Stapedotomy

Indications for Stapedotomy

Otosclerosis: A condition where abnormal bone growth around the stapes bone impedes its movement, leading to progressive hearing loss.

Conductive Hearing Loss: Stapedotomy is primarily used to treat conductive hearing loss when it is caused by the stapes bone becoming immobilized.

Preparation: The patient is typically given general anesthesia or local anesthesia with sedation to ensure comfort and minimize movement during the surgery.

Surgical Process: The surgeon makes a small incision in the ear canal and removes the affected stapes bone. A small prosthetic device, called a stapes prosthesis, is then implanted to replace the stapes and restore the transmission of sound vibrations to the inner ear. The procedure generally takes about 1 to 2 hours.

Stapedotomy is highly effective for restoring hearing in patients with otosclerosis. Most patients experience significant improvements in hearing, with many achieving near-normal hearing levels post-surgery. The procedure has a high success rate and is generally well-tolerated, with most individuals resuming normal activities within a few weeks. Proper postoperative care and follow-up are crucial for achieving the best outcomes and addressing any potential complications.

Postoperative Care

Pain Management: Mild pain and discomfort are managed with medications prescribed by the surgeon.

Activity Restrictions: Patients are advised to avoid activities that could put pressure on the ear, such as heavy lifting or vigorous exercise, for a few weeks.

Ear Care: Keeping the ear dry and avoiding getting water in it during the initial healing period is crucial. Follow-up appointments are essential to monitor healing and the position of the prosthesis.



Stapedotomy is a surgical procedure aimed at improving hearing in patients with otosclerosis, a condition where abnormal bone growth around the stapes bone in the middle ear leads to conductive hearing loss. Performed under general or local anesthesia with sedation, the surgery involves removing the affected stapes bone and implanting a small prosthetic device to restore sound transmission to the inner ear. The procedure usually lasts 1 to 2 hours and is often performed using a laser for precision. Postoperative care includes managing pain with medications, avoiding strenuous activities, and keeping the ear dry. While stapedotomy generally results in significant improvements in hearing, potential risks include temporary or permanent hearing changes, infection, dizziness, and prosthesis displacement. Most patients experience substantial hearing restoration and a quick recovery, making stapedotomy an effective solution for restoring hearing affected by otosclerosis.