditory Perception
          Treatment Outcomes
          Adult
          Middle Age
          Audiometry, Pure-Tone
          Pretest-Posttest Design
          Chi Square Test
          T-Tests
          Mann-Whitney U Test
          Data Analysis Software
          Male
          Female
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: To evaluate the quality of perceived sound after stapedotomy over a 1-year follow-up period focussing on incidence of dysacusis, particularly distorted sound perception (DSP). DSP was assessed by (i) determination of the frequencies and hearing level that such perceptions are elicited by pure tones (pure-tone-evoked distorted sound perception, PTE-DSP), a novel psychoacoustic measurement introduced in this paper, and (ii) assessment of patient-reported occurrence of DSP using the Amsterdam Post Operative Sound Evaluation (APOSE) questionnaire (APOSE-DSP). Design: Prospective study. Study sample: Patients (n = 23) with otosclerosis undergoing stapedotomy. Results: An air-bone gap of <20 dB was achieved in 100% of the patients. Three weeks postoperatively, 48% of the patients reported measured PTE-DSP and 39% of the patients experienced APOSE-DSP. The PTE-DSP significantly decreased during the 1-year follow-up period (p = 0.03). Postoperatively, APOSE-DSP was associated with a smaller benefit (improvement in air conduction; p = 0.03), yet, a lower bone conduction pure-tone average was associated with PTE-DSP (p = 0.006). Conclusions: DSP after stapedotomy is associated with a smaller benefit 3 months after stapedotomy. DSP commonly occur after stapedotomy, but decrease over time. This is important information to be included in patient counselling before stapedotomy.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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