Treatment of moderate-to-severe otosclerosis with simultaneous piston surgery and incus vibroplasty Chang CJ, Wen YH, Sun CH, Beltrame MA, Wu HP, - J Indian Prosthodont Soc

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Treatment of moderate-to-severe otosclerosis with simultaneous piston surgery and incus vibroplasty Chan-Jung Chang¹, Yu-Hsuan Wen², Chuan-Hung Sun¹, Millo Achille Beltrame³, Hung-Pin Wu⁴ ¹ Department of Otolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan ² Department of Otolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation; School of Medicine, Tzu Chi University, Hualien, Taiwan ³ Department of Otorhinolaryngology, Central Clinic, Rovereto, Trento, Italy ⁴ School of Medicine, Tzu Chi University, Hualien; Department of Otolaryngology, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan Correspondence Address: Hung-Pin Wu, Department of Otolaryngology, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 88, Section 1, Fengxing Road, Tanzi District, Taichung Taiwan Source of Support: None, Conflict of Interest: None DOI: 10.4103/tcmj.tcmj_176_17

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.

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    -  Chang CJ
    -  Wen YH
    -  Sun CH
    -  Beltrame MA
    -  Wu HP

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