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Am J Otolaryngol. 2015 Mar-Apr;36(2):158-62. doi: 10.1016/j.amjoto.2014.10.014. Epub 2014 Oct 14.

Round and oval window reinforcement for the treatment of hyperacusis.

Author information

1
Ear Research Foundation, 1901 Floyd Street, Sarasota, FL, USA. Electronic address: EarSinus@aol.com.
2
Ear Research Foundation, 1901 Floyd Street, Sarasota, FL, USA. Electronic address: emmy.wu@gmail.com.
3
Ear Research Foundation, 1901 Floyd Street, Sarasota, FL, USA. Electronic address: shagan@earsinus.com.

Abstract

PURPOSE:

To present the outcomes of two patients (three ears) with hyperacusis treated with round and oval window reinforcement.

MATERIALS AND METHODS:

Transcanal placement of temporalis fascia on the round window membrane and stapes footplate was performed. Loudness discomfort level testing was performed. Results of pre and post-operative hyperacusis questionnaires and audiometric testing were reviewed.

RESULTS:

Two patients (three ears) underwent surgery. Results from the hyperacusis questionnaire improved by 21 and 13 points, respectively. Except for a mild loss in the high frequencies, no change in hearing was noted post-operatively. Both patients reported no negative effects from surgery, marked improvement in ability to tolerate noise, and would recommend the procedure to others. There were no complications.

CONCLUSIONS:

Round and oval window reinforcement is a minimally invasive option for treating hyperacusis when usual medical therapies fail. Further studies are needed to evaluate the effectiveness of the procedure in reducing noise intolerance.

PMID:
25456168
DOI:
10.1016/j.amjoto.2014.10.014
[Indexed for MEDLINE]

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