Stapedotomy

Stapedotomy is surgery for otosclerosis. In this surgery, the fixed stapes due to otosclerosis is removed and replaced with a prosthesis.

Why do you need a Stapedotomy?

Otosclerosis is a primary disease of bone metabolism. In this, one or more areas of the stapes bone get fixed due to new bone formation/ bony deposition on it which prevents mobility of the ossicular chain. This prevents sound transmission causing conductive hearing loss. It usually affects both ears but sometimes affects one ear. It is more commonly seen in females.

Otosclerosis is hereditary in nature which means it could run in the family. Hence, taking a complete family history of the patient is an important part of the diagnostic process.

The surgery is performed endomeatally (through the ear canal) without any external visible scar. In the surgery, the fixed stapes is removed and a prosthesis is placed between the incus and oval window. After the prosthesis is placed, the ossicular chain becomes mobile again which restores the patient’s hearing.

Post-Operative Care

The patient is usually required to stay overnight after surgery. A simple bandage dressing with cotton packing is applied to the ear. The patient is then told to come back for a follow-up after 10 days where the dressing is removed.

The patient can resume their normal activities 2 days after surgery. However, they are told to avoid any strenuous activities like forceful nose blowing and heavy lifting etc. They are also not allowed to fly or dive for one month in order to prevent any complications from arising due to pressure changes. The patient would require regular follow-up for 3 months.

Short-term complications

Some short-term complications of the surgery could include vertigo, taste disturbance and facial paresis. However, these incidences are very rare and measures are taken to prevent them.