Cochlear otosclerosis: diagnostics and surgical tactics
S.V. Astashchenko, V.E. Kuzovkov, S.N. Ilyin, A.S. Sapogovskaya, S.S. Pavlova
St. Petersburg Research Institute of Ear, Throat, Nose and Speech
Otosclerosis is a specific disease, presenting itself as initial metabolic bilateral osteodystrophy lesion focus of the bony otic capsule in the bony labyrinth. The disease etiopathogenesis has not yet been established. According to a number of authors, its epidemiological prevalence is 5.67 patients per 100 thousand inhabitants. Otosclerosis is usually divided into clinical, manifested by appropriate symptoms and signs, and histological — asymptomatic. Even though the basic surgical intervention methods were developed and introduced into clinical practice in the mid-twentieth century, otosclerosis surgical treatment remains an urgent problem of modern otorhinolaryngology. Currently, the frequency of complications and stapedoplasty unacceptable results remains quite high and ranges from 1.6% to 20%. According to various authors, the cochlear otosclerosis ranges from 1.5% to 20% of patients with chronic sensorineural hearing loss. The article attempts to generalize the patient management tactics taking into account the modern diagnostic methods possibilities. A meticulous preoperative examination is needed to reduce the risk of stapedoplasty events, including not only bone conduction and listening value, but also otosclerosis focalization detection, including temporal bones Multispiral Computed Tomography (MCT), and cochlear canal Magnetic Resonance Imaging (MRI) if the cochlear otosclerosis is identified.
Keywords: otosclerosis, cochlear otosclerosis, temporal bones MCT, stapedoplasty, surgical treatment.
For citation: Astashchenko S.V., Kuzovkov V.E., Ilyin S.N et al. Cochlear otosclerosis: diagnostics and surgical tactics. RMJ. Medical Review. 2019;9(II):52–55.
2. Крюков А.И., Кунельская Н.Л., Гаров Е.В. и др. Современная диагностика больных отосклерозом. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2019; 25(2);29–43. [Kryukov A.I., Kunelskaya N.L., Garov E.V. et al. Contemporary diagnostic in patients with otosclerosis. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2019;25(2):29–43 (in Russ.)].
3. Свистушкин В.М., Мухамедов И.Т., Пашков А.В. и др. Кохлеарная имплантация у больной с отосклерозом и двусторонней глухотой. Случай из практики. Вестник отори-ноларингологии. 2018;83(6):61–63. [Svistushkin V.M., Mukhamedov I.T., Pashkov A.V. et al. Cochlear implantation with cochlear otosclerosis with bilateral deafness. Case from practice. Vestnik otorinolaringologii. 2018;83(6):61–63 (in Russ.)]. DOI: 10.17116/otorino20188306161.
4. Castillo F., Polo R., Gutiérrez A. Cochlear implantation outcomes in advanced otosclerosis. Am. J. otolaryngol. Head and Neck med. Surg. 2014;35:558–564. DOI: 10.1016/j.amjoto.2014.03.011.
5. Корвяков В.С., Диаб Х.М., Джамалудинов Ю.А. и др. Cенсоневральный компонент тугоухости у больных отосклерозом. Российская оториноларингология. 2018;5(96):41–49. [Korvyakov V.S., Diab Kh.M., Dzhamaludinov Y.A. et al. Sensorineural component of hearing loss in patients with otosclerosis. Russian otorhinolaryngology. 2018;5(96):41–49 (in Russ.)]. DOI: 10.18692/1810-4800-2018-5-41-49.
6. Корвяков В.С., Диаб Х.М., Ахмедов Ш.М. и др. Хирургическое лечение больных кохлеарной формой отосклероза. Российская оториноларингология. 2017;5(90):35–43. [Korvyakov V.S., Diab Kh.M., Pashchinina O.A. et al. Surgical treatment of patients with the cochlear form of otosclerosis. Russian otorhinolaryngology. 2017;5(90):35–43 (in Russ.)]. DOI: 10.18692/1810-4800-2017-5-35-43.
7. Cureoglu S., Baylan M. Y.,Paparella M. Cochlear otosclerosis. Cur. Opin. Otorinolaryngol. Head and Neck Surg. 2010;18(5):357–362. DOI: 10.1097/MOO.0b013e32833d11d9.
8. Ramsay H.A., Linthicum F.H. Mixed hearing loss in otosclerosis: indication for long-term follow-up. Jr Am. J. Otolaryngol. 1994;15(4):536–539. PMID: 8588610.
9. Hunter L.L., Navid S. Acoustic Immitance Measures. Basic and Advanced Practice. CA: Plural Publishing; 2014.
10. Крюков А.И., Кунельская Н.Л., Гаров Е.В. и др. Диагностика и лечение различных форм отосклероза: Клинические рекомендации. М.; 2014 [Kryukov A.I., Kunelskaya N.L., Garov E.V. et al. Diagnosis and treatment of various forms of otosclerosis: clinical recommendations. M.; 2014 (in Russ.)].
11. Ильин С.Н., Ноздреватых О.В. Компьютерная томография в диагностике заболеваний височных костей: Руководство для врачей. СПб.: ПСП-Принт; 2010 [l’in S.N., Nozdrevatykh O.V. Computed tomography in the diagnosis of temporal bone disease: a guide for doctors. SPb.: PSP-Print; 2010 (in Russ.)].
12. Samimi-Ardestani H., Khorsandi-Ashtiani M., Ghoujeghi E. et al. Prediction of stapes footplate thickness based on the level of hearing loss in otosclerosis. Ear Nose Throat J. 2012;91(8):328–334. PMID: 22930082.
13. Yamashita K., Yoshiura T., Hiwatashi A. et al. The radiological diagnosis of fenestral otosclerosis: the utility of histogram analysis using multidetector row CT. Eur Arch Otorhinolaryngol. 2014;271:3277–3282. DOI: 10.1007/s00405-014-2933-6.
14. Kanzara T., Singh V.J. Diagnostic performance of high resolution computed tomography in otosclerosis. World J Clin Cases. 2017;5(7):286–291. DOI: 10.12998/wjcc.v5.i7.286.
15. Berrettini S., Ravecca F., Volterrani D. et al. Imaging evaluation in otosclerosis: single photon emission computed tomography and computed tomography. Ann Otol Rhinol Laryngol. 2010;119(4):215–224. DOI: 10.1177/000348941011900402.
16. Карпищенко С.А., Зубарева А.А., Филимонов В.Н. и др. Возможности конусно-лучевой компьютерной томографии височных костей у пациентов с отосклерозом. Вестник оториноларингологии. 2016;81(4):10–13 [Karpishchenko S.A., Zubareva A.A., Filimonov V.N. et al. Possibilities of cone beam computed tomography of the temporal bones in patients with otosclerosis. Bulletin of otorhinolaryngology. 2016;81(4):10–13 (in Russ.)]. DOI: 10.17116/otorino20168144-9.
17. Merkus P., van Loon М.С., Smit C.F. et al. Decision making in advanced otosclerosis: an evidence-based strategy. Laryngoscope. 2011;121(9):1935–1941. DOI: 10.1002/lary.21904.
18. Дондитов Д.Ц. Функциональные результаты хирургического и инактивирующего лечения отосклероза: дис. … канд. мед. наук. М.; 2000 [Donditov D.Ts. Donditov D.Ts. Functional results of surgical and inactivating treatment of otosclerosis. Thesis. M.; 2000 (in Russ.)].
19. Lombardo F., De Cori S., Aghakhanyan G. et al. 3D-Flair sequence at 3T in cochlear otosclerosis Eur Radiol. European Radiology. 2016;26(10):3744–3751. DOI: 10.1007/s00330-015-4170-9.
20. Способ определения длительности лечения активных форм отосклероза: патент 2557691. Рос. Федерация. № 2014130912/14. Заявл. 25.07.2014 [A method for determining the duration of treatment of active forms of otosclerosis: patent 57691 Russian Federation No. 2014130912/14, application 07.25.2014 (in Russ.)].
21. Brookler K. Medical Treatment of Otosclerosis: Rationale for Use of Bisphosphonates. Int. Tinnitus J. 2008;14(2):92–96 PMID: 19205157.
22. Liktor B., Szekanecz Z., Tamas J. et al. Perspectives of pharmacological treatment in otosclerosis. Eur Arch Otorhinolaryngol. 2013;270:793–804. DOI 10.1007/s00405–012–2126–0.
23. Mu˜noz-Fernández N., Morant-Ventura A., Teresa M. et al. Achiques Evolution of Otosclerosis to Cochlear Implantation. Acta Otorrinolaringol Esp. 2012;63(4):265–271. DOI: 10.1016/j.otorri.2011.12.005.
24. West N., Brand M., Foghsgaard S., Cayé-Thomasen P. Surgical Results and Complications of Cochlear Implantation in Far-Advanced Otosclerosis. J Int Adv Otol. 2017;13(3):304–307. DOI: 10.5152/iao.2017.3998.
This work is licensed under a Creative Commons «Attribution» 4.0 License.
