Middle Ear Exploration Results in Suspected Otosclerosis Cases Referred to Amir-Almomenin and Golsar Hospitals, Rasht, 2001-2011: Are Ossicular and Footplate Area Anomalies Rare?

Nemati, Shadman; Naghavi, Ebrahim; Kazemnejad, Ehsan; Aghajanpour, Mohammad; Abdollahi, Omid

doi:10.22038/ijorl.2013.660

Middle Ear Exploration Results in Suspected Otosclerosis Cases Referred to Amir-Almomenin and Golsar Hospitals, Rasht, 2001-2011: Are Ossicular and Footplate Area Anomalies Rare?

Document Type : Original

Authors

Shadman Nemati ¹

Ebrahim Naghavi ¹

Ehsan Kazemnejad ²

Mohammad Aghajanpour ³

Omid Abdollahi ⁴

¹ Otolaryngology-head and neck surgery Research Center, Amiralmomenin Hospital. Guilan University of Medical Sciences, Rasht, Iran.

² Department of biostatistics, Faculty of Midwifery and Nursing, , Guilan University of Medical Sciences, Rasht, Iran.

³ Department of Otolaryngology-head and neck surgery, Guilan University of Medical Sciences, Rasht, Iran.

⁴ Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

10.22038/ijorl.2013.660

Abstract

Introduction:
Otosclerosis is a disease of bony labyrinth. Structural changes in the labyrinth often cause ossicular fixation, and thus conductive hearing loss. The purpose of this study was to evaluate middle ear exploration findings and frequency of ossicular and footplate area anomalies in patients with suspected otosclerosis referred to Amiralmomenin and Golsar Hospitals in Rasht, Iran.

Materials and Methods:
In 47 patients undergone middle ear exploration in Amiralmomenin and Golsar hospitals from April 2001 to March 2011, the intraoperative findings, and other data were extracted from the medical records of the patients. The data was analyzed using SPSS 17 software.

Results:
Frequency of fixation of stapes, malleus, and incus by age and sex in patients undergoing middle ear exploration showed that stapes had been fixed in 39 patients, malleus in 6 patients, and incus in 21 patients. Analysis of data showed that there was no significant association between sex and age with fixation of any of ossicles (P>0/05). Middle ear anomalies were seen in 16 cases (34.0%). Overhanging of facial nerve in 4 cases, thick stapedial crura in 5 cases, and perilymph gusher in 2 cases were the most frequent anomalies.

Conclusion:
This study show that the results of middle ear explorations in our patients in the north of Iran is somehow different from the typical otosclerotic cases, although the frequency of ossicular anomalies is better to be evaluated and compared in different areas of Iran, and other countries.

Keywords

Anomalies

Incus

Malleus

Middle ear exploration

Otosclerosis

Ossicular fixation

Stapes