364:
278:
376:
388:
286:
68:. Successful surgery usually provides an increase in hearing acuity of about 20 dB. However, most of the published results of success fall within the speech frequency of 500 Hz, 1000 Hz and 2000 Hz; poorer results are typically obtained in the high frequencies, but these are normally less hampered by otosclerosis in the first place.
303:
allows for better view of the footplate of the stapes without the need to remove bone which is very common when doing the procedure with microscope. Professor Patel and his
Australian team published a relatively large cohort of patients undergoing endoscopic stapedotomy procesure with closure of air-bone gape within 20 dB in 98.6%.
302:
In 1999, Professor
Tarabichi described his experience with stapedotomy performed using the endoscope without the need for bone removal or skin incision (endaural approach). Since then, endoscopic stapedotomy has been gaining popularity especially amongst younger endoscopically trained surgerons. It
242:
laser allows the surgeon to create very small, precisely placed holes without increasing the temperature of the inner ear fluid by more than one degree, whilst decreasing the risk of footplate fracture, making this an extremely safe surgical solution. The hole diameter can be predetermined according
201:
When a stapedectomy is done in a middle ear with a congenitally fixed footplate, the results may be excellent but the risk of hearing damage is greater than when the stapes bone is removed and replaced (for otosclerosis). This is primarily due to the risk of additional anomalies being present in the
213:
In 1995, Glasscock et al. published a 25-year single-centre review of over 900 patients who underwent stapedectomy and stapedotomy and found complications rates as follows: reparative granuloma 1.3%, tympanic membrane perforation 1.0%, total sensorineural hearing loss 0.6%, partial sensorineural
293:
Because it is a simpler and safer procedure, stapedotomy is normally preferred to stapedectomy in the absence of predictable complications. However, the success rate of either surgery depends greatly on the skill and the familiarity with the procedure of the surgeon. Furthermore, a major success
351:
alongside the use of veinous grafts. in 1999, Professor
Tarabichi of the Tarabichi Stammberger Ear and Sinus Institute, reported his experience performing the surgery using endoscope which lessens the need to remove bone to obtain access to the stapes.
226:, is thought by many otologic surgeons to be safer and reduce the chances of postoperative complications. In stapedotomy, instead of removing the whole stapes footplate, a tiny hole is made in the footplate – either with a microdrill or with a
237:
Laser stapedotomy is a well-established surgical technique for treating conductive hearing loss due to otosclerosis. The procedure creates a tiny opening in the stapes (the smallest bone in the human body) in which to secure a prosthetic. The
335:, including calibrated platinotomy (stapes footplate rather than whole surgery) and trans-footplate piston surgery that also paved the way for modern stapedotomy; and by the late Dr. Jean-René Causse of the eponymous clinic in
79:
Stapedectomy closes what is called the "air bone gap" very efficiently, meaning it restores efficient conduction of sound coming through the air close to the level of the best ability of the nerve cells to perceive the sound.
274:), provided the adhesions are removed during surgery. However, the adhesions may recur over time. The stapedotomy method is not applicable in those relatively rare cases that involve sclerosis of the entire ossicular chain.
243:
to the prosthesis diameter. Treatment can be completed in a single operation visit using anesthesia, normally followed by one or two nights' hospitalization with subsequent at-home recovery time a matter of days or weeks.
1195:
The LION Foundation's Live
International Otolaryngology Network offers annual symposia geared for continuing education of practicing surgeons, and subsequently available via streaming internet.
315:
who performed it in May 1956 on a 54-year-old housewife who could no longer hear even with a hearing aid. Significant contributions to modern stapedectomy techniques were then made by the late
60:
in the fixed stapes footplate and inserting a tiny, piston-like prosthesis. The results of this surgery are generally most reliable in patients whose stapes has lost mobility because of
89:
Most surgeons do not make any skin incisions, especially when the surgery is performed with an endoscope. However, sometimes the ear canal is so small that an incision is needed.
859:
Surgery and
Pathology of the Middle Ear: Proceedings of the International Conference on ‘The Postoperative Evaluation in Middle Ear Surgery’ held in Antwerp on June 14–16, 1984
64:. Nine out of ten patients who undergo the procedure will come out with significantly improved hearing while less than 1% will experience worsened hearing acuity or
488:
Henriques, Vânia; Teles, Rafaela; Sousa, Ana; Estevão, Roberto; Rodrigues, Jorge; Gomes, Alexandra; Silva, Francisco; Fernandes, Ângelo; Fernandes, Fausto (2016).
234:
is placed to touch this area, oval window. This procedure can be further improved by the use of a tissue graft seal of the fenestra, which is now common practice.
83:
It takes 30 minutes to 90 minutes depending on skills and experience of the surgeon and the presence of difficult or easy anatomical access to the stapes.
970:
Pauw BK, Pollak AM, Fisch U (December 1991). "Utricle, saccule, and cochlear duct in relation to stapedotomy. A histologic human temporal bone study".
316:
251:
Comparisons have shown stapedotomy to yield either as good or better results than stapedectomy (measured by hearing improvement and reduction in the
56:
In both of these situations, it is possible to improve hearing by removing the stapes bone and replacing it with a micro prosthesis – creating a
1135:
423:
Ishida, Hiroki; Okano, Takayuki; Hayashi, Yasuyuki; Nishimura, Koji; Sakamoto, Tatsunori; Yamamoto, Norio; Omori, Koichi (2020-01-01).
1253:
347:
piston prostheses (also critical progress for stapedotomy) and, with his late son Dr. Jean-Bernard Causse, the reattachment of the
1179:
Obituaries: Jean-Rene Causse, MD, February 6, 1910 - December 10, 2001; Jean-Bernard Causse, MD, May 13, 1944 -– December 13, 2001
202:
congenitally abnormal ear. If high pressure within the fluid compartment that lies just below the stapes footplate exists, then a
363:
206:
gusher may occur when the stapes is removed. Even without immediate complications during surgery, there is always concern of a
1201:
874:
1062:
Vaughan, Casey; Fox, Richard; Jufas, Nicholas; Kong, Jonathan H. K.; Patel, Nirmal P.; Saxby, Alexander J. (October 2020).
425:"Two cases of congenital stapes malformation: Implications for development of the stapes footplate and the oval window"
590:
214:
hearing loss 0.3%, and vertigo 0.3%. In this series, there was no incidence of facial nerve paralysis or tinnitus.
41:. There are two major causes of stapes fixation. The first is a disease process of abnormal mineralization of the
1222:
1109:
1196:
259:), and to be less prone to complications. In particular, stapedotomy procedure greatly reduces the chance of a
86:
Stapedectomy is performed under either local or general anesthesia depending on the preference of the surgeon.
895:
Sedwick JD, Louden CL, Shelton C (February 1997). "Stapedectomy vs stapedotomy. Do you really need a laser?".
956:
Thamjarayakul T, Supiyaphun P & Snidvongs K, "Stapes fixation surgery: Stapedectomy versus stapedotomy",
1246:
1365:
143:
547:
Raman R (1983). "Poor High
Frequency Results Following Total Stapedectomy Theoretical Considerations".
464:
404:
1177:
1339:
289:
Endoscopic view of the piston inserted into the stapedotomy and on to the long processof the incus
1396:
1239:
490:"Abnormal Congenital Location of Stapes' Superstructure: Clinical and Embryological Implications"
387:
107:
Presence of
Carhart's notch in the audiogram of a patient with conductive hearing loss (relative)
50:
38:
37:
If the stapes footplate is fixed in position, rather than being normally mobile, the result is a
375:
1370:
1391:
252:
800:
8:
1360:
908:
320:
267:
1063:
1039:
1014:
995:
779:
641:
524:
489:
446:
1263:
1158:
1091:
1083:
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835:
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771:
729:
685:
680:
663:
633:
628:
611:
586:
529:
511:
450:
260:
207:
182:
1149:
Causse JB, Causse JR, Parahy C (January 1985). "Stapedotomy technique and results".
999:
783:
645:
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1034:
1026:
979:
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436:
348:
312:
1231:
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424:
1316:
1079:
866:
277:
271:
256:
294:
factor in both surgeries is correctly determining the length of the prosthesis.
110:
Good cochlear reserve as assessed by the presence of good speech discrimination.
1355:
1064:"Endoscopic Stapedectomy: Collective Experience From a Large Australian Center"
1030:
983:
854:
767:
266:
Stapedotomy, like stapedectomy, can be successful in the presence of sclerotic
1385:
1321:
1311:
1087:
831:
816:"[Complications of stapedectomy involving the middle ear structures]"
724:
707:
515:
327:; by the late Professor Henri André Martin of the Hôpital Edouard Herriot in
187:
136:
42:
1095:
1048:
815:
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159:
61:
46:
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991:
943:
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637:
1301:
324:
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560:
231:
31:
27:
1221:
Amanda Jenner, Lynne
Shields PhD ccc-slp "Speech and Language Issues"
336:
281:
Endoscopic view of the stapedotomy in the footplate of the stapes bone
1331:
1283:
1275:
1207:
203:
1013:
Moneir W, Abd El-Fattah AM, Mahmoud E, Elshaer M (September 2018).
195:
129:
Poor cochlear reserve as shown by poor speech discrimination scores
65:
57:
1012:
853:
Dawes, J. D. K.; Welch, A. R. (1985), Marquet, Jean F. E. (ed.),
610:
Glasscock ME, Storper IS, Haynes DS, Bohrer PS (September 1995).
285:
344:
340:
332:
23:
1227:
1226:
M. Hawthorne, FRCS-ENT Surgeon. "Hearing
Impairment and EDS"
754:
Tarabichi M (January 1999). "Endoscopic middle ear surgery".
227:
609:
549:
Indian
Journal of Otolaryngology and Head & Neck Surgery
422:
328:
801:"Stapedectomy: Background, Indications, Contraindications"
487:
1267:
1136:"Necrology: Henri André Martin, 01/21/1918 - 10/16/2004"
76:
Stapedectomy has success rates ranging from 80% to 95%.
16:
Surgical removal of the stapes bone from the middle ear
861:, Dordrecht: Springer Netherlands, pp. 201–205,
894:
270:(tissue growths abnormally linking the bones to the
101:
Conductive hearing loss (due to fixation of stapes).
1261:
1061:
705:
612:"Twenty-five years of experience with stapedectomy"
465:"Congenital Stapes Fixation | Dallas Ear Institute"
71:
1148:
1138:. European Review of ENT (in French). p. 332.
897:Archives of Otolaryngology–Head & Neck Surgery
311:The world's first stapedectomy is credited to Dr.
1205:
972:The Annals of Otology, Rhinology, and Laryngology
756:The Annals of Otology, Rhinology, and Laryngology
580:
1383:
969:
929:
706:Srivastava R, Cho W, Fergie N (February 2021).
246:
701:
699:
1247:
1015:"Endoscopic stapedotomy: Merits and demerits"
605:
603:
601:
930:Motta G, Ruosi M, Motta S (April 1996). "".
139:) as evidenced by a positive flemmingo sign.
1142:
963:
923:
888:
813:
696:
1254:
1240:
1200:Overview of Otosclerosis and Stapedectomy
852:
598:
369:Location of the ossicular chain in the ear
1038:
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297:
1218:- details of the procedure with pictures
284:
276:
661:
164:Vertigo in the immediate post op period
1384:
1133:
567:
222:A modified stapes operation, called a
135:Presence of active otosclerotic foci (
123:Poor general condition of the patient.
1235:
1175:
795:
793:
708:"The Use of Lasers in Stapes Surgery"
546:
22:is a surgical procedure in which the
909:10.1001/archotol.1997.01900020059008
749:
747:
745:
743:
664:"Laser stapedotomy for otosclerosis"
657:
655:
119:Contraindications for stapedectomy:
114:
104:Air bone gap of at least 30 dB.
820:Srpski Arhiv Za Celokupno Lekarstvo
429:Acta Oto-Laryngologica Case Reports
13:
932:Acta Otorhinolaryngologica Italica
814:Savić, D.; Djerić, D. (May 1991).
790:
355:
14:
1408:
1189:
1112:. Shea Ear Clinic. Archived from
740:
652:
581:De Souza C, Glasscock ME (2004),
132:Patient with tinnitus and vertigo
1182:, Ear, Nose & Throat Journal
681:10.1288/00005537-198002000-00007
629:10.1288/00005537-199509000-00005
386:
374:
362:
150:
72:Stapedectomy process and results
1169:
1151:The American Journal of Otology
1127:
1102:
1055:
1006:
950:
855:"Complications of stapedectomy"
846:
807:
712:Ear, Nose, & Throat Journal
155:Complications of stapedectomy:
540:
494:Case Reports in Otolaryngology
481:
457:
416:
217:
92:
1:
583:Otosclerosis and Stapedectomy
442:10.1080/23772484.2020.1798765
263:(leakage of cochlear fluid).
97:Indications of stapedectomy:
1080:10.1097/MAO.0000000000002762
867:10.1007/978-94-009-5002-3_49
662:Perkins RC (February 1980).
410:
247:Stapedectomy vs. stapedotomy
7:
1366:Auditory brainstem response
398:
343:, who pioneered the use of
255:, and especially at higher
142:Conductive deafness due to
10:
1413:
1206:Balasubramanian T (2006).
1176:Pulec JL (February 2002),
1031:10.1016/j.joto.2017.11.002
984:10.1177/000348949110001203
768:10.1177/000348949910800106
306:
1348:
1330:
1292:
1274:
1068:Otology & Neurotology
405:List of surgeries by type
210:forming postoperatively.
26:bone is removed from the
725:10.1177/0145561320937828
585:, New York, NY: Thieme,
51:congenital malformation
39:conductive hearing loss
960:, 4(3): 429–434, 2010.
317:Dr. Antonio De La Cruz
298:Endoscopic Stapedotomy
290:
282:
192:Granuloma (Reparative)
176:Tympanic membrane tear
144:Ehlers–Danlos Syndrome
1371:Electronystagmography
938:(2 Suppl 53): 36–41.
393:Stapes: Relative size
288:
280:
718:(1_suppl): 73S–76S.
507:10.1155/2016/2598962
253:air-bone hearing gap
30:and replaced with a
1361:Caloric reflex test
622:(9 Pt 1): 899–904.
321:House Ear Institute
173:Floating foot plate
1110:"John J. Shea, Jr"
1019:Journal of Otology
561:10.1007/BF02992304
291:
283:
49:. The second is a
1379:
1378:
1134:Lacher G (2004).
958:Asian Biomedicine
876:978-94-009-5002-3
469:www.dallasear.com
261:perilymph fistula
257:sound frequencies
208:perilymph fistula
183:Perilymph fistula
126:Only hearing ear.
115:Contraindications
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1074:(9): 1198–1201.
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737:
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668:The Laryngoscope
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313:John J.Shea Jr.
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53:of the stapes.
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1190:External links
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978:(12): 966–70.
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1307:Stapedectomy
1306:
1211:. Retrieved
1178:
1171:
1157:(1): 68–71.
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1118:. Retrieved
1114:the original
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880:, retrieved
858:
848:
823:
819:
809:
762:(1): 39–46.
759:
755:
715:
711:
671:
667:
619:
615:
582:
552:
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542:
497:
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483:
472:. Retrieved
468:
459:
435:(1): 91–95.
432:
428:
418:
310:
301:
292:
265:
250:
236:
223:
221:
212:
200:
160:Facial palsy
154:
118:
96:
88:
85:
82:
78:
75:
62:otosclerosis
55:
47:otosclerosis
36:
20:Stapedectomy
19:
18:
1392:Ear surgery
1302:Myringotomy
555:(1): 9–11.
500:: 2598962.
325:Los Angeles
224:stapedotomy
218:Stapedotomy
93:Indications
1386:Categories
1294:Middle ear
1264:procedures
1262:Tests and
1213:2007-07-03
1120:2007-07-03
882:2022-03-27
474:2022-03-27
232:prosthesis
58:small hole
32:prosthesis
28:middle ear
1332:Inner ear
1284:Otoplasty
1276:Outer ear
1088:1531-7129
832:0370-8179
516:2090-6765
451:229465687
411:Footnotes
268:adhesions
1096:32925837
1049:30559773
1000:20656876
784:40931362
734:32603217
646:21959446
534:27648330
399:See also
230:, and a
196:Tinnitus
167:Vomiting
66:deafness
1266:on the
1163:3976862
1040:6291631
992:1746843
944:8928670
917:9046285
840:1792562
776:9930539
690:7354691
638:7666721
525:5018336
337:Béziers
319:of the
307:History
45:called
1161:
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830:
782:
774:
732:
688:
644:
636:
589:
532:
522:
514:
449:
345:Teflon
341:France
333:France
24:stapes
1349:Tests
996:S2CID
780:S2CID
642:S2CID
447:S2CID
228:laser
146:(EDS)
1159:PMID
1092:PMID
1084:ISSN
1045:PMID
988:PMID
940:PMID
913:PMID
871:ISBN
836:PMID
828:ISSN
772:PMID
730:PMID
686:PMID
634:PMID
587:ISBN
530:PMID
512:ISSN
498:2016
329:Lyon
1268:ear
1076:doi
1035:PMC
1027:doi
980:doi
976:100
905:doi
901:123
863:doi
824:119
764:doi
760:108
720:doi
716:100
676:doi
624:doi
620:105
557:doi
520:PMC
502:doi
437:doi
323:in
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