PURPOSE To compare a Teflon prosthesis to a piston-type wire/Teflon prosthesis assessing auditory results post-Stapedectomy. MATERIAL AND METHODS We conducted a randomized controlled blinded clinical study from June 2003 to August 2004 at the Otorhinolaryngology, and Head and Neck Surgical Wards at the highly specialized medical unit of "La Raza" General Hospital National Medical Cen ter in M...

The etiopathogenesis of otosclerosis is still controversially discussed. The major hypotheses discussed are a viral infection on a genetic background and an (autoimmune) collagen disease. The aim of our study was to investigate by immunohistochemistry the expression pattern of collagens within the otosclerotic focus. Stapes footplates from 30 patients with clinical otosclerosis undergoing stape...

INTRODUCTION Stapes surgery is mainly used to improve hearing in otosclerosis; however, many patients report alleviation of tinnitus after surgery. OBJECTIVE to evaluate the effectiveness of stapes surgery for improving tinnitus symptoms. MATERIALS AND METHODS This prospective study included 29 patients with surgically proven otosclerosis, who had undergone stapedectomy or stapedotomy. We c...

Background & objectives: The aim of this study was to compare the effectiveness of two stapes prostheses in hearing improvement of patients undergoing stapes surgery for otosclerosis. Materials & Methods: In this retrospective and descriptive study, the charts of 291 stapedectomies performed by one surgeon (first author) from 1997 to 2011 in Imam Khomeini and Apadana hospitals of Ahvaz were rev...

Perilymph fistula is defined as a leak of perilymph at the oval or round window. It excludes other conditions with "fistula" tests due to a dehiscent semicircular canal from cholesteotoma and the superior canal dehiscence syndrome. First recognized as a complication of stapedectomy, it then became apparent that head trauma and barotraumatic trauma from flying or diving could be a cause. Descrip...

Background & objectives: The aim of this study was to compare the effectiveness of two stapes prostheses in hearing improvement of patients undergoing stapes surgery for otosclerosis.   Materials & Methods: In this retrospective and descriptive study, the charts of 291 stapedectomies performed by one surgeon (first author) from 1997 to 2011 in Imam Khomeini and Apadana hospitals of Ahvaz were...

BACKGROUND AND PURPOSE Prior descriptions of imaging after failed stapes procedures for otosclerosis predated currently available CT technology and/or failed to assess commonly used metallic implants. The purpose of this study was to correlate temporal bone CT findings with clinically and intraoperatively determined causes of surgical failure. MATERIALS AND METHODS All patients with otosclero...

Otosclerosis is an inflammatory disease of the human temporal bone which was assumed to affect up to 10% of the Caucasians. Histologic otosclerosis has an incidence of 3.4%. It is considered as a major cause of hearing loss in Western countries while a low incidence is observed among Africans. Many hypotheses about its origin had been formulated in the past. Otosclerosis genes (OTSC1-5) and col...

HYPOTHESIS Histopathologic study of the tissue seal and biologic response around cochlear implant electrodes in patients who had received a cochlear implant during life could provide clues concerning the pathogenesis of meningitis after cochlear implantation. BACKGROUND Bacterial meningitis has been reported as an infrequent complication of cochlear implantation using a variety of electrode d...