Stapedotomy post-operative results and complications

Authors

  • Hanumant S. Giri Department of ENT, SMBT Institute of Medical Sciences and Research Centre, Nashik, Maharashtra, India
  • Ram C. Bishnoi Department of ENT, Sardar Patel Medical College and Associated Group of Hospital, Bikaner, Rajasthan, India
  • Pooja D. Nayak Department of ENT, SMBT Institute of Medical Sciences and Research Centre, Nashik, Maharashtra, India
  • Ninad S. Gaikwad Department of ENT, HBT Medical College and Dr R N Cooper Municipal General Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20203085

Keywords:

Stapedotomy, Teflon piston, Micro fenestrum, Conductive hearing loss, Otosclerosis

Abstract

Background: Otosclerosis is a hereditary localized disease of the bone derived from the otic capsule. It is characterized by alternating phases of bone formation and resorption and patient presents with conductive hearing loss. Treatment of otosclerosis can be of two kinds: hearing aids and surgery. Stapedectomy and stapedotomy are the two surgical procedures done for treatment of otosclerosis. Present study was conducted on 30 patients with otosclerosis who underwent stapedotomy to assess the hearing results post-surgery by serial Audiometric studies and to study the complications of stapedotomy surgery.

Methods: This prospective observational study conducted on 30 patients of otosclerosis who fulfilled the inclusion and exclusion criteria.  

Results: In this study of thirty cases of otosclerosis which were operated for small fenestra stapedotomy, we conclude that Hearing gain post-surgery was remarkable especially for patients with a pure conductive hearing loss. There was no deterioration in hearing after two years of follow-up. In our study on 30 patients we encountered minor complication in 4 patients (13.33%) and 1 major complication of profound sensorineural hearing loss 3.33%.

Conclusions: We conclude that stapedotomy is a relatively safe procedure with significant post-surgery hearing benefit.

References

Merchant SN, McKenna MJ, Kelly G, Swan RCI, Canter R, McKerrow WS. Otosclerosis. In: Gleeson M, Browning GG, Burton MJ, Clarke R, Hibbart J, Jones NS, et al eds. Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery. 7th ed. Lon. Hodder-Arnold, 2008: 3453-3485.

Shea J. LXVIII Fenestration of the Oval Window. Ann Otol Rhinol Laryngol. 1958;67(4):932-951.

Phillip HB. Otosclerosis. Bristol [Avon]: Wright; 1981.

Donaldson I. Stapedectomy. A non-personal series. J Laryngol Otol. 1976;90(10):915‐8.

Wiet RJ, Harvey SA, Bauer GP. Complications in stapes surgery. Options for prevention and management. Otolaryngol Clin North Am. 1993;26(3):471‐90.

Portmann M. Procedure of "interposition" for otosclerotic deafness. Laryngoscope. 1960;70:166‐74.

Shea JJ. Thirty years of stapes surgery. J Laryngol Otol. 1988;102(1):14‐9.

Marquet J. Otosclerosis: small hole technique. J Laryngol Otol Suppl. 1983;8:78‐80.

Smyth GD, Hassard TH. Eighteen years experience in stapedectomy. The case for the small fenestra operation. Ann Otol Rhinol Laryngol Suppl. 1978;87(3 Pt 2 Suppl 49):3‐36.

McGee TM. Comparison of small fenestra and total stapedectomy. Ann Otol Rhinol Laryngol. 1981;90(6 Pt 1):633‐6.

Somers T, Govaerts P, Marquet T, Offeciers E. Statistical analysis of otosclerosis surgery performed by Jean Marquet. Ann Otol Rhinol Laryngol. 1994;103(12):945‐51.

Shea J, Sanabria F. A Critical Appraisal of Stapes Surgery After Ten Years. J Laryngol Otol. 1963;77(2):101-14.

Romero-Diaz E. Stapedectomy without window sealing. Arch Otolaryngol. 1969;89(6):807‐8.

Dawes JD, Curry AR. Types of stapedectomy failure and prognosis of revision operations. J Laryngol Otol. 1974;88(3):213‐26.

Bailey HA Jr. Natural stapedectomy. Laryngoscope. 1968;78(5):813‐28.

Causse JB, Causse JR, Parahy C. Stapedotomy technique and results. Am J Otol. 1985;6(1):68‐71.

Crabtree JA, Britton BH, Powers WH. An evaluation of revision stapes surgery. Laryngoscope. 1980;90(2):224‐7.

Derlacki EL. Revision stapes surgery: problems with some solutions. Laryngoscope. 1985;95(9 Pt 1):1047‐53.

Ginsberg IA, Hoffman SR, White TP, Stinziano GD. Hearing changes following stapedectomy: a six year follow-up. Laryngoscope. 1981;91(1):87‐92.

Hannley MT. Audiologic characteristics of the patient with otosclerosis. Otolaryngol Clin N Am. 1993;26(3):373‐87.

Shea JJ. Polyethylene Tube Technique. Arch Otolaryngol. 1969;89(2):431.

Bellucci RJ. Footplate extraction in stapedectomy. Laryngoscope. 1978;88(4):701‐6.

Pedersen CB, Felding JU. Stapes surgery: complications and airway infection. Ann Otol Rhinol Laryngol. 1991;100(8):607‐11.

Harris I, Weiss L. Granulomatous complications of oval window fat grafts. Laryngoscope. 1962;72:870‐85.

Downloads

Published

2020-07-22

Issue

Section

Original Research Articles