Otosclerosis Clinical Trial
Official title:
Hearing Aid Versus Surgical Rehabilitation as Treatment of Otosclerosis: Pilot Study
This is a French pilot study in the Toulouse University Hospital that will include a minimum of 30 patients with proven unilateral or asymmetric otosclerosis. Each one will receive a hearing aid for a minimum of 2 months and then undergo otosclerosis surgery.
Otosclerosis is the main cause of acquired hearing loss in young to middle aged Caucasian
population. Social, personal and medico-economic impacts triggered by this affection make it
a major public health matter. Historically, the surgical treatment of otosclerosis has always
been considered one of the best indications of otologic surgery. The external hearing aid was
then an alternative to surgery considered as a more restrictive and less effective management
of otosclerosis. With the recent technological developments of hearing aids, comparing these
two treatments otosclerosis should be studied. The absence of scientific data from the
literature concerning this subject justifies this study which purpose is to describe the
evolution of the quality of life and hearing performance of a same patient after taking over
by these two approaches.
This is a French pilot study in the Toulouse University Hospital that will include a minimum
of 30 patients with proven unilateral or asymmetric otosclerosis. Each one will receive a
hearing aid for a minimum of 2 months and then undergo otosclerosis surgery.
The primary outcome will be based on a study of the quality of life (score of 0-100 to
quality of life validated questionnaire Glasgow Health Status Inventory (GHSI)). The
questionnaire will be given to the patient at the pre-enrollment visit, after a period of two
months of external hearing aid trying and 2 months after the surgery. Secondary outcomes will
be studied: simple hearing performance (voice and tone audiogram), complex hearing
performance (speech audiogram in noise recognition stamp), specific questionnaires for
hearing (SSQ), for hearing aids (APHAB, GBI equipment), for tinnitus if present (THI and VAS
discomfort / intensity) or for surgical treatment (surgery GBI). Data about treatment's side
effects and the number of potential patients refusing surgery after testing the hearing aid
will also be collected.
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