Related Experiment Videos
Total ossiculoplasty with footplate removal
Leonard Berenholz1, William H Lippy
1Department of Otolaryngology, Wolfson Medical Center Hospital and Sackler Faculty of Medicine, Tel Aviv University, Israel. leonard@netvision.net.il
Summary
Total ossiculoplasty requiring footplate removal is uncommon but can achieve good hearing improvement with minimal risk. This procedure, involving stapedectomy, offers a 60% success rate in closing the air-bone gap.
Area of Science:
- Otolaryngology
- Neurosurgery
- Audiology
Background:
- Total ossiculoplasty is a surgical procedure to reconstruct the middle ear ossicles.
- Footplate removal during ossiculoplasty is an uncommon but sometimes necessary step.
- This procedure is often performed in cases of severe conductive hearing loss.
Purpose of the Study:
- To review the outcomes and management of patients undergoing total ossiculoplasty with footplate removal.
- To assess the hearing improvement and risks associated with this specific surgical approach.
Main Methods:
- A retrospective review of 10 patients who underwent total ossiculoplasty with footplate removal between 1999 and 2002.
- Patients were seen at a tertiary otologic referral center.
- Follow-up averaged 17 months.
Main Results:
- 60% of patients achieved closure of the air-bone gap (ABG) to within 20 dB.
- Mean postoperative ABG was 21.7 dB, with an average 4-frequency pure tone improvement of 20.7 dB.
- No patients experienced postoperative sensorineural hearing loss.
Conclusions:
- Footplate removal during total ossiculoplasty is an infrequent necessity.
- The procedure can yield significant hearing improvement with low risk.
- Factors like tympanosclerosis and facial nerve obstruction may necessitate footplate removal.